Abstract
The basic methods of medical nutritional therapy are; first, selecting optimal route of delivery; second, assessing and feeding the desirable amount of energy, protein, water, vitamins and electrolytes considering the size of wound and complications; followed by monitoring patients. It is necessary to take into account that complications, the amount and the infusion rate of total parenteral nutrition (TPN) and enteral nutrition (EN) are different because of the different route of absorption. It is not recommended to use TPN for a long term due to the risk of bacterial translocation. TPN should be used only when the intestinal route is unavailable or a circulatory system is unstable. When advancing EN, optimal formulas, and infusion rate should be determined, and careful monitoring should be done. Careful monitoring should be provided especially when advancing from TPN to EN.
