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American Journal of Clinical Nutrition, Vol 47, 352-356, Copyright © 1988 by The American Society for Clinical Nutrition, Inc
REVIEW ARTICLES |
DT Dempsey, JL Mullen and GP Buzby
Surgical Service, Philadelphia VA Medical Center, PA.
Most clinicians subjectively feel that malnutrition in surgical patients is associated with poor clinical outcome. This overview provides a chronologic review of studies relating poor nutritional status to increased surgical morbidity. Techniques for identifying surgical patients with clinically important nutritional deficits are discussed. Retrospective and/or non-randomized clinical studies evaluating the efficacy of perioperative forced feeding are reviewed. These data suggest a possible role for preoperative nutritional support of selected malnourished surgical candidates and provide the rationale for a large-scale nutrition-intervention clinical trial.
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