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September 8, 2026The American Surgeon

Vitamin C Deficiency: A Nutritional Blind Spot in Colorectal Surgery

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Authors

EMEli MlaverJGJames Luke GallowayVSVirginia O. Shaffer

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Overview

Prospective observational study reveals low vitamin C levels in nearly half of elective colorectal surgery patients, highlighting an overlooked micronutrient vulnerability in recovery pathways.

Key Points

  • To assess perioperative micronutrient status by characterizing the prevalence of vitamin C deficiency and hypovitaminosis C among patients undergoing elective major colon resections.
  • Conducted a prospective observational study of adults (N=51) undergoing elective major colon resections between June 2023 and May 2025.
  • Excluded patients taking vitamin C supplements and those undergoing anorectal procedures.
  • Measured plasma vitamin C concentrations postoperatively.
  • The mean postoperative plasma vitamin C concentration was 27.8 ± 16.6 μmol/L among 51 patients (mean age 56.8 ± 16.7 years; 84.3% minimally invasive).
  • Overall, 47.0% (n=24) of patients had low vitamin C status, consisting of 13.7% (n=7) with deficiency and 33.3% (n=17) with hypovitaminosis C.

Cite This Study

Mlaver et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd83b58e84d0ff5b479c9https://doi.org/10.1177/00031348261486934
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preoperative nutrition in colorectal cancer surgery: mini review2026
  2. 2Does micronutrient supplementation improve outcomes in adult gastrointestinal surgery patients? A systematic review2025
  3. 3Influence and assessment of nutritional status in patients undergoing treatment for colorectal cancer2026
  4. 4A feasibility study of perioperative vitamin D supplementation in patients undergoing colorectal cancer resection2022
  5. 5To Feed or Not to Feed – Nutritional Risk Assessment and Support in Elective Colorectal Surgery. A Prospective Study on the Effect of Screening2022 · 5 citations