Surgical And Palliative

The stress of surgery on the body results in increased energy and protein utilization. Perioperative nutrition, which involves the supply of essential macro- and micronutrients and, protein, is an integral component of a speedy recovery. Nutritional therapy also plays a vital role in managing the symptoms, sustaining functional abilities, and improving the quality of life of patients under palliative care.

Our Offerings

  • Nasogastric feeds: Nasogastric feeding is the process of delivering food through the nasogastric tube. A nasogastric tube is a small tube that travels from the nose to the stomach. Patients unable to swallow medicines or food are provided nasogastric intubation.
  • Feeding jejunostomy tube: The jejunum forms the middle part of the small intestine. Feeding jejunostomy is the procedure of delivering the feeds directly into the jejunum. The surgeon places the tube into the jejunum in the cases where there is no access to the nasoenteral route.
  • Percutaneous endoscopic gastrostomy: It is a procedure done to deliver the nutrition into the stomach by placing the G-tube. The surgeon performs this procedure in patients who have difficulty in swallowing. Causes of difficulty in swallowing are head and neck cancer, brain injury, and stroke.
  • Total parenteral nutrition (TPN): Through total parenteral nutrition, healthcare professionals deliver a specialized form of food to patients through veins. The primary aim of TPN is to prevent or correct malnutrition. TPN is indicated in patients with small bowel obstruction, chronic intestinal obstruction, sepsis, major fractures, and polytrauma.
  • Pre- and post-operative nutritional care: Managing adequate nutrition before and after the surgery helps to reduce complications and improve recovery after surgery. The patient should take advice from the surgeon and the associated nutritionist about the diet to be followed before and after surgery.


Some of the foods that promote healing after surgery are:

  • Vegetables, such as cauliflower, broccoli, cabbage, and sweet potatoes, have a significant amount of vitamins, minerals, and fiber that ensure rapid healing and reduce side effects of surgery, such as constipation.
  • Dark leafy greens, such as spinach, are rich in vitamins A, C, E, and K.
  • A diet rich in protein and iron helps repair muscles. Incorporate nuts, seafood, poultry, and eggs into the diet.
  • Other foods to be consumed after the surgery are probiotics, avocado, olive oil, and berries.

Nutritional measures to be followed prior to surgery are:

  • Avoid skipping meals and eat at least thrice a day.
  • Consume protein-rich foods, fruits, dairy products, vegetables, and whole grains.
  • Incorporate cheese, nuts, beans, poultry, eggs, and yogurt into the diet.
  • Drink adequate water to avoid dehydration.
  • Consult with a nutritionist to achieve your goals of losing or gaining weight or controlling blood sugar levels prior to surgery.

The goal of nutrition in palliative care patients is to improve their quality of life. Evidence suggests that combining appropriate nutritional therapy with palliative care enhances the quality of life and reduces symptoms. The nutrition specialist in palliative care develops customized dietary recommendations to optimize energy intake by modifying the type of food, timing and frequency of meals, and size of portions.