Prevention of Postoperative Malnutrition with Oral Nutritional Supplements in Patients Undergoing Gastrointestinal Surgery

Cwaliński, Jarosław; Cwalińska, Agnieszka; Kuczyńska, Barbara; Zasada, Wiktoria; Cholerzyńska, Hanna; Banasiewicz, Tomasz; Paszkowski, Jacek

doi:10.1089/jmf.2023.0204

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…The use of these products, such as preoperative carbohydrate loading, is also indicated for users who are candidates for elective surgery who do not present a nutritional risk [ 32 ]. The use of these integrations in the pre-operative period has highlighted how there is an improvement in organic recovery in the post-operative period which could favor an early restoration of functional outcomes that allow the user to return to normal conditions as soon as possible to their daily life activities prior to the operation or allow early adaptation to the conditions resulting from the surgical treatment [ 33 ]. A recent systematic review of the literature has demonstrated how nutritional prehabilitation in users undergoing head and neck surgery, including ONS-based treatments, has demonstrated an improvement in postoperative outcomes and the user’s general state of well-being [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Preoperative Malnutrition on Patients with Pancreatic Neoplasms Post-Duodenopancreatectomy: A Retrospective Cohort Study

Pellegrinelli,

Mancin,

Brolese

et al. 2024

Nutrients

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Background: Preoperative malnutrition is a significant factor in patients with pancreatic tumors undergoing pancreaticoduodenectomy. The aim of this study was to assess the association between preoperative malnutrition and delayed discharge within a ten-day timeframe and potential correlations between preoperative malnutrition and postoperative surgical complications. Methods: A retrospective cohort study was conducted, recruiting a final sample of 79 patients with benign or malignant cephalic pancreatic tumors from 2015 to 2022. The risk of malnutrition was assessed using the Malnutrition Universal Screening Tool, while length of hospital stay and relevant clinical data were extracted from clinical documentation. Results: The preoperative malnutrition risk was high in 21.52% of the sample, moderate in 36.71%, and low in 41.77%. Body mass index (BMI) (p = 0.007) and postoperative surgical complications (p < 0.001) were significantly correlated with delayed discharge. No statistically significant differences were found between levels of malnutrition risk and delayed discharge (p = 0.122), or postoperative surgical complications (p = 0.874). Conclusions: Postoperative complications and BMI emerge as significant risk factors. The limited sample size may have compromised the collection of homogeneous and significant data. Future studies should evaluate the implementation of personalized nutritional screening tools, nutritional assessment plans, and the involvement of specialized health professionals.

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Section: Discussionmentioning

confidence: 99%