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doi: 10.1155/2012/109636 105 AmranNAbdul-RahmanPS

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However, for patients identified preoperatively with severe malnutrition or a high inflammatory state, a more aggressive nutritional strategy may be required, such as early combination with parenteral nutrition (PN) to ensure adequate energy and protein supply, or more cautious selection of feeding tube routes to balance the benefits of enteral nutrition with the risk of aspiration (120)