Intraoperative Nutrition:Is It Necessary?
The enhanced recovery after surgery(ERAS)program suggests that perioperative nutritional care can inhibit catabolism and improve insulin resistance. However, the administration of nutrient substrates during surgery is not mentioned in the ERAS program. Previous studies have demonstrated the inhibiti...
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Published in | THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA Vol. 37; no. 7; pp. 790 - 796 |
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Format | Journal Article |
Language | Japanese |
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THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA
15.11.2017
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Abstract | The enhanced recovery after surgery(ERAS)program suggests that perioperative nutritional care can inhibit catabolism and improve insulin resistance. However, the administration of nutrient substrates during surgery is not mentioned in the ERAS program. Previous studies have demonstrated the inhibition of catabolism by the administration of glucose or amino acids under general anesthesia. On the other hand, hyperglycemia resulting from administration of nutrient substrates is known to contribute to postoperative complications. We here explain the problems with intraoperative nutrition as well as its potential. |
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AbstractList | The enhanced recovery after surgery(ERAS)program suggests that perioperative nutritional care can inhibit catabolism and improve insulin resistance. However, the administration of nutrient substrates during surgery is not mentioned in the ERAS program. Previous studies have demonstrated the inhibition of catabolism by the administration of glucose or amino acids under general anesthesia. On the other hand, hyperglycemia resulting from administration of nutrient substrates is known to contribute to postoperative complications. We here explain the problems with intraoperative nutrition as well as its potential. |
Author | YOSHIMURA, Shinichiro SOBUE, Kazuya |
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Copyright | 2017 by The Japan Society for Clinical Anesthesia |
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DOI | 10.2199/jjsca.37.790 |
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Journal of Anesthesiology & Clinical Science 6:1, 2017(DOI:http://dx.doi.org/10.7243/2049-9752-6-1) 13) Kuntz C, Wunsch A, Bay F, et al.:Prospective randomized study of stress and immune response after laparoscopic vs conventional colonic resection. Surg Endosc 12:963-967, 1998 18) Chambrier C, Aouifi A, Bon C, et al.:Effects of intraoperative glucose administration on circulating metabolites and nitrogen balance during prolonged surgery. J Clin Anesth 11:646-651, 1999 22) Yamamoto T, Yoshida M, Watanabe S, et al.:Effects of intraoperative administration of carbohydrates during long-duration oral and maxillofacial surgery on the metabolism of carbohydrates, proteins, and lipids. Oral Maxillofac Surg 19:417-421, 2015 26) Fujino H, Itoda S, Esaki K, et al.:Intra-operative administration of low-dose IV glucose attenuates post-operative insulin resistance. Asia Pac J Clin Nutr 23:400-407, 2014 3) Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al.:Enhanced recovery after surgery:a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 24:466-477, 2005 14) Carli F, Galeone M, Gzodzic B, et al.:Effect of laparoscopic colon resection on postoperative glucose utilization and protein sparing:an integrated analysis of glucose and protein metabolism during the fasted and fed States using stable isotopes. Arch Surg 140:593-597, 2005 2) Krohn BG, Kay JH, Mendez MA, et al.:Rapid sustained recovery after cardiac operations. J Thorac Cardiovasc Surg 100:194-197, 1990 15) Degoute CS, Ray MJ, Manchon M, et al.:Intraoperative glucose infusion and blood lactate:endocrine and metabolic relationships during abdominal aortic surgery. Anesthesiology 71:355-361, 1989 17) Schricker T, Lattermann R, Carli F:Intraoperative protein sparing with glucose. 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Title | Intraoperative Nutrition:Is It Necessary? |
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