The Value of Optimizing Nutrition Before Surgey
The Value of Optimizing Nutrition Before Surgery
Typically, most Registered Dietitians see patients post-operation and such a delay in receiving nutrition support can cause undesirable outcomes. In almost half of admitted patients, malnutrition is already a problem prior to surgery. After surgery, the stress from operation can cause the body to enter a catabolic state and deplete nutrients necessary for successful recovery.
New recommendations, known as "Enhanced Recovery of Patient After Surgery" or ERAS, suggest preoperative nutritional assessments along with limited fasting, prebiotic and probiotic prescription, and immediate fluid and diet initiation after surgery. These recommendations aim to prevent nutrient depletion in a catabolic state, prevent impaired immune responses, and decrease the risk of complications and infections.
Studies with these recommendations have found that in comparison to traditional methods, patients typically had shorter hospital stay, quicker return of normal bowel function, solid foods tolerated sooner, less complications, and lower rates of readmission within a month of surgery.
The role of the dietitian in pre-surgical consultations will be to determine appropriate supplementation, hydration, protein, and carbohydrate amounts. It is important that preoperative screening takes place in order to prioritize who needs nutrition assessments prior to a procedure and facilities will need to create standardized methods to screen patients. In the future, this may be an important part of clinical dietetics and it is necessary that dietitians now work to advocate the importance and value in nutritional interventions prior to surgery for improvement of operative outcomes.
(AG)
Source:
Webb, D. (2015, January). Optimizing Nutrition Before Surgery. Retrieved April 21, 2016, from http://www.todaysdietitian.com/newarchives/011315p10.shtml
Typically, most Registered Dietitians see patients post-operation and such a delay in receiving nutrition support can cause undesirable outcomes. In almost half of admitted patients, malnutrition is already a problem prior to surgery. After surgery, the stress from operation can cause the body to enter a catabolic state and deplete nutrients necessary for successful recovery.
New recommendations, known as "Enhanced Recovery of Patient After Surgery" or ERAS, suggest preoperative nutritional assessments along with limited fasting, prebiotic and probiotic prescription, and immediate fluid and diet initiation after surgery. These recommendations aim to prevent nutrient depletion in a catabolic state, prevent impaired immune responses, and decrease the risk of complications and infections.
Studies with these recommendations have found that in comparison to traditional methods, patients typically had shorter hospital stay, quicker return of normal bowel function, solid foods tolerated sooner, less complications, and lower rates of readmission within a month of surgery.
The role of the dietitian in pre-surgical consultations will be to determine appropriate supplementation, hydration, protein, and carbohydrate amounts. It is important that preoperative screening takes place in order to prioritize who needs nutrition assessments prior to a procedure and facilities will need to create standardized methods to screen patients. In the future, this may be an important part of clinical dietetics and it is necessary that dietitians now work to advocate the importance and value in nutritional interventions prior to surgery for improvement of operative outcomes.
(AG)
Source:
Webb, D. (2015, January). Optimizing Nutrition Before Surgery. Retrieved April 21, 2016, from http://www.todaysdietitian.com/newarchives/011315p10.shtml
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