ESPEN guideline: Clinical nutrition in surgery.

Details

Serval ID
serval:BIB_00BE4D1D770D
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
ESPEN guideline: Clinical nutrition in surgery.
Journal
Clinical nutrition
Author(s)
Weimann A., Braga M., Carli F., Higashiguchi T., Hübner M., Klek S., Laviano A., Ljungqvist O., Lobo D.N., Martindale R., Waitzberg D.L., Bischoff S.C., Singer P.
ISSN
1532-1983 (Electronic)
ISSN-L
0261-5614
Publication state
Published
Issued date
06/2017
Peer-reviewed
Oui
Volume
36
Number
3
Pages
623-650
Language
english
Notes
Publication types: Journal Article ; Practice Guideline ; Review
Publication Status: ppublish
Abstract
Early oral feeding is the preferred mode of nutrition for surgical patients. Avoidance of any nutritional therapy bears the risk of underfeeding during the postoperative course after major surgery. Considering that malnutrition and underfeeding are risk factors for postoperative complications, early enteral feeding is especially relevant for any surgical patient at nutritional risk, especially for those undergoing upper gastrointestinal surgery. The focus of this guideline is to cover nutritional aspects of the Enhanced Recovery After Surgery (ERAS) concept and the special nutritional needs of patients undergoing major surgery, e.g. for cancer, and of those developing severe complications despite best perioperative care. From a metabolic and nutritional point of view, the key aspects of perioperative care include: • integration of nutrition into the overall management of the patient • avoidance of long periods of preoperative fasting • re-establishment of oral feeding as early as possible after surgery • start of nutritional therapy early, as soon as a nutritional risk becomes apparent • metabolic control e.g. of blood glucose • reduction of factors which exacerbate stress-related catabolism or impair gastrointestinal function • minimized time on paralytic agents for ventilator management in the postoperative period • early mobilisation to facilitate protein synthesis and muscle function The guideline presents 37 recommendations for clinical practice.

Keywords
Digestive System Surgical Procedures, Gastrointestinal Diseases/diet therapy, Gastrointestinal Diseases/surgery, Gastrointestinal Tract/surgery, Humans, Malnutrition/prevention & control, Meta-Analysis as Topic, Nutrition Policy, Nutritional Status, Nutritional Support, Observational Studies as Topic, Perioperative Care, Postoperative Complications/prevention & control, Randomized Controlled Trials as Topic, Risk Factors, ERAS, Enteral nutrition, Parenteral nutrition, Perioperative nutrition, Prehabilitation, Surgery
Pubmed
Web of science
Create date
25/04/2017 17:09
Last modification date
20/08/2019 12:23
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