The 2015 ESPEN Arvid Wretlind lecture. Evolving concepts on perioperative metabolism and support

Marco Braga

doi:10.1016/j.clnu.2015.12.012

The 2015 ESPEN Arvid Wretlind lecture. Evolving concepts on perioperative metabolism and support

Marco Braga

IRCCS Ospedale San Raffaele

Research output: Contribution to journal › Article › peer-review

Abstract

The aim of the present lecture is to review the changes in perioperative nutritional policy throughout years. Many advances on both knowledge and clinical practice occurred with time, particularly on preoperative patient assessment and preparation, modulation of surgical stress, identification of the gut as regulator of postoperative inflammatory response, and perioperative fasting policy. Improvement of patient's condition should be obtained by recognizing and treating undernutrition, optimizing body composition, and encouraging physical activity perioperatively. The use of specific nutrients with metabolic effects as well as reducing both preoperative and postoperative fasting within an enhanced recovery pathway can help to modulate postsurgical stress.

Original language	English
Journal	Clinical Nutrition
DOIs	https://doi.org/10.1016/j.clnu.2015.12.012
Publication status	Accepted/In press - 2015

Keywords

Body composition
Enhanced recovery after surgery
Pharmaconutrition
Preoperative fasting
Undernutrition

ASJC Scopus subject areas

Critical Care and Intensive Care Medicine
Nutrition and Dietetics

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10.1016/j.clnu.2015.12.012

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