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Effects of nutritional prehabilitation, with and without exercise, on outcomes of patients who undergo colorectal surgery: A systematic review and meta-analysis

Gastroenterology May 25, 2018

Gillis C, et al. - Experts attempted to determine the individual and combined effects of nutrition-only and multi-modal prehabilitation, compared with no prehabilitation (control), on outcomes of patients undergoing colorectal resection through a systemic review and meta-analysis. They explored MEDLINE, EMBASE, CINAHL, CENTRAL, and ProQuest for cohort and randomized controlled studies of adults awaiting colorectal surgery who received at least 7 days of oral nutrition supplements and/or nutrition counselling with or without exercise. In patients undergoing colorectal surgery, nutritional prehabilitation alone, or when combined with an exercise program, significantly decreased the length of hospital stay by 2 days. Data reported that there was some evidence that multimodal prehabilitation accelerated the return to pre-surgery functional capacity.
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