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Enhanced recovery after surgery—Preoperative fasting and glucose loading—A review
Author(s) -
Sarin Ankit,
Chen Leelynn,
Wick Elizabeth C.
Publication year - 2017
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24810
Subject(s) - preoperative fasting , medicine , gastric emptying , intermittent fasting , elective surgery , general surgery , intensive care medicine , surgery , stomach , perioperative
In this review, we explore the rationale and history behind the practice of preoperative fasting in elective surgery including the gradual move toward longer fasting and the more recent change in direction of practice. Gastric emptying physiology and the metabolic effects of prolonged fasting and carbohydrate loading are examined. Most recent guidelines related to these topics are discussed and practical recommendations for implementing these guidelines are suggested.