(P03-058-24) Food Pathway Transition and Nutritional Status in Recovery From Acute Cholecystitis: Case Report

Objectives: To carry out nutritional monitoring of a patient with acute cholecystitis admitted to an Intensive Care Unit, maintaining adequate nutritional status.

Methods: Cross-sectional study carried out with data from a patient admitted to a public hospital in the southern region of Brazil, between the months of May and July 2023. The data were collected through nutritional care in accordance with the care protocol that involves the Nutritional Risk Score screening (NRS, 2002) and anthropometric assessment, using the measures recommended by Chumlea (1988), the nutritional management adopted was Enteral Nutritional Therapy (ENT), Parenteral Nutrition (PN) and the oral route, according to tract conditions digestive.

Results: Male patient, 60 years old, submitted to laparotomy and open cholecystectomy, with an estimated weight of 80.8kg and 1.64m, started with ENT, the estimated total energy value (TEV) was 1,600 kcal/day, due to alteration of the Gastro Intestinal Tract (GIT), PN was used with infusion reaching 25% of the TEV with an average of 1782.9 kcal/day (±258.76), after good acceptance and recovery of the GIT, ENT was started concomitantly until evolve positively towards exclusive oral route. The patient had a 10% reduction in body weight during the period, indicating a risk of malnutrition according to Fouque (2007), but after the dietary transition, the patient maintained a body weight of 70.4 kg until hospital discharge with good acceptance of the oral diet.

Conclusions: The nutritional intervention adopted enabled a positive evolution in the patient's recovery resulting in the return of access to the oral route, preserving the immune system as well as protein synthesis and functioning of the GIT.

Funding Sources: Self-financed research