Perioperative GI Nutrition: Carbohydrate Loading, Emergency GI Surgeries, and Immunonutrition
• Describe the physiologic response to stress;
• Discuss outcomes from preoperative carbohydrate loading research studies
• Review outcomes from studies on nutritional supplementation for surgical patients
• Describe the different types of emergency GI conditions and define the goals of an emergency GI operation
• Understand how emergency GI surgery patients are different from elective GI surgery patients
• Describe mechanisms of immunonutrition
• Review the recent literature on perioperative immunonutrition and surgical guidelines
• Discuss challenges of literature and emerging evidence in immunonutrition
Maria Isabel Correia, MD, PhD
Universidade Federal de Minas Gerais, School of Medicine
Gastrointestinal Surgical Department
Belo Horizonte, Minas Gerais, Brazil
Dr. Correia received her medical degree from the Medical School at Universidade Federal de Minas Gerais in Belo Horizonte, Brazil, and completed a residency in Surgery at Hospital Semper in Belo Horizonte. Dr. Correia also has her Master in Sciences in Surgery from the Universidade Federal de Minas Gerais, a PhD in Gastrointestinal Surgery from the Universidade de São Paulo, and completed a post-doctoral program at the University of Pittsburgh.
Currently, Dr. Correia is a full professor of Surgery at Universidade Federal de Minas Gerais, Chief of the Nutrition Therapy Team at the Surgery and Gastroenterological Department – University Hospital, Coordinator of the Extension Department at School of Medicine, Universidade Federal de Minas Gerais, and Coordinator of the International Mobility Program, School of Medicine, Universidade Federal de Minas Gerais.
In addition, Dr. Correia is a member of the editorial board of: Clinical Nutrition, Nutrition and Clinical Practice, and Journal of Parenteral and Enteral Nutrition, Deputy editor in chief for Nutrition the Journal of Applied and Basic Sciences, and editor of the Gastrointestinal section of Current Opinion in Metabolic and Nutrition Care.
Alexander Sauper, MD, FACS
Stroger Hospital of Cook County
Division of Surgical Critical Care
Chicago, Illinois, USA
Dr. Sauper earned his medical degree from the University of Illinois at Chicago College of Medicine in 2003. He was elected to Alpha Omega Alpha during his 4th year of medical school.
He then joined the Rush University Medical Center/Cook County Hospital Integrated General Surgery Residency Program in 2003 and completed the residency in 2008. During his chief year, he served as an Administrative Chief Resident.
Following residency, he completed a 1-year fellowship in Surgical Critical Care at Cook County Hospital in 2009. He is board-certified in both General Surgery and Surgical Critical Care, and is a Fellow of the American College of Surgeons.
He joined the faculty at the University of Cincinnati in 2009 as an Assistant Professor of Surgery until he came back to Chicago to become the SICU Director in 2011. He was promoted to Division Chair of Surgical Critical Care at Cook County Hospital in 2012.
At Cook County Hospital, he serves on numerous committees and is very actively involved in both the Cook County Surgical Critical Care Fellowship Program and the Rush/Cook County General Surgery Residency Program as core faculty. He maintains an active elective and emergency general surgery practice with a focus on abdominal wall hernias and surgical nutrition in addition to being an active surgical intensivist.
David C. Evans, MD, FACS
The Ohio State University, Wexner Medical Center
Division of Trauma, Critical Care, and Burn
Columbus, Ohio, USA
Dr. Evans is medical director of the Level 1 Trauma Center and Nutrition Support Service, and Assistant Professor of Surgery in the Division of Trauma, Critical Care, and Burn at The Ohio State University.
Dr. Evans’ research interests focus on clinical trials to improve outcomes in critically-ill patients and the role of nutrition in recovery after injury and surgery. He is an investigator in the NIH-funded TOP-UP ICU nutrition trial, the NHLBI Prevention and Early Treatment of Acute Lung Injury (PETAL) Network, GM-CSF trial for pediatric trauma, as well as antibiotic and necrotizing soft tissue infection trials.
He is author of over 40 papers in the field of trauma and critical care. Evans’ clinical practice encompasses trauma, surgical critical care, emergency general surgery, and endoscopy.
Disclaimer: Dr Evans’ presentation precedes the publication of the 2016 Society of Critical Care Medicine (SCCM)/A.S.P.E.N. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient, 2nd Edition. For information on the changes in the critical care nutrition guidelines, please visit Nutrition Support Therapy in the Adult Critically Ill Patient.
CDR Level: 2
Suggested Learning Codes: 5220, 5410, 3100, 5000
Performance Indicators: 10.1.3, 10.2.8, 10.4.2, 10.4.5
Media Format(s): Video (English)
Run Time: 86 Minutes