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promoting perioperative metabolic and nutritional care

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https://www.readbyqxmd.com/read/26248016/promoting-perioperative-metabolic-and-nutritional-care
#1
REVIEW
Chelsia Gillis, Francesco Carli
Surgery represents a major stressor that disrupts homeostasis and can lead to loss of body cell mass. Integrated, multidisciplinary medical strategies, including enhanced recovery programs and perioperative nutrition support, can mitigate the surgically induced metabolic response, promoting optimal patient recovery following major surgery. Clinical therapies should identify those who are poorly nourished before surgery and aim to attenuate catabolism while preserving the processes that promote recovery and immunoprotection after surgery...
December 2015: Anesthesiology
https://www.readbyqxmd.com/read/24347529/nutrition-optimization-prior-to-surgery
#2
REVIEW
David C Evans, Robert G Martindale, Laszlo N Kiraly, Christopher M Jones
Optimization of metabolic state prior to major surgery leads to improved surgical outcomes. Nutrition screening protocols should be implemented in the preoperative evaluation, possibly as part of a bundle. Strategies to minimize hyperglycemia and insulin resistance by aggressive preoperative nutrition and carbohydrate loading may promote maintenance of a perioperative anabolic state, improving healing, reducing complications, and shortening the time to recovery of bowel function and hospital discharge. Short courses of preoperative immune-modulating formulas, using combinations of arginine, ω-3 fatty acids, and other nutrients, have been associated with improved surgical outcomes...
February 2014: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/16301906/surgical-treatment-for-obesity-ensuring-success
#3
REVIEW
Deborah A Andris
In the United States, obesity has reached epidemic proportions. Serious medical complications, impaired quality of life, and premature mortality are all associated with obesity. Medical conditions such as type 2 diabetes mellitus, hypertension, hyperlipidemia, or sleep apnea can improve or be cured with weight loss. Medical treatment programs focused on diet, behavior modification, and/or pharmacologic intervention have met with limited long-term success. Although surgical treatments for obesity have become popular in recent years, they should only be used as a last resort for weight loss...
November 2005: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/15018479/the-nutritional-management-of-surgical-patients-enhanced-recovery-after-surgery
#4
REVIEW
Kenneth C H Fearon, Rachel Luff
Malnutrition has long been recognised as a risk factor for post-operative morbidity and mortality. Traditional metabolic and nutritional care of patients undergoing major elective surgery has emphasised pre-operative fasting and re-introduction of oral nutrition 3-5 d after surgery. Attempts to attenuate the consequent nutritional deficit and to influence post-operative morbidity and mortality have included parenteral, enteral and oral sip feeding. Recent studies have emphasised that an enhanced rate of recovery can be achieved by a multi-modal approach focused on modulating the metabolic status of the patient before (e...
November 2003: Proceedings of the Nutrition Society
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