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Perioperative Nutrition in Elective Gastrointestinal Surgery - Potential for Improvement?

Akbarshahi, Hamid LU ; Andersson, Bodil LU ; Nordén, Morgan LU and Andersson, Roland LU (2008) In Digestive Surgery 25(3). p.165-174
Abstract
Nutritional concern is one of the most important issues to be addressed in the perioperative care given to gastrointestinal patients. Not at least, malnutrition may be detrimental and relate to postoperative morbidity. Perioperative nutritional management, integrated with other modern perioperative care policies, allows the establishment of multimodal strategies with an attempt to optimize the patients' course of disease. The present review evaluates available data regarding pre- and postoperative nutrition, nutritional supplements, including immunonutrition, and their clinical role. It is to be concluded that pre- and postoperative prolonged fasting has no routine role in management. Instead, for example, early postoperative feeding... (More)
Nutritional concern is one of the most important issues to be addressed in the perioperative care given to gastrointestinal patients. Not at least, malnutrition may be detrimental and relate to postoperative morbidity. Perioperative nutritional management, integrated with other modern perioperative care policies, allows the establishment of multimodal strategies with an attempt to optimize the patients' course of disease. The present review evaluates available data regarding pre- and postoperative nutrition, nutritional supplements, including immunonutrition, and their clinical role. It is to be concluded that pre- and postoperative prolonged fasting has no routine role in management. Instead, for example, early postoperative feeding administered perorally or enterally may reduce postoperative complications and length of hospital stay. There are also indications that perioperative immunonutrition may reduce postoperative infectious complications and length of hospital stay, though further studies in this field are needed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Digestive Surgery
volume
25
issue
3
pages
165 - 174
publisher
Karger
external identifiers
  • wos:000257455200001
  • pmid:18515968
  • scopus:49449116796
ISSN
0253-4886
DOI
10.1159/000136478
language
English
LU publication?
yes
id
856ff2e1-5473-4b77-a315-9bc9b0dc4ea0 (old id 1169354)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18515968?dopt=Abstract
date added to LUP
2008-07-02 10:54:17
date last changed
2017-01-01 07:30:01
@article{856ff2e1-5473-4b77-a315-9bc9b0dc4ea0,
  abstract     = {Nutritional concern is one of the most important issues to be addressed in the perioperative care given to gastrointestinal patients. Not at least, malnutrition may be detrimental and relate to postoperative morbidity. Perioperative nutritional management, integrated with other modern perioperative care policies, allows the establishment of multimodal strategies with an attempt to optimize the patients' course of disease. The present review evaluates available data regarding pre- and postoperative nutrition, nutritional supplements, including immunonutrition, and their clinical role. It is to be concluded that pre- and postoperative prolonged fasting has no routine role in management. Instead, for example, early postoperative feeding administered perorally or enterally may reduce postoperative complications and length of hospital stay. There are also indications that perioperative immunonutrition may reduce postoperative infectious complications and length of hospital stay, though further studies in this field are needed.},
  author       = {Akbarshahi, Hamid and Andersson, Bodil and Nordén, Morgan and Andersson, Roland},
  issn         = {0253-4886},
  language     = {eng},
  number       = {3},
  pages        = {165--174},
  publisher    = {Karger},
  series       = {Digestive Surgery},
  title        = {Perioperative Nutrition in Elective Gastrointestinal Surgery - Potential for Improvement?},
  url          = {http://dx.doi.org/10.1159/000136478},
  volume       = {25},
  year         = {2008},
}