ĐÁNH GIÁ KHẨU PHẦN ĂN ĐƯỜNG MIỆNG CỦA BỆNH NHÂN SAU PHẪU THUẬT CẮT GAN TẠI BỆNH VIỆN K NĂM 2025

Abstract

Aims: The study aimed to assess oral dietary intake of patients undergoing hepatoectomy at National Cancer Hospital in order to determine the adequacy of nutritional requirements and to improve nutritional care.

Methods: A cross-sectional study was conducted on 34 patients following hepatic resection. Oral dietary data were collected using a 24-hour dietary recall. Nutrient composition was analyzed with the Vietnamese version of Eiyokun software and compared against ESPEN recommendations.

Results: The mean daily oral dietary energy intake of the patients was 958.4 ± 277.6 kcal/day. The proportions meeting energy and protein requirements increased over time, with mean daily adequacy during hospitalization of 55.0 ± 16.0% and 60.6 ± 18.5%, respectively. On average, only 11.8% of oral dietary intake of patients met their energy requirements and 2.9% met protein requirements. The energy distribution from macronutrients was: carbohydrates 49.5–56%, protein 15.9–19.2%, and fat 24.9–33.5%. Patients discharged earlier had higher mean oral dietary energy intake.

Conclusion: In the early postoperative period, the proportion of patients’s oral diertary intake meeting recommended nutritional requirements after hepatoectomy remained low. Therefore, nutrition for postoperative patients still requires additional support through enteral and/or parenteral nutrition, and should be individualized.