在加速康复外科（ERAS）时代，围手术期营养治疗是否有理论依据？
Is there a rationale for perioperative nutrition therapy in the times of ERAS?
作者信息
Weimann Arved
机构信息
Klinik für Allgemein-, Viszeral- und Onkologische Chirurgie mit Abteilung Klinische Ernährung, Klinikum St. Georg gGmbH Leipzig, Delitzscher Str. 141, 04129 Leipzig, Germany.
出版信息
Innov Surg Sci. 2019 Nov 30;4(4):152-157. doi: 10.1515/iss-2019-0012. eCollection 2019 Dec.
Abstract
In order to increase patient compliance in Enhanced Recovery after Surgery (ERAS) programs, assessment and monitoring of functional and nutritional status should be routinely performed. Sarcopenic obesity is frequently underestimated and has been shown to be a significant risk factor for the development of postoperative complications. With special regard to gastrointestinal cancer patients undergoing neoadjuvant treatment, nutritional deficiencies may develop stepwise and increase during therapy. In the case of proven deficits, recent strategies including "prehabilitation" focus on making the patient fit for an ERAS program. Evidence-based guidelines for perioperative nutrition therapy have been available.
摘要
为提高患者对术后加速康复（ERAS）计划的依从性，应常规进行功能和营养状况的评估与监测。肌少症性肥胖常常被低估，并且已被证明是术后并发症发生的重要危险因素。对于接受新辅助治疗的胃肠道癌症患者，营养缺乏可能会逐步出现并在治疗期间加重。在已证实存在营养缺乏的情况下，包括“术前康复”在内的最新策略旨在使患者适合ERAS计划。围手术期营养治疗的循证指南已经存在。
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