Effect of long-lasting nutritional prehabilitation on postoperative outcome in elective surgery for IBD.

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Camilla FiorindiFrancesco Giudici

Abstract

Preoperative patient care optimisation appears to be crucial for obtaining good surgical outcomes. Enhanced Recovery After Surgery (ERAS) underlines the necessity to recognize and treat malnutrition perioperatively and to prehabilitate with interventions that can modulate the lean body mass before and after surgery. This procedure has been extensively reported in colorectal cancer patients but in Inflammatory Bowel Disease (IBD) it has not yet been clearly evaluated. The aim of this study was to implement the perioperative nutritional items in surgical Crohn's disease (CD) and ulcerative colitis (UC) patients electively operated in an ERAS setting, thus to clarify the impact of a long-lasting prehabilitation program in IBD. Consecutive adult patients (age ≥18) were included as soon as scheduled for elective surgery for CD or UC. The nutritional intervention included personalized dietary counseling and oral nutritional supplements when necessary. Data prospectively recorded in each phase were: FFM, FM, FFMI and phase angle detected with BIVA, weight, BMI, unintended weight loss, DASI, energy and nutritional intake, gastrointestinal symptoms and bowel functions. Nutritional risk was detected according to the NRS 2002 screening to...Continue Reading

References

Mar 1, 1993·World Journal of Surgery·G L HillD Schroeder
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Nov 24, 2004·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Ursula G KyleUNKNOWN ESPEN
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Oct 26, 2016·Nature Reviews. Gastroenterology & Hepatology·Pieter HindryckxGeert D'Haens
Oct 25, 2016·Cirugía española·José María Enriquez-NavascuésYolanda Saralegui
Jan 18, 2017·JAMA Surgery·Olle LjungqvistKenneth C Fearon
Jan 31, 2017·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Alastair ForbesStephan C Bischoff
Jul 22, 2018·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Chelsia GillisFrancesco Carli
Sep 6, 2018·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·T CederholmUNKNOWN GLIM Working Group
Dec 23, 2019·British Journal of Anaesthesia·Duminda N WijeysunderaUNKNOWN International Steering Committee

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