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Perioperative Optimization of Patient Nutritional Status

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Enhanced Recovery After Surgery

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Abstract

Historically, nutritional disorders in surgical patients have been poorly recognized and managed, contributing to potentially avoidable sub-optimal postoperative outcomes. Enhanced recovery after surgery (ERAS) provides an ideal platform and context for quality improvement efforts aimed at addressing deficiencies in the management of perioperative nutrition.

In this chapter, we will review the definitions of relevant nutrition disorders that often occur before surgery and their pathophysiology, provide examples of nutritional screening instruments, and discuss a concise, pragmatic approach to optimizing the preoperative nutritional state. We will also focus on several disease states where specific perioperative nutritional strategies have shown promise, including hepatic resection, bariatric surgery, and Crohn’s disease.

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Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    Stefan D. Holubar

  2. Department of Surgery, Ersta Hospital, Karolinska Institutet at Danderyd Hospital, Stockholm, Sweden

    Mattias Soop

Authors
  1. Stefan D. Holubar
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  2. Mattias Soop
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Correspondence to Mattias Soop .

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Editors and Affiliations

  1. Department of Surgery, Ă–rebro University Hospital, Ă–rebro, Sweden

    Olle Ljungqvist

  2. Yeovil District Hospital NHS Foundation Trust Higher Kingston, Yeovil, Somerset, UK

    Nader K. Francis

  3. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s, Hospital Harvard Medical School, Boston, MA, USA

    Richard D. Urman

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Holubar, S.D., Soop, M. (2020). Perioperative Optimization of Patient Nutritional Status. In: Ljungqvist, O., Francis, N., Urman, R. (eds) Enhanced Recovery After Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-33443-7_6

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  • DOI: https://doi.org/10.1007/978-3-030-33443-7_6

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  • Online ISBN: 978-3-030-33443-7

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