Multimodal prerehabilitation for elderly patients with sarcopenia in colorectal surgery

被引：20

作者：

Wu, Jingting ^{[1
]}

Chi, Hannah ^{[1
]}

Kok, Shawn ^{[2
]}

Chua, Jason M. W. ^{[3
]}

Huang, Xi-Xiao ^{[3
]}

Zhang, Shipin ^{[4
]}

Mah, Shimin ^{[5
]}

Foo, Li-Xin ^{[5
]}

Peh, Hui-Yee ^{[6
]}

Lee, Hui-Bing ^{[6
]}

Tay, Phoebe ^{[6
]}

Tong, Cherie ^{[6
]}

Ladlad, Jasmine ^{[1
]}

Tan, Cheryl H. M. ^{[1
]}

Khoo, Nathanelle ^{[1
]}

Aw, Darius ^{[1
]}

Chong, Cheryl X. Z. ^{[1
]}

Ho, Leonard M. L. ^{[1
]}

Sivarajah, Sharmini S. ^{[1
]}

Ng, Jialin ^{[1
]}

Tan, Winson J. H. ^{[1
]}

Foo, Fung-Joon ^{[1
]}

Teh, Bin-Tean ^{[4
]}

Koh, Frederick H. ^{[1
,7
]}

机构：

[1] Sengkang Gen Hosp, Div Surg, Singapore, Singapore

[2] Sengkang Gen Hosp, Dept Radiol, Singapore, Singapore

[3] Inst Mol & Cell Biol, Agcy Sci Technol & Res, Singapore, Singapore

[4] Natl Canc Ctr Singapore, Duke NUS Grad Med Sch, Singapore, Singapore

[5] Sengkang Gen Hosp, Dept Physiotherapy, Singapore, Singapore

[6] Sengkang Gen Hosp, Dept Dietet, Singapore, Singapore

[7] Sengkang Gen Hosp, Div Surg, 110 Sengkang East Way, Singapore 544886, Singapore

来源：

ANNALS OF COLOPROCTOLOGY | 2024年 / 40卷 / 01期

关键词：

Colorectal surgery; Sarcopenia; Preoperative exercise; Nutritional therapy; Frailty; CANCER-SURGERY; PREDICTOR; PREHABILITATION; OUTCOMES; IMPACT; RECOMMENDATIONS; COMPLICATIONS; PREVENTION; RESECTION; CT;

D O I：

10.3393/ac.2022.01207.0172

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Sarcopenia, which is characterized by progressive and generalized loss of skeletal muscle mass and strength, has been well described to be associated with numerous poor postoperative outcomes, such as increased perioperative mortality, postoperative sepsis, prolonged length of stay, increased cost of care, decreased functional outcome, and poorer oncological outcomes in cancer surgery. Multimodal prehabilitation, as a concept that involves boosting and optimizing the preoperative condition of a patient prior to the upcoming stressors of a surgical procedure, has the purported benefits of reversing the effects of sarcopenia, shortening hospitalization, improving the rate of return to bowel activity, reducing the costs of hospitalization, and improving quality of life. This review aims to present the current literature surrounding the concept of sarcopenia, its implications pertaining to colorectal cancer and surgery, a summary of studied multimodal prehabilitation interventions, and potential future advances in the management of sarcopenia.

引用

页码：3 / 12

页数：10

共 70 条

[21] Sarcopenia predicts poor outcomes in urgent exploratory laparotomy [J].