[Preoperative screening and nutritional support of nutritional deficiencies].
Nutritional deficiencies have to be considered as an independent risk factor for postoperative morbidity. Peri-operative nutritional support reduce this risk in elective abdominal surgery for cancer and cardiac surgery. Preoperative nutritional support for 7-10 days reduce postoperative complications in undernourished patients by 10% but is not operant when administered after surgery. Enteral route is as effective. Recent studies using immunonutrients conclude that a short preoperative oral intake is able to reduce complications even in well-nourished patients. Then, a preoperative nutritional screening must be routinely performed leading to a nutritional programme.
Département d'anesthésie réanimation chirurgicale, hôpital Antoine-Béclère, BP 405, 92140 Clamart, France. jfzazzo.beclere@invivo.edu
J-F
JF
Zazzo
D000008:Abdominal Neoplasms / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D009748:Nutrition Disorders / Q000150:complications* / Q000628:therapy; D018529:Nutritional Support; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care; D012307:Risk Factors