Contemporary perioperative nutritional care integrated within Enhanced Recovery After Surgery (ERAS) protocols reduces metabolic stress and surgical complication rates compared to traditional care.
Integrating nutritional care into ERAS and prehabilitation protocols is essential for reducing surgical stress and improving postoperative outcomes.
Over the last decades, surgical complication rates have fallen drastically. With the introduction of new surgical techniques coupled with specific evidence-based perioperative care protocols, patients today run half the risk of complications compared with traditional care. Many patients who in previous years needed weeks of hospital care now recover and can leave in days. These remarkable improvements are achieved by using nutritional stress-reducing care elements for the surgical patient that reduce metabolic stress and allow for the return of gut function. This new approach to nutritional care and how it is delivered as an integral part of enhancing recovery after surgery are outlined in this review. We also summarize the new and increased understanding of the effects of the routes of delivering nutrition and the role of the gut, as well as the current recommendations for artificial nutritional support.
Ljungqvist et al. (Thu,) conducted a review in Surgical patients. Perioperative nutritional care (ERAS and prehabilitation) vs. Traditional care was evaluated. Contemporary perioperative nutritional care integrated within Enhanced Recovery After Surgery (ERAS) protocols reduces metabolic stress and surgical complication rates compared to traditional care.
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