التفاصيل البيبلوغرافية
| العنوان: |
Perioperative nutritional assessment and support in visceral surgery. |
| المؤلفون: |
Valla, Frederic V., Uberti, Thomas, Henry, Caroline, Slim, Karem |
| المصدر: |
Journal of Visceral Surgery; Oct2023, Vol. 160 Issue 5, p356-367, 12p |
| مصطلحات موضوعية: |
NUTRITIONAL assessment, ENHANCED recovery after surgery protocol, ENTERAL feeding, DIETARY supplements, DIGESTIVE organs, IMMUNONUTRITION diet |
| مستخلص: |
• As a source of postoperative morbi-mortality, malnutrition is to be screened and managed, preoperatively as well as postoperatively. • An Enhanced Recovery programshould be systematically applied, according to local institutional protocols. • Early oral feeding should be proposed to the greatest possible extent as first-line treatment, more or less associated with oral nutritional supplements. If this approach is ineffective or impossible, enteral nutrition is to be preferred to parenteral nutrition, except in the event of contraindication. • Each type of visceral surgery entailing anatomic modifications of the digestive system can have functional consequences from a nutritional standpoint that should be known and taken into account so as to achieve optimized management. • The role of pharmaco-nutrition in the ERAS approach remains ill-defined. Malnutrition in visceral surgery is frequent; it calls for screening prior to an operation, and its postoperative occurrence should be sought out and prevented, if possible. Organization of an individualized nutritional support strategy is based on systematic nutritional assessment and adapted to the type of surgery, the objectives being to forestall malnutrition and to reduce induced morbidity (immunosuppression, delayed wound healing, anastomotic fistulas...). Nutritional support is part and parcel of enhanced recovery after surgery (ERAS), and has shown effectiveness in the field of visceral surgery. Oral feeding should always be privileged to the greatest possible extent, complemented if necessary by nutritional supplements. If nutritional support is required, enteral nutrition should be favored over parenteral nutrition. As for the role of pharmaco-nutrition or immuno-nutrition, it remains ill-defined. Lastly, each type of visceral surgery entails specific modifications of the anatomy of the digestive system and is liable to have specific functional consequences, which should be known and taken into account in view of effectively tailoring nutritional support. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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