Hepato Gastroenterol
-
Hepato Gastroenterol · Oct 2013
Randomized Controlled TrialPreoperative oral feeding reduces stress response after laparoscopic cholecystectomy.
Fasting period before surgery may change metabolic status of the patient and have influence on perioperative stress response. The aim of the study was to investigate effects of preoperative carbohydrate-rich beverage on stress response after laparoscopic cholecystectomy. ⋯ Preoperative feeding has advantage over overnight fasting by reducing preoperative discomfort in patients after laparoscopic cholecystectomy. In fed patients, smaller increase in C-reactive protein and better regulation of cortisol levels are an indicator of decreased perioperative stress response.
-
Hepato Gastroenterol · Oct 2013
Randomized Controlled TrialRestricted intravenous fluid regimen reduces fluid redistribution of patients operated for abdominal malignancy.
Recent studies indicate that perioperative fluid restriction leads to better preserved clinical data as well as reduced complication rates. This study aimed to determine the probable mechanism of fluid restriction influence on the complication rate of patients undergoing gastrointestinal surgery for malignancy. ⋯ Perioperative fluid restriction could effect on fluid distribution and reduce tissue and cellular edema, and further, could reduce postoperative complication rates.