THE 115TH ABBOTT NUTRITION RESEARCH CONFERENCE
Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS
University of California, Los Angeles (UCLA)
Department of Surgery
Jonsson Comprehensive Cancer Center
Los Angeles, California, USA
Colectomies involve a surgical resection of the colon. Dr Ko describes common colon surgical procedures, and issues with hydration, nutrition, weight loss, anastomotic leaks, and other complications that may exist after surgery. With the median length of stay at approximately 7 days for colectomy, Dr Ko shares concern that a patient will often remain without adequate nutrition support for 5-6 days, or even longer. In addition, most colectomy patients lose approximately 15 pounds of weight postoperative when healing is critical in this time period. He concludes that more information and evidence-based practice guidelines are needed to address the impact of preoperative and postoperative nutrition interventions on colorectal surgery outcomes.
The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) has developed a risk calculator to estimate a patient’s risk for complications using information about the procedure and patient factors. This is a step in the process to improving outcomes for surgical patients.