title: [Preoperative nutrition in abdominal surgery: recommendations and reality].
abstract: Malnutrition concerns up to 50% at in-hospital admission. Its diagnosis and treatment are fundamental parts of the surgical approach because nutritional status directly influences the clinical outcome. The Nutritional Risk Score (NRS-2002) represents the recommended screening tool by the European Society of Parenteral and Enteral Nutrition (ESPEN). Patients with a score > or = 3 and aged > 70 years old, should receive a nutritional support during 7-14 day before surgery. Depending on patient's clinical conditions, the enteral route of administration should be preferred. Despite strong evidence in favor of nutritional supplementation, much effort must be done to implement these supportive strategies in the everyday clinical practice.
authors.affiliation: Service de chirurgie viscérale, Département de chirurgie, CHUV, Lausanne. alessandra.cristaudi@chuv.ch
authors.forename: A
authors.initials: A
authors.lastname: Cristaudi
authors.forename: Y
authors.initials: Y
authors.lastname: Cerantola
authors.forename: F
authors.initials: F
authors.lastname: Grass
authors.forename: N
authors.initials: N
authors.lastname: Demartines
authors.forename: M
authors.initials: M
authors.lastname: Hubner
authors.forename: M
authors.initials: M
authors.lastname: Schaefer
mesh_terms: D034841:Abdominal Cavity / Q000601:surgery*; D000465:Algorithms; D013505:Digestive System Surgical Procedures; D004750:Enteral Nutrition / Q000379:methods; D006801:Humans; D044342:Malnutrition / Q000628:therapy*; D015596:Nutrition Assessment; D009752:Nutritional Status; D018529:Nutritional Support; D010288:Parenteral Nutrition / Q000379:methods; D018579:Patient Selection; D011300:Preoperative Care; D018570:Risk Assessment; D016896:Treatment Outcome