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Prise en charge nutritionnelle préopératoire. [Preoperative nutritional support.]

Authors
Journal
Nutrition Clinique et Métabolisme
0985-0562
Publisher
Elsevier
Publication Date
Volume
24
Issue
4
Identifiers
DOI: 10.1016/j.nupar.2010.10.009
Keywords
  • Nutritional Assessment
  • Surgery
  • Emergency
  • Preoperative Nutrition
  • Preoperative Fasting
  • Randomized Clinical-Trial
  • Postoperative Insulin-Resistance
  • Gastrointestinal Cancer-Patients
  • Oral Carbohydrate Treatment
  • Total Parenteral-Nutrition
  • Gastric Fluid Volume
  • Liver-Transplantation
  • Abdominal-Surgery
  • Enteral Nutrition
  • Digestive-Surgery
Disciplines
  • Medicine

Abstract

Undernutrition is an independent factor of postoperative morbidity and mortality The aim of a preoperative nutritional support is to enhance immune muscular and cognitive functions, and to support wound healing This nutritional support (e g dietary management enteral or parenteral nutrition) should be limited to high risk situations with a beneficial effect of nutrition for the patient undernutrition major surgery and elderly Preoperative nutritional support should be scheduled for atleast 7 to 10 days before the surgery During the preoperative period the type and route of an eventual postoperative nutritional assistance should be anticipated In the case of emergency surgery nutritional assessment of the patient should be done as soon as possible before surgery or in the 48 h postoperative period Finally, in elective surgery, preoperative fasting should be limited to 2-3 hours for clear liquids and 6 hours for solids (C) 2010 Published by Elsevier Masson SAS

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