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Immunonutrition
Wong et al, Int J Surg 2016; 29: 137 - 150
Immunonutrition vs regular diet
Non-infectious
Wound infection
Infectious
LOS
Complications
Hegazi et al, J Am Coll Surg 2014; 219: 1078-1087
Immunonutrition vs ONS
Non-infectious
Wound infection
Infectious
Complications
LOS
Hegazi et al, J Am Coll Surg 2014; 219: 1078-1087
ESPEN Guideline Clinical Nutrition in Surgery
• Preoperatively, oral nutritional supplements shall be
given to all malnourished cancer and high-risk patients
undergoing major abdominal surgery. (BM, HE). A
special risk group are the elderly people with
sarcopenia. (A)
• Immune modulating oral nutritional supplements
including arginine, omega-3-fatty acids and nucleotides
can be preferred (0) (BM, HE) and administered for five
to seven days preoperatively (GPP)
Clin Nutr 2017; 36: 623-650
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