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
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ESPEN guideline: Clinical nutrition in surgery
Arved Weimann,Marco Braga,Franco Carli,Takashi Higashiguchi,Martin Hübner,Stanislaw Klek,Alessandro Laviano,Olle Ljungqvist,Dileep N. Lobo,Robert G. Martindale,Dan Linetzky Waitzberg,Stephan C. Bischoff,Pierre Singer +12 more
TL;DR: The focus of this guideline is to cover nutritional aspects of the Enhanced Recovery After Surgery (ERAS) concept and the special nutritional needs of patients undergoing major surgery, e.g. for cancer, and of those developing severe complications despite best perioperative care.
Journal ArticleDOI
Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS)
Timothy J.P. Batchelor,Neil J. Rasburn,Etienne Abdelnour-Berchtold,Alessandro Brunelli,Robert J. Cerfolio,Michel Gonzalez,Olle Ljungqvist,René Horsleben Petersen,Wanda M. Popescu,Peter Slinger,Babu Naidu +10 more
TL;DR: This review aims to present consensus recommendations for the optimal perioperative management of patients undergoing thoracic surgery (principally lung resection) using meta-analyses, randomized controlled trials, large non-randomized studies and reviews.
Journal ArticleDOI
The Impact of Enhanced Recovery Protocol Compliance on Elective Colorectal Cancer Resection Results From an International Registry
Andrew Currie,Jennifer Burch,John T. Jenkins,Omar Faiz,R Kennedy,Olle Ljungqvist,Nicolas Demartines,Fredrik Hjern,Stig Norderval,Kristoffer Lassen,Andarthur Revhaug,Tomas Koczkas,Jonas Nygren,Ulf Gustafsson,Dan Kornfeld,Karem Slim,Andrew G. Hill,Mattias Soop,Johan Carlander,Owe Lundberg,Kenneth C. H. Fearon,Robin H. Kennedy +21 more
TL;DR: It is demonstrated that in a large, international cohort of patients, increasing compliance with an ERAS program and the use of laparoscopic surgery independently improve outcome.
Journal ArticleDOI
Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations.
Daniel T. Engelman,Walid Ben Ali,Judson B. Williams,Louis P. Perrault,V. Seenu Reddy,Rakesh C. Arora,Eric E. Roselli,Ali Khoynezhad,Marc W. Gerdisch,Jerrold H. Levy,Kevin W. Lobdell,N. Fletcher,Matthias Kirsch,Gregg Nelson,Richard M. Engelman,Alexander J. Gregory,Edward M. Boyle +16 more
TL;DR: In this paper, the authors present consensus recommendations for the optimal perioperative management of patients undergoing cardiac surgery based on a review of meta-analyses, randomized clinical trials, large nonrandomized studies, and reviews.
Journal ArticleDOI
Consensus Guidelines for Enhanced Recovery After Gastrectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
Kim Erlend Mortensen,Magnus Nilsson,Karem Slim,Markus Schäfer,Christophe Mariette,Marco Braga,Franco Carli,Nicolas Demartines,S. M. Griffin,Kristoffer Lassen +9 more
TL;DR: Application of evidence‐based perioperative care protocols reduces complication rates, accelerates recovery and shortens hospital stay.
References
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Short-term starvation and mitochondrial dysfunction – A possible mechanism leading to postoperative insulin resistance
TL;DR: There is evidence from animal studies that short-term starvation causes mitochondrial dysfunction, and evidence from human studies suggests that the development of insulin resistance during starvation may be linked to impaired mitochondrial function.
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A Carbohydrate-Rich Beverage Prior to Surgery Prevents Surgery-Induced Immunodepression: A Randomized, Controlled, Clinical Trial
G.C. Melis,Paul A. M. van Leeuwen,B. Mary E. von Blomberg-van der Flier,Andrea C. Goedhart-Hiddinga,Bernard M. J. Uitdehaag,Rob J M Strack van Schijndel,P. I. J. M. Wuisman,Marian A.E. van Bokhorst-de van der Schueren +7 more
TL;DR: It is suggested that preoperative intake of a carbohydrate-rich beverage can prevent surgery-induced immunodepression and thus might reduce the risk of infectious complications.
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Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: a controlled randomized trial.
Diana Borges Dock-Nascimento,José Eduardo de Aguilar-Nascimento,Marcelo Sepulveda Magalhaes Faria,Cervantes Caporossi,Natasha Slhessarenko,Dan Linetzky Waitzberg +5 more
TL;DR: Preoperative intake of a GLN-enriched CHO beverage appears to improve IR and antioxidant defenses and decreases the inflammatory response after video-cholecystectomy.
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Preoperative carbohydrate loading for elective surgery: a systematic review and meta-analysis
Lun Li,Zehao Wang,Xiangji Ying,Jinhui Tian,Tiantian Sun,Kang Yi,Peng Zhang,Zhang Jing,Kehu Yang +8 more
TL;DR: CHO appears to be safe, and may attenuate postoperative insulin resistance as compared to placebo, however, the quality of most of the published trials has been poor, and the evidence levels for most outcomes were low, so rigorous and larger RCTs are needed in the future.
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The effect of preoperative carbohydrate loading on hormonal changes, hepatic glycogen, and glucoregulatory enzymes during abdominal surgery
TL;DR: The finding of enhanced FDPase activity suggests that the indirect route (via gluconeogenesis) represents an important contributor to the increased glycogen formation during glucose infusion, and preoperative high-dose glucose infusion has only minor effects on the endocrine response, plasma levels of FFA, and glycogen depletion during elective open cholecystectomy.