Preoperative optimization: Review on nutritional assessment and strategies in IBD

IF 4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Current Opinion in Pharmacology Pub Date : 2024-08-01 DOI:10.1016/j.coph.2024.102475
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Abstract

Inflammatory bowel diseases (IBD), encompassing conditions like Crohn's disease and ulcerative colitis, present multifaceted challenges requiring a comprehensive management approach. Patients often necessitate a combination of medical therapy, surgical interventions, and nutritional support. Despite advancements in medical and dietary therapies, the prevalence of surgery remains high among the IBD population, alongside the persistent risk of malnutrition. Preoperative nutritional optimization has thus become a critical element in the perioperative pathway, given its association with improved surgical outcomes. However, standardized protocols for preoperative optimization of IBD patients are lacking, and available data are mainly retrospective.

This review provides an overview of the current knowledge on preoperative nutritional screening and optimization in IBD patients and identifies avenues for future research and clinical practice.

Interdisciplinary collaboration among healthcare professionals, including gastroenterologists, surgeons, dietitians, physiotherapists, and psychologists, is crucial for comprehensive preoperative nutritional management in IBD patients. By addressing the interplay between inflammation, malnutrition, and surgical risk, clinicians can strive to enhance surgical care and postoperative outcomes.

In conclusion, while recognizing the importance of preoperative nutritional optimization in improving surgical outcomes for IBD patients, challenges persist in standardizing management protocols. Prospective studies are needed to establish such protocols and evaluate the effectiveness of different nutritional strategies.

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术前优化:回顾 IBD 的营养评估和策略。
炎症性肠病(IBD)包括克罗恩病(Crohn's disease)和溃疡性结肠炎(ulcerative colitis)等疾病,它带来了多方面的挑战,需要全面的治疗方法。患者通常需要结合药物治疗、手术干预和营养支持。尽管医疗和饮食疗法取得了进步,但在 IBD 患者中,手术的发生率仍然很高,同时营养不良的风险也持续存在。因此,术前营养优化已成为围手术期的关键因素,因为它与手术效果的改善息息相关。然而,目前还缺乏针对 IBD 患者术前优化的标准化方案,现有数据也主要是回顾性的。本综述概述了目前有关 IBD 患者术前营养筛查和优化的知识,并指出了未来研究和临床实践的方向。包括消化内科医生、外科医生、营养师、理疗师和心理学家在内的医护人员之间的跨学科合作对于 IBD 患者术前的全面营养管理至关重要。通过解决炎症、营养不良和手术风险之间的相互作用,临床医生可以努力提高手术护理和术后效果。总之,虽然认识到术前营养优化对改善 IBD 患者手术预后的重要性,但标准化管理方案仍面临挑战。需要进行前瞻性研究来制定此类方案并评估不同营养策略的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.80
自引率
2.50%
发文量
131
审稿时长
4-8 weeks
期刊介绍: Current Opinion in Pharmacology (COPHAR) publishes authoritative, comprehensive, and systematic reviews. COPHAR helps specialists keep up to date with a clear and readable synthesis on current advances in pharmacology and drug discovery. Expert authors annotate the most interesting papers from the expanding volume of information published today, saving valuable time and giving the reader insight on areas of importance.
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