Preoperative Nutrition Optimization of the Oncology Patient: A Scoping Review
Brajcich BC, Stigall K, Walsh DS, Varghese TK, Barber AE, Kralovich KA et al.
J Am Coll Surg 2022; 234:384-394
Objective:
This scoping review was submitted by the Division of Research and Optimal Patient Care, American College of Surgeons, and designed to develop recommendations for general surgeons regarding preoperative nutritional support for patients with cancer.
Methods:
5,505 publications were identified (2010–2020) and 69 GI oncology surgery studies were selected (57% RCT, 19% observational, 15% other, 9% meta-analyses). Outcomes most frequently evaluated were total post-op complications, wound or infectious complications and length of stay. Nutritional interventions were studied in isolation or as part of Enhanced Recovery Pathways. Studies looking at nutritional interventions occurring within 24 hours of surgery, i.e., carbohydrate loading were not considered in this review.
Results:
The recommendations address five types of nutrition intervention as described below.
Conclusions:
Patients undergoing surgery for GI malignancy should be considered for:
- Preoperative nutritional counseling
- Immunonutrition
- Protein and calorie supplementation (if malnourished)
Access the article at: Preoperative Nutritional Optimization of the Oncology Patient: A Scoping Review - PubMed (nih.gov)
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