Interní Med. 2012; 14(8-9): 339-342

Nutritional support before surgery

MUDr.Eduard Havel, Ph.D.

Chirurgická klinika, Fakultní nemocnice Hradec Králové

Malnutrition before surgery is common and adversely affects the postoperative course. Risk groups are cancer and geriatric patients,

patients with inflammatory bowel disease or other chronic catabolic diseases. Nutritional risk assessment is a required component of

pre-operative examination. To identify risk patient is nutritionally suitable NRS 2002 ≥ 3 points (Nutritional Risk Score) or SGA (Subject

Global Assessment). Nutritional care before surgery involves first improving the nutritional status of the appropriate interventions for

malnourished patients with elective surgery, 2. short-term nutritional support for risk people in length from 10 to 12 days before cancer

surgery, 3. in the preoperative immunonutrition for all patients undergoing major surgery, regardless of nutritional status and 4. the

preoperative drinking isotonic solution with maltodextrin at the time of last meal two hours prior to surgery. Immediate postoperative

parenteral nutrition may be risk, according to new findings. The current strategy of the safe operation preffers a pre-operative energy

reserves building, which serves for healing following surgery during the transition of insufficient energy intake.

Keywords: surgical trauma, parenteral nutrition, enteral nutrition, sipping, nutritional risk

Published: September 20, 2012  Show citation