Perioperative nutrition in abdominal surgery: recommendations and reality.

Details

Ressource 1Download: BIB_349CE38666BD.P001.pdf (585.38 [Ko])
State: Public
Version: author
Serval ID
serval:BIB_349CE38666BD
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
Perioperative nutrition in abdominal surgery: recommendations and reality.
Journal
Gastroenterology Research and Practice
Author(s)
Cerantola Y., Grass F., Cristaudi A., Demartines N., Schäfer M., Hübner M.
ISSN
1687-630X (Electronic)
ISSN-L
1687-6121
Publication state
Published
Issued date
2011
Volume
2011
Pages
739347
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
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.
Keywords
, MALNOURISHED SURGICAL-PATIENTS, TOTAL PARENTERAL-NUTRITION, RANDOMIZED CLINICAL-TRIAL, POSTOPERATIVE ENTERAL IMMUNONUTRITION, GASTROINTESTINAL CANCER-PATIENTS, PREOPERATIVE IMMUNONUTRITION, COLORECTAL SURGERY, MULTICENTER TRIAL, ESPEN GUIDELINES, GASTRIC-CANCER
Pubmed
Web of science
Open Access
Yes
Create date
22/08/2011 16:29
Last modification date
20/08/2019 14:21
Usage data