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Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality
Introduction. Preoperative malnutrition is a major risk factor for increased postoperative morbidity and mortality. Definition and diagnosis of malnutrition and its treatment is still subject for controversy. Furthermore, practical implementation of nutrition-related guidelines is unknown. Methods....
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113259/ https://www.ncbi.nlm.nih.gov/pubmed/21687620 http://dx.doi.org/10.1155/2011/739347 |
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author | Cerantola, Yannick Grass, Fabian Cristaudi, Alessandra Demartines, Nicolas Schäfer, Markus Hübner, Martin |
author_facet | Cerantola, Yannick Grass, Fabian Cristaudi, Alessandra Demartines, Nicolas Schäfer, Markus Hübner, Martin |
author_sort | Cerantola, Yannick |
collection | PubMed |
description | Introduction. Preoperative malnutrition is a major risk factor for increased postoperative morbidity and mortality. Definition and diagnosis of malnutrition and its treatment is still subject for controversy. Furthermore, practical implementation of nutrition-related guidelines is unknown. Methods. A review of the available literature and of current guidelines on perioperative nutrition was conducted. We focused on nutritional screening and perioperative nutrition in patients undergoing digestive surgery, and we assessed translation of recent guidelines in clinical practice. Results and Conclusions. Malnutrition is a well-recognized risk factor for poor postoperative outcome. The prevalence of malnutrition depends largely on its definition; about 40% of patients undergoing major surgery fulfil current diagnostic criteria of being at nutritional risk. The Nutritional Risk Score is a pragmatic and validated tool to identify patients who should benefit from nutritional support. Adequate nutritional intervention entails reduced (infectious) complications, hospital stay, and costs. Preoperative oral supplementation of a minimum of five days is preferable; depending on the patient and the type of surgery, immune-enhancing formulas are recommended. However, surgeons' compliance with evidence-based guidelines remains poor and efforts are necessary to implement routine nutritional screening and nutritional support. |
format | Online Article Text |
id | pubmed-3113259 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-31132592011-06-17 Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality Cerantola, Yannick Grass, Fabian Cristaudi, Alessandra Demartines, Nicolas Schäfer, Markus Hübner, Martin Gastroenterol Res Pract Review Article Introduction. Preoperative malnutrition is a major risk factor for increased postoperative morbidity and mortality. Definition and diagnosis of malnutrition and its treatment is still subject for controversy. Furthermore, practical implementation of nutrition-related guidelines is unknown. Methods. A review of the available literature and of current guidelines on perioperative nutrition was conducted. We focused on nutritional screening and perioperative nutrition in patients undergoing digestive surgery, and we assessed translation of recent guidelines in clinical practice. Results and Conclusions. Malnutrition is a well-recognized risk factor for poor postoperative outcome. The prevalence of malnutrition depends largely on its definition; about 40% of patients undergoing major surgery fulfil current diagnostic criteria of being at nutritional risk. The Nutritional Risk Score is a pragmatic and validated tool to identify patients who should benefit from nutritional support. Adequate nutritional intervention entails reduced (infectious) complications, hospital stay, and costs. Preoperative oral supplementation of a minimum of five days is preferable; depending on the patient and the type of surgery, immune-enhancing formulas are recommended. However, surgeons' compliance with evidence-based guidelines remains poor and efforts are necessary to implement routine nutritional screening and nutritional support. Hindawi Publishing Corporation 2011 2011-05-22 /pmc/articles/PMC3113259/ /pubmed/21687620 http://dx.doi.org/10.1155/2011/739347 Text en Copyright © 2011 Yannick Cerantola et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Cerantola, Yannick Grass, Fabian Cristaudi, Alessandra Demartines, Nicolas Schäfer, Markus Hübner, Martin Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality |
title | Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality |
title_full | Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality |
title_fullStr | Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality |
title_full_unstemmed | Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality |
title_short | Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality |
title_sort | perioperative nutrition in abdominal surgery: recommendations and reality |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113259/ https://www.ncbi.nlm.nih.gov/pubmed/21687620 http://dx.doi.org/10.1155/2011/739347 |
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