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Nutritional supplements in the surgical patient.
Sidney J Stohs1, Stanley J Dudrick
1Creighton University Medical Center, Omaha, NE, USA. sstohs@yahoo.com
The Surgical Clinics of North America
|July 27, 2011
Summary
Patients often use supplements before surgery, expecting benefits. This review covers their use, nutritional deficiencies, and preoperative/postoperative impacts, including regulations.
Area of Science:
- Surgical Nutrition
- Dietary Supplements
- Preoperative Care
Background:
- Many surgical patients have fundamental nutrient deficiencies.
- Preoperative supplement use is common but often lacks clear evidence.
- Understanding patient expectations and supplement impacts is crucial.
Purpose of the Study:
- To review current knowledge on preoperative supplement use in surgical patients.
- To discuss patient-expected benefits, indications, and risks of supplements.
- To highlight the relationship between supplements, nutrient status, and surgical outcomes.
Main Methods:
- Literature review of studies on supplement use in surgical populations.
- Analysis of patient-reported benefits and scientific evidence.
- Discussion of macronutrient recommendations and regulatory aspects.
Main Results:
- Significant nutrient deficiencies exist in surgical patients.
- Patient expectations for supplements are high, but evidence is often limited.
- Preoperative supplement use can influence surgical preparation and recovery.
Conclusions:
- Optimizing nutritional status preoperatively is essential.
- Evidence-based guidelines for supplement use in surgery are needed.
- Further research should clarify the role and safety of supplements in surgical patients.
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