Short term benefits of post-operative oral dietary supplements in surgical patients

Rana, Shweta; Bray, John S.; Menzies‐Gow, N.; Jameson, J. S.; Payne-James, Jason; Fröst, Peter; Silk, D. B. A.

doi:10.1016/0261-5614(92)90084-4

Cited by 114 publications

(44 citation statements)

References 17 publications

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“…Oral nutritional supplements in the perioperative period have been shown to be safe, cheap and beneficial irrespective of nutritional status [21,22,23,24]. However, in none of these trials were patients given supplements during the first 5 postoperative days, as was our question.…”

Section: Discussioncontrasting

confidence: 38%

Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

et al. 2005

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Background: A comprehensive evidence base for perioperative care in upper gastrointestinal (GI) surgery is lacking. Little is known about the routines currently practiced in the absence of such evidence. We describe postoperative practice after gastric resections in five northern European countries. Method and Setting: Questionnaire survey in all major digestive surgical centres in Scotland, the Netherlands, Denmark, Sweden and Norway. Results: 76% of all centres (n = 200/263) responded. Routines varied extensively both nationally and between countries. No uniformity was traced although a conservative trend was noticeable in the use of nasogastric decompression tubes and ‘nil-by-mouth’ regimens. Nutritional support during the first 5 days is generally offered in Denmark, but not in Scotland. Drinking at will is generally allowed in Denmark and Norway by the first postoperative day. Eating at will is uniformly restricted. Conclusion: The paucity of evidence is reflected by the marked heterogeneity in practice. Large groups of patients may be treated suboptimally. Best perioperative care for these patients must be defined and documented. Especially, the role of early oral intake at will in upper GI surgery needs to be clarified by sufficiently powered trials.

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Section: Discussioncontrasting

confidence: 38%

Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

et al. 2005

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“…Interestingly, the beneficial effects were not restricted to malnourished patients alone. Beneficial effects by postoperative oral dietary supplementation have also been noted during the inpatient phase with the prevention of infectious complications [72], weight loss and postoperative complications [73]. The routine use of perioperative oral dietary supplementation in well-nourished patients was, however, not found to be of any additional value [74].…”

Section: Early Postoperative Nutritionmentioning

confidence: 99%

“…Oral dietary supplements (Fortisip®), providing 1.5 kcal, 0.05 g protein and 0.18 g carbohydrate per milliliter, have been studied in patients subjected to gastrointestinal surgery [71,72,73]. Smedly et al [71] studied 152 patients undergoing lower gastrointestinal tract surgery, and randomized them into four groups with no nutritional supplements, perioperative supplements, only postoperative supplements, and only preoperative supplements, respectively.…”

Section: Early Postoperative Nutritionmentioning

confidence: 99%

Perioperative Nutrition in Elective Gastrointestinal Surgery – Potential for Improvement?

et al. 2008

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Nutritional concern is one of the most important issues to be addressed in the perioperative care given to gastrointestinal patients. Not at least, malnutrition may be detrimental and relate to postoperative morbidity. Perioperative nutritional management, integrated with other modern perioperative care policies, allows the establishment of multimodal strategies with an attempt to optimize the patients’ course of disease. The present review evaluates available data regarding pre- and postoperative nutrition, nutritional supplements, including immunonutrition, and their clinical role. It is to be concluded that pre- and postoperative prolonged fasting has no routine role in management. Instead, for example, early postoperative feeding administered perorally or enterally may reduce postoperative complications and length of hospital stay. There are also indications that perioperative immunonutrition may reduce postoperative infectious complications and length of hospital stay, though further studies in this field are needed.

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“…20,21 Yet this study shows that only 46% (26 of 56) of centres routinely provide oral nutritional supplements on commencing oral fluids. These may be a useful means of boosting oral nutritional intake in a patient group where postoperative problems of nausea and early satiety are frequent.…”

Section: Discussionmentioning

confidence: 76%

An Investigation into the Current Peri-Operative Nutritional Management of Oesophageal Carcinoma Patients in Major Carcinoma Centres in England

Murphy

Modi

Rahamim

et al. 2006

annals

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INTRODUCTION Patients with oesophageal carcinoma are at high risk of malnutrition. The aim of this study was to assess current practice for the nutritional management of patients following surgery for oesophageal carcinoma.PATIENTS AND METHODS A postal questionnaire was sent to 82 dietetic departments of those hospitals in England identified as major centres for upper gastrointestinal surgery. RESULTS Of the 66 (80%) responses received, 22 (33%) centres routinely perform pre-operative nutritional screening/assessment on oesophageal carcinoma patients. Centres with dietetic support dedicated to these patients are more likely to perform a pre-operative nutritional assessment (n = 17; 55%) than those without (n = 5; 14%; P < 0.001; χ 2 = 12.17). Pre-operative nutritional support is routinely provided in only 11 (17%) centres with the majority of centres (n = 50; 75%), providing it if patients are considered malnourished only. A total of 47 (70%) centres routinely provide postoperative nutritional support with jejunal feeding being the most commonly chosen route. Dedicated dietetic support is provided at 31 (47%) centres. Those centres with a dedicated dietitian are more likely to provide early postoperative nutritional support (n = 27; 87%) than those without (n = 20; 57%; P = 0.007; χ 2 = 7.195) and more likely to review patients routinely following discharge from hospital (n = 25 [81%] with a dietitian versus n = 17 [49%] without; P = 0.007; χ 2 = 7.2).CONCLUSIONS The nutritional management of patients following surgery for upper gastrointestinal carcinoma is not uniform with practice varying considerably between centres. Those centres with a dedicated dietitian are more likely to assess patients' nutritional status and provide nutritional support.

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Short term benefits of post-operative oral dietary supplements in surgical patients

Cited by 114 publications

References 17 publications

Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

Nutritional Support and Oral Intake after Gastric Resection in Five Northern European Countries

Perioperative Nutrition in Elective Gastrointestinal Surgery – Potential for Improvement?

An Investigation into the Current Peri-Operative Nutritional Management of Oesophageal Carcinoma Patients in Major Carcinoma Centres in England

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