115th ANRC Newsletter

Publish Date: 1 - 2 November 2015
Author(s): Julie K. Marosky Thacker, Sabrena F. Noria, Krishnan Sriram, Kenneth K.W. Lee, Clifford Y. Ko, Maria Isabel Correia, Alexander Sauper & David C. Evans

Abstract:

This newsletter presents highlights from the 115th Abbott Nutrition Research Conference. Here’s what our presenters discussed:

  • The causes of malnutrition in GI surgical patients are multifactorial and involve altered nutrient processing, inadequate intake, malabsorption, and/or excess nutrient loss, depending on the surgery and the patient.
  • Contrary to the common belief that people with obesity are “over-nourished,” obesity is also being recognized as a risk factor for several nutrient deficiencies, including lower levels of antioxidants and certain fat-soluble vitamins.
  • Malnutrition in surgical patients is associated with a higher risk for perioperative and postoperative morbidity, mortality, and other costly consequences including increased length of stay and more frequent readmissions.
  • New paradigms for evidence-based, patient-focused perioperative care (known generally as ‘enhanced recovery’ or ‘fast-track’ surgical protocols) are being championed to improve outcomes and the patient experience. Optimization of perioperative nutrition is a key element in these protocols.

Barriers to change persist and better communication is needed—among scientists, researchers and clinicians, among interdisciplinary healthcare teams, and among clinicians and their patients—to accelerate the adoption of evidence-based care and best practices in GI perioperative nutrition.

Author Bios

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Julie K. Marosky Thacker, MD, FACS, FASCRS

Duke University Medical Center; Department of Surgery, Division of Advanced Oncologic and GI Surgery; Durham, North Carolina, USA
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Sabrena F. Noria, MD, PHD

The Ohio State University, Wexner Medical Center; Department of Surgery, Division of General and Gastrointestinal Surgery; Columbus, Ohio, USA

Krishnan Sriram, MD, FACS, FRCSC, FCCM

Stroger Hospital of Cook County; Surgical Critical Care, Department of Surgery; Rush University; Chicago, Illinois, USA
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Kenneth K.W. Lee, MD, FACS

University of Pittsburgh School of Medicine; Department of Surgery; Pittsburgh, Pennsylvania, USA
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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
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Maria Isabel Correia, MD, PHD

Universidade Federal de Minas Gerais, School of Medicine; Gastrointestinal Surgical Department; Belo Horizonte, Minas Gerais, Brazil

Alexander Sauper, MD, FACS

Stroger Hospital of Cook County; Division of Surgical Critical Care
Rush University; Chicago, Illinois, USA

David C. Evans, MD, FACS

The Ohio State University, Wexner Medical Center; Division of Trauma, Critical Care, and Burn; Columbus, Ohio, USA
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