Razi Journal of Medical Sciences

  Background: Diet therapy in gastrointestinal (GI) surgeries is influenced by site of surgery and its complications. Some GI surgeries are rare so diet therapy becomes complicated. The aim of this report is informed the appropriate nutritional management in wide and rare GI surgeries.

  Case report: The case is a patient by colon interposition and partial gastrectomy surgery. Complications such as dumping syndrome, acute respiratory distress syndrome and sepsis appeared in this patient. Inappropriate nutritional support before and after surgery was the cause of complications. The results were prolonged and complicated course of treatment and apparent malnutrition in patient.

  Conclusion: Nutritional evaluating of patient and consult by an expert dietitian before GI surgery is important in considering the appropriate route of feeding to accelerate healing With an emphasis on preventing malnutrition and prevention of secondary complications of the disease .