Updated Concepts in Perioperative Nutrition
Despite the awareness of the prevalence of malnutrition in patients scheduled for major GI surgery, and its association with increased morbidity and mortality, as well as increased cost of care, perioperative nutrition is still underutilized as a strategy to improve surgical outcomes. Following t...
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| Format: | Article |
| Language: | English |
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Indonesian Nutrition Association
2022-10-01
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| Series: | World Nutrition Journal |
| Subjects: | |
| Online Access: | https://worldnutrijournal.org/OJS/index.php/WNJ/article/view/459 |
| _version_ | 1811198759969751040 |
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| author | Jonathan Asprer |
| author_facet | Jonathan Asprer |
| author_sort | Jonathan Asprer |
| collection | DOAJ |
| description | Despite the awareness of the prevalence of malnutrition in patients scheduled for major GI surgery, and its association with increased morbidity and mortality, as well as increased cost of care, perioperative nutrition is still underutilized as a strategy to improve surgical outcomes.
Following the deliberately inflicted trauma of major surgery, a neuroendocrine response stimulates mobilization of energy reserves from the liver that are transiently available for up to 3 days. Beyond this, the body will then turn to whole body protein catabolism for substrates. This loss of lean body mass is potentially harmful and has been observed as a loss of muscle mass in the diaphragm, the psoas muscles, or the thigh. Further, it has been shown that when the magnitude of loss of muscle mass reaches 20%, it is associated with decreased wound healing, increased muscle weakness, and increased risk of infection. |
| first_indexed | 2024-04-12T01:36:43Z |
| format | Article |
| id | doaj.art-deb2d08a9d8f4a119fb6e7794d24cc17 |
| institution | Directory Open Access Journal |
| issn | 2580-7013 |
| language | English |
| last_indexed | 2024-04-12T01:36:43Z |
| publishDate | 2022-10-01 |
| publisher | Indonesian Nutrition Association |
| record_format | Article |
| series | World Nutrition Journal |
| spelling | doaj.art-deb2d08a9d8f4a119fb6e7794d24cc172022-12-22T03:53:19ZengIndonesian Nutrition AssociationWorld Nutrition Journal2580-70132022-10-016S1202010.25220/WNJ.V06.S1.0013459Updated Concepts in Perioperative NutritionJonathan AsprerDespite the awareness of the prevalence of malnutrition in patients scheduled for major GI surgery, and its association with increased morbidity and mortality, as well as increased cost of care, perioperative nutrition is still underutilized as a strategy to improve surgical outcomes. Following the deliberately inflicted trauma of major surgery, a neuroendocrine response stimulates mobilization of energy reserves from the liver that are transiently available for up to 3 days. Beyond this, the body will then turn to whole body protein catabolism for substrates. This loss of lean body mass is potentially harmful and has been observed as a loss of muscle mass in the diaphragm, the psoas muscles, or the thigh. Further, it has been shown that when the magnitude of loss of muscle mass reaches 20%, it is associated with decreased wound healing, increased muscle weakness, and increased risk of infection.https://worldnutrijournal.org/OJS/index.php/WNJ/article/view/459perioperativenutritionsurgical |
| spellingShingle | Jonathan Asprer Updated Concepts in Perioperative Nutrition World Nutrition Journal perioperative nutrition surgical |
| title | Updated Concepts in Perioperative Nutrition |
| title_full | Updated Concepts in Perioperative Nutrition |
| title_fullStr | Updated Concepts in Perioperative Nutrition |
| title_full_unstemmed | Updated Concepts in Perioperative Nutrition |
| title_short | Updated Concepts in Perioperative Nutrition |
| title_sort | updated concepts in perioperative nutrition |
| topic | perioperative nutrition surgical |
| url | https://worldnutrijournal.org/OJS/index.php/WNJ/article/view/459 |
| work_keys_str_mv | AT jonathanasprer updatedconceptsinperioperativenutrition |