Nutritional Prehabilitation in Patients Undergoing Abdominal Surgery-A Narrative Review

被引:6
作者
Wobith, Maria [1 ]
Hill, Aileen [2 ,3 ]
Fischer, Martin [1 ]
Weimann, Arved [1 ]
机构
[1] Klinikum St Georg, Dept Gen Visceral & Oncol Surg, D-04129 Leipzig, Germany
[2] Univ Hosp RWTH Aachen, Dept Operat Intens Care & Intermediate Care, D-52074 Aachen, Germany
[3] Univ Hosp RWTH Aachen, Dept Anaesthesiol, D-52074 Aachen, Germany
关键词
nutritional prehabilitation; malnutrition; gastrointestinal surgery; medical nutrition therapy; perioperative; literature review; POSTOPERATIVE COMPLICATIONS; CANCER; IMMUNONUTRITION; SUPPLEMENTS; CAPACITY; SUPPORT;
D O I
10.3390/nu16142235
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Malnutrition plays a crucial role as a risk factor in patients undergoing major abdominal surgery. To mitigate the risk of complications, nutritional prehabilitation has been recommended for malnourished patients and those at severe metabolic risk. Various approaches have been devised, ranging from traditional short-term conditioning lasting 7-14 days to longer periods integrated into a comprehensive multimodal prehabilitation program. However, a significant challenge is the considerable heterogeneity of nutritional interventions, leading to a lack of clear, synthesizable evidence for specific dietary recommendations. This narrative review aims to outline the concept of nutritional prehabilitation, offers practical recommendations for clinical implementation, and also highlights the barriers and facilitators involved.
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页数:14
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