Optimizing Nutrition Prior to Radical Cystectomy

Anthony D Oberle; Jeremy M West; Conrad M Tobert; Gabriel L Conley; Kenneth G Nepple

doi:10.1007/s11934-018-0854-4

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Optimizing Nutrition Prior to Radical Cystectomy

Journal article

Peer reviewed

Optimizing Nutrition Prior to Radical Cystectomy

Anthony D Oberle, Jeremy M West, Conrad M Tobert, Gabriel L Conley and Kenneth G Nepple

Current urology reports, Vol.19(12), pp.99-99

10/18/2018

DOI: 10.1007/s11934-018-0854-4

PMCID: PMC6329587

PMID: 30338466

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Abstract

Malnutrition in a prevalent problem in patients undergoing radical cystectomy. Preoperative malnutrition has been shown to contribute to increased rates of postoperative complications. Given the significant morbidity and mortality of the procedure of radical cystectomy, there is potential for improvement in patient outcomes by nutritional intervention. Prospective studies have demonstrated a reduction in postoperative infection rates in patients who receive supplemental immunonutrition prior to major surgery including radical cystectomy. These initial evaluations of nutritional optimization show significant potential for improved outcomes. Additionally, several studies using enhanced recovery after surgery protocols, which include a preoperative nutritional component, have shown a benefit in reducing length of stay. Emerging literature has shown the benefits of preoperative immunonutrition in improving postoperative outcomes of radical cystectomy. However, further work is needed to determine the best mechanism to optimize nutrition prior to radical cystectomy.

Cystectomy - methods

Humans

Malnutrition - complications

Malnutrition - therapy

Postoperative Complications

Preoperative Care

Risk Factors

Urinary Bladder Neoplasms - complications

Urinary Bladder Neoplasms - surgery

Details

Title: Subtitle: Optimizing Nutrition Prior to Radical Cystectomy
Creators: Anthony D Oberle - University of Iowa
Jeremy M West - University of Iowa
Conrad M Tobert - University of Iowa Hospitals and Clinics
Gabriel L Conley - University of Iowa
Kenneth G Nepple - University of Iowa Hospitals and Clinics
Resource Type: Journal article
Publication Details: Current urology reports, Vol.19(12), pp.99-99
DOI: 10.1007/s11934-018-0854-4
PMID: 30338466
PMCID: PMC6329587
NLM abbreviation: Curr Urol Rep
ISSN: 1527-2737
eISSN: 1534-6285
Grant note: T35 HL007485 / NHLBI NIH HHS
Language: English
Date published: 10/18/2018
Academic Unit: Urology
Record Identifier: 9984319979702771

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