serval:BIB_349CE38666BD
Perioperative nutrition in abdominal surgery: recommendations and reality.
10.1155/2011/739347
000293538800001
21687620
Cerantola
Y.
author
Grass
F.
author
Cristaudi
A.
author
Demartines
N.
author
Schäfer
M.
author
Hübner
M.
author
article
review
2011
Gastroenterology Research and Practice
1687-630X
1687-6121
journal
2011
739347
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.
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
eng
60_published
true
peer-reviewed
Publication types: Journal ArticlePublication Status: ppublish
University of Lausanne
mailto:serval_help@unil.ch
http://www.unil.ch/serval
http://serval.unil.ch/disclaimer
https://serval.unil.ch/notice/serval:BIB_349CE38666BD