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- W2082801064 abstract "Abstract The severely obese represent an extremely challenging group of patients. Their body size and associated comorbidities complicate even routine medical care. These management difficulties spill over into nutrition support. As with any patient population, when the severely obese develop conditions such as critical illness and have an interruption in nutritional intake, they deserve aggressive nutrition intervention. However, standard enteral and parenteral approaches may be harmful. Most of the potential adverse effects can be attributed to the concentrated glucose infusion that represents a major calorie source of conventional feeding. To minimize the negative impact of nutrition support, a novel feeding approach, a protein‐sparing, hypocaloric regimen, is presented. This technique preserves protein stores while avoiding glucose‐related complications by intentionally restricting energy administration, in particular, glucose. Although there are relatively few investigations of this nutritional regimen in the literature, those that do exist confirm its safety and suggest a benefit for the patient. This article will review the issues pertaining to standard feeding approaches in the severely obese and the theoretical benefits of hypocaloric nutrition support. It will also review the published studies that used this method." @default.
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- W2082801064 date "1999-08-01" @default.
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- W2082801064 title "Nutrition Support for the Obese Patient" @default.
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