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Perioperative Nutritional Management in Digestive Tract Surgery by Ulf O. Gustafsson; Olle Ljungqvist is a Medicine article available to read on EtoBox.
What is Perioperative Nutritional Management in Digestive Tract Surgery about?
## Purpose of review: This article reviews the recent research on perioperative nutrition in digestive tract surgery in the light of modern perioperative care principles, that is, enhanced recovery after surgery (eras). four major directions of research emerge: detecting malnutrition, perioperative hyperglycemia/insulin resistance, enteral/parenteral nutrition and immunonutrition. ## Recent findings: For preoperative nutritional screening/assessment, current data cannot single out superiority for sga questionnaire, nutritional risk score, reilly's nutritional risk score or nutritional risk index in the ability to predict nutrition-related complications. the use of eras elements to reduce surgical stress and preclude postoperative insulin resistance has recently been clearly linked to reductions in adverse outcomes. there are specific situations in which enteral nutrition is contraindicated and criterias for preoperative and postoperative parenteral nutrition in undernourished patients are defined in guidelines recently available. several controlled randomized studies and systematic reviews indicate that immune nutrition formulas reduce both morbidity and length of stay after major
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It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Ulf O. Gustafsson; Olle Ljungqvist
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)