臨床外科72巻2号

2017年02月発行

特集 ビッグデータにもとづいた—術前リスクの評価と対処法 機能障害別　評価と対処法

低・過栄養

著者： 愛甲丞¹ 李基成¹ 瀬戸泰之¹

所属機関： ¹東京大学大学院医学系研究科消化管外科

ページ範囲：P.170 - P.174

【ポイント】
◆NCDを用いた臨床研究において，低アルブミン，高BMIがリスク因子として示されている．
◆低栄養・過栄養（肥満）ともにリスクとなる．
◆術前から栄養評価を行い，栄養不良と判断される場合は，経腸栄養を中心とした栄養管理を行うことが望ましい．
◆周術期はERAS（enhanced recovery after surgery）の概念に基づき，術前絶食期間の短縮，経口摂取早期再開を心がけるようにする．

参考文献

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