Journal ArticleDOI
A meta-analysis of randomised controlled trials on preoperative oral carbohydrate treatment in elective surgery
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TLDR
PCT may be associated with reduced length of stay in patients undergoing major abdominal surgery, however, the included studies were of low to moderate quality.About:
This article is published in Clinical Nutrition.The article was published on 2013-02-01. It has received 271 citations till now. The article focuses on the topics: Elective surgery & Abdominal surgery.read more
Citations
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The Effect of Probiotic Yogurt on Constipation in Pregnant Women: A Randomized Controlled Clinical Trial.
Mojgan Mirghafourvand,Aziz Homayouni Rad,Sakineh Mohammad-Alizadeh Charandabi,Zahra Fardiazar,Kolsoum Shokri +4 more
TL;DR: Constipation symptoms including straining, anorectal obstruction, manipulation to facilitate defecation, consistency of stool and color of stool were improved significantly and the amount of defecations was significantly increased in both groups, while incomplete evacuation was significantly reduced in the treatment group.
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Peri-operative nutrition
TL;DR: This review focuses on new developments in peri‐operative nutrition, including: patient preparation and pre‐operative fasting; the role of nutritional supplementation; the optimal route and timing of nutrient delivery; and the nutritional management of specific groups including critically ill, obese and elderly patients.
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Obesity-related insulin resistance: implications for the surgical patient
TL;DR: Obesity-associated IR appears, in part, to be related to inflammatory changes associated with increased adiposity, so this finding has important implications for the obese surgical patient.
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Insulin sensitivity and beta-cell function after carbohydrate oral loading in hip replacement surgery: a double-blind, randomised controlled clinical trial.
TL;DR: The patients randomised to the carbohydrate oral fluid or the water prior to the surgery demonstrated a significant but similar decrease in insulin sensitivity, and the carbohydrates increased the beta-cell function as a compensatory response to the disposition index, resulting in a smaller reduction in surgery-induced insulin resistance compared to the tap water.
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Laparoscopy in the era of enhanced recovery
TL;DR: Increasing evidence suggests that laparoscopy itself is an additional ERAS item that should be considered as routine where feasible in order to obtain the best surgical outcomes.
References
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Journal ArticleDOI
The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trials
Krishna K. Varadhan,Keith R. Neal,Cornelius H. C. Dejong,Kenneth C. H. Fearon,Olle Ljungqvist,Dileep N. Lobo +5 more
TL;DR: ERAS pathways appear to reduce the length of stay and complication rates after major elective open colorectal surgery without compromising patient safety.
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Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery.
TL;DR: Improved adherence to the standardized multimodal ERAS protocol is significantly associated with improved clinical outcomes following major colorectal cancer surgery, indicating a dose-response relationship.
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Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology.
Ian Smith,Peter Kranke,Isabelle Murat,Andrew Smith,Geraldine O’Sullivan,Eldar Søreide,Claudia Spies,in't Veld B +7 more
TL;DR: The key recommendations are that adults and children should be encouraged to drink clear fluids up to 2 h before elective surgery (including caesarean section) and all but one member of the guidelines group consider that tea or coffee with milk added (up to about one fifth of the total volume) are still clear fluids.
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Insulin resistance: a marker of surgical stress.
TL;DR: A novel approach to minimize insulin resistance after surgery is being presented and suggests that simply pretreating the elective surgical patient with sufficient amounts of carbohydrates instead of fasting can significantly reduce postoperative insulin resistance.
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A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients.
Jonatan Hausel,Jonas Nygren,Michael Lagerkranser,Per M. Hellström,Folke Hammarqvist,Caisa Almström,Annika Lindh,Anders Thorell,Olle Ljungqvist +8 more
TL;DR: It is shown that CHO significantly reduces preoperative discomfort without adversely affecting gastric contents, and Placebo did not increase gastric fluid volumes or affect acidity, and there were no adverse events.