PMID- 22004631
OWN - NLM
STAT- MEDLINE
DCOM- 20111213
LR  - 20211020
IS  - 1478-7083 (Electronic)
IS  - 0035-8843 (Print)
IS  - 0035-8843 (Linking)
VI  - 93
IP  - 7
DP  - 2011 Oct
TI  - The role of carbohydrate drinks in pre-operative nutrition for elective 
      colorectal surgery.
PG  - 504-7
LID - 10.1308/147870811X13137608455136 [doi]
AB  - INTRODUCTION: Traditionally, patients have been fasted from midnight on the night 
      before elective surgery. With the advent of the enhanced recovery programme for 
      elective colorectal surgery, there has been a major change in established 
      practice with patients able to continue with clear fluids up to two hours prior 
      to surgery and solids up to six hours prior to surgery. It has been suggested 
      that nutritional supplements in the immediate pre-operative period enhance 
      post-operative recovery. The aim of this review was therefore critically to 
      appraise the evidence available regarding the use of pre-operative carbohydrate 
      (CHO) supplements for elective colorectal surgery. METHODS: A literature search 
      was performed using: PubMed, MEDLINE((R)), Athens and Google Scholar. The following 
      keywords were used: 'pre-operative', 'carbohydrate supplements', 'enhanced 
      recovery' and 'colorectal surgery', singly or in combination. To ensure an 
      up-to-date literature search, the search was restricted to the last ten years. To 
      maximise the search, backward chaining of reference lists from retrieved papers 
      was also undertaken. Only English language articles were included. CONCLUSIONS: 
      The use of CHO drinks pre-operatively in colorectal surgery is both safe and 
      effective. There is no increased risk of aspiration and it results in a shorter 
      hospital stay, a quicker return of bowel function and less loss of muscle mass. 
      On the basis of this evidence, the use of pre-operative CHO drinks should be 
      standard in elective colorectal patients. Further research is nevertheless 
      required for those with diabetes mellitus.
FAU - Jones, C
AU  - Jones C
AD  - Department of General Surgery, Daisy Hill Hospital, Newry BT35 8DR, UK. 
      cjones82@hotmail.co.uk
FAU - Badger, S A
AU  - Badger SA
FAU - Hannon, R
AU  - Hannon R
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Ann R Coll Surg Engl
JT  - Annals of the Royal College of Surgeons of England
JID - 7506860
RN  - 0 (Dietary Carbohydrates)
SB  - IM
CIN - Ann R Coll Surg Engl. 2013 Jan;95(1):82. PMID: 23317745
CIN - Ann R Coll Surg Engl. 2013 Jan;95(1):82-3. PMID: 23317746
MH  - *Beverages
MH  - Colorectal Surgery/*methods
MH  - Dietary Carbohydrates/*administration & dosage
MH  - Dietary Supplements
MH  - Elective Surgical Procedures/*methods
MH  - Fasting
MH  - Humans
MH  - Preoperative Care/*methods
MH  - Randomized Controlled Trials as Topic
PMC - PMC3604918
EDAT- 2011/10/19 06:00
MHDA- 2011/12/14 06:00
PMCR- 2012/10/01
CRDT- 2011/10/19 06:00
PHST- 2011/10/19 06:00 [entrez]
PHST- 2011/10/19 06:00 [pubmed]
PHST- 2011/12/14 06:00 [medline]
PHST- 2012/10/01 00:00 [pmc-release]
AID - 10.1308/147870811X13137608455136 [doi]
PST - ppublish
SO  - Ann R Coll Surg Engl. 2011 Oct;93(7):504-7. doi: 
      10.1308/147870811X13137608455136.