Triantafillidis John K
Department of Inflammatory Bowel Disease Unit, "Metropolitan General" Hospital, Holargos 15562, Attica, Greece.
World J Gastrointest Surg. 2025 Jun 27;17(6):101244. doi: 10.4240/wjgs.v17.i6.101244.
Continuously increasing reports in the international medical literature, along with current guidelines from international societies, support the view that perioperative enteral nutrition (EN) and immunonutrition offer significant benefits to patients with benign and/or malignant digestive disorders, including reduction of postoperative infections and hospital stay. A vital component of the rehabilitation of patients after major gastrointestinal surgery is a comprehensive nutritional rehabilitation program. It has been shown that implementing an integrated nutritional support program significantly improves patients' immune responses, accelerates wound healing processes, reduces pain and accompanying anxiety, and decreases hospital length of stay. It appears that, in addition to the efforts of rehabilitation, prehabilitation, the return to the presurgery level of physical fitness, is or should be a vital objective of the team responsible for rehabilitating patients undergoing gastrointestinal surgery. The present review summarized the most up-to-date data on the role of perioperative nutritional support (EN and immune EN) in the rehabilitation and prehabilitation of patients undergoing major digestive surgery. Systematic and comprehensive perioperative nutritional support for these patients should become a daily clinical practice element of paramount importance.
国际医学文献中不断增加的报道以及国际协会的现行指南均支持这样一种观点，即围手术期肠内营养（EN）和免疫营养对患有良性和/或恶性消化系统疾病的患者具有显著益处，包括减少术后感染和缩短住院时间。大型胃肠道手术后患者康复的一个重要组成部分是全面的营养康复计划。研究表明，实施综合营养支持计划可显著改善患者的免疫反应，加速伤口愈合过程，减轻疼痛及伴随的焦虑，并缩短住院时间。看来，除了康复努力外，术前康复，即恢复到手术前的体能水平，是或应该是负责胃肠道手术患者康复的团队的一个重要目标。本综述总结了围手术期营养支持（EN和免疫EN）在大型消化手术患者康复和术前康复中作用的最新数据。对这些患者进行系统而全面的围手术期营养支持应成为日常临床实践中至关重要的一部分。
