• Annales de chirurgie · Jul 2004

    Review

    [Preoperative screening and nutritional support of nutritional deficiencies].

    • J-F Zazzo.
    • Département d'anesthésie réanimation chirurgicale, hôpital Antoine-Béclère, BP 405, 92140 Clamart, France. jfzazzo.beclere@invivo.edu
    • Ann Chir. 2004 Jul 1; 129 (6-7): 323-31.

    AbstractNutritional deficiencies have to be considered as an independent risk factor for postoperative morbidity. Peri-operative nutritional support reduce this risk in elective abdominal surgery for cancer and cardiac surgery. Preoperative nutritional support for 7-10 days reduce postoperative complications in undernourished patients by 10% but is not operant when administered after surgery. Enteral route is as effective. Recent studies using immunonutrients conclude that a short preoperative oral intake is able to reduce complications even in well-nourished patients. Then, a preoperative nutritional screening must be routinely performed leading to a nutritional programme.

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