Role of preoperative carbohydrate loading: A systematic review

Annals of the Royal College of Surgeons of England

Volumn 96, Issue 1, 2014, Pages 15-22

  Bilku, Dilraj K ^a   Dennison, A R ^a   Hall, T C ^a   Metcalfe, M S ^a   Garcea, G ^a  

^a UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST   (United Kingdom)

Author keywords

Carbohydrate loading; Preoperative; Surgery

Indexed keywords

BEVERAGE; CARBOHYDRATE DIET; HEALTH STATUS; HUMAN; IMMUNITY; INSULIN RESISTANCE; METHODOLOGY; NON INSULIN DEPENDENT DIABETES MELLITUS; NUTRITIONAL STATUS; ORAL DRUG ADMINISTRATION; PATIENT SAFETY; PHYSIOLOGY; POSTOPERATIVE COMPLICATION; PREOPERATIVE CARE; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; STOMACH ACID; STOMACH EMPTYING;

ADMINISTRATION, ORAL; BEVERAGES; DIABETES MELLITUS, TYPE 2; DIETARY CARBOHYDRATES; GASTRIC ACID; GASTRIC EMPTYING; HEALTH STATUS; HUMANS; IMMUNITY; INSULIN RESISTANCE; NUTRITIONAL STATUS; PATIENT SAFETY; POSTOPERATIVE COMPLICATIONS; PREOPERATIVE CARE; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 84891797048     PISSN: 00358843     EISSN: None     Source Type: Journal    
DOI: 10.1308/003588414X13824511650614     Document Type: Review

References (35)

1. Thorell A, Nygren J, Ljungqvist O. Insulin resistance: a marker of surgical stress. Curr Opin Clin Nutr Metab Care 1999; 2: 69-78.
2. Thorell A, Efendic S, Gutniak M et al. Insulin resistance after abdominal surgery. Br J Surg 1994; 81: 59-66.
3. Krinsley JS. Effect of an intensive glucose management protocol on the mortality of critically ill adult patients. Mayo Clin Proc 2004; 79: 992-1,000.
4. van den Berghe G, Wouters P, Weekers F et al. Intensive insulin therapy in critically ill patients. New Engl J Med 2001; 345: 1,359-1,367.
5. Okabayashi T, Nishimori I, Yamashita K et al. Preoperative oral supplementation with carbohydrate and branched-chain amino acid-enriched nutrient improves insulin resistance in patients undergoing a hepatectomy: a randomized clinical trial using an artificial pancreas. Amino Acids 2010; 38: 901-907.
6. Kaska M, Grosmanová T, Havel E et al. The impact and safety of preoperative oral or intravenous carbohydrate administration versus fasting in colorectal surgery-a randomized controlled trial. Wien Klin Wochenschr 2010; 122:23-30.
7. Faria MS, de Aguilar-Nascimento JE, Pimenta OS et al. Preoperative fasting of 2 hours minimizes insulin resistance and organic response to trauma after video-cholecystectomy: a randomized, controlled, clinical trial. World J Surg 2009; 33: 1,158-1,164.
8. Svanfeldt M, Thorell A, Hausel J et al. Randomized clinical trial of the effect of preoperative oral carbohydrate treatment on postoperative whole-body protein and glucose kinetics. Br J Surg 2007; 94: 1,342-1,350.
9. Svanfeldt M, Thorell A, Hausel J et al. Effect of 'preoperative' oral carbohydrate treatment on insulin action-a randomised cross-over unblinded study in healthy subjects. Clin Nutr 2005; 24: 815-821.
10. Nygren J, Soop M, Thorell A et al. Preoperative oral carbohydrates and postoperative insulin resistance. Clin Nutr 1999; 18: 117-120.
11. Ljungqvist O, Thorell A, Gutniak M et al. Glucose infusion instead of preoperative fasting reduces postoperative insulin resistance. J Am Coll Surg 1994; 178: 329-336.
12. Nygren J, Thorell A, Jacobsson H et al. Preoperative gastric emptying. Ann Surg 1995; 222: 728-734.
13. Yagci G, Can MF, Ozturk E et al. Effects of preoperative carbohydrate loading on glucose metabolism and gastric contents in patients undergoing moderate surgery: a randomized, controlled trial. Nutrition 2008; 24: 212-216.
14. Henriksen MG, Hessov I, Dela F et al. Effects of preoperative oral carbohydrates and peptides on postoperative endocrine response, mobilization, nutrition and muscle function in abdominal surgery. Acta Anaesthesiol Scand 2003; 47:191-199.
15. Hausel J, Nygren J, Lagerkranser M et al. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth Analg 2001; 93:1,344-1,350.
16. Mathur S, Plank LD, McCall JL et al. Randomized controlled trial of preoperative oral carbohydrate treatment in major abdominal surgery. Br J Surg 2010; 97: 485-494.
17. Helminen H, Viitanen H, Sajanti J. Effect of preoperative intravenous carbohydrate loading on preoperative discomfort in elective surgery patients. Eur J Anaesthesiol 2009; 26: 123-127.
18. Hausel J, Nygren J, Thorell A et al. Randomized clinical trial of the effects of oral preoperative carbohydrates on postoperative nausea and vomiting after laparoscopic cholecystectomy. Br J Surg 2005; 92: 415-421.
19. Bisgaard T, Kristiansen VB, Hjortsø NC et al. Randomized clinical trial comparing an oral carbohydrate beverage with placebo before laparoscopic cholecystectomy. Br J Surg 2004; 91: 151-158.
20. Noblett SE, Watson DS, Huong H et al. Pre-operative oral carbohydrate loading in colorectal surgery: a randomized controlled trial. Colorectal Dis 2006; 8:563-569.
21. Yuill KA, Richardson RA, Davidson HI et al. The administration of an oral carbohydrate-containing fluid prior to major elective upper-gastrointestinal surgery preserves skeletal muscle mass postoperatively-a randomised clinical trial. Clin Nutr 2005; 24: 32-37.
22. Gustafsson UO, Nygren J, Thorell A et al. Pre-operative carbohydrate loading may be used in type 2 diabetes patients. Acta Anaesthesiol Scand 2008; 52:946-951.
23. Rothman D, Magnusson I, Katz LD et al. Quantification of hepatic glycogenolysis and gluconeogenesis in fasting humans with 13C NMR. Science 1991; 254: 573-576.
24. Sunzel H. Effects of surgical trauma on the liver glycogen in fasting and in glucose-fed patients. Acta Chir Scand 1963; 125: 118-128.
25. Nygren J. The metabolic effects of fasting and surgery. Best Pract Res Clin Anaesthesiol 2006; 20: 429-438.
26. Thorell A, Alston-Smith J, Ljungqvist O. The effect of preoperative carbohydrate loading on hormonal changes, hepatic glycogen, and glucoregulatory enzymes during abdominal surgery. Nutrition 1996; 12: 690-695.
27. Madsen M, Brosnan J, Nagy VT. Perioperative thirst: a patient perspective. J Perianesth Nurs 1998; 13: 225-228.
28. Splinter WM, Stewart JA, Muir JG. Large volumes of apple juice preoperatively do not affect gastric pH and volume in children. Can J Anaesth 1990; 37:36-39.
29. Splinter WM, Stewart JA, Muir JG. The effect of preoperative apple juice on gastric contents, thirst, and hunger in children. Can J Anaesth 1989; 36:55-58.
30. Furnary AP, Zerr KJ, Grunkemeier GL, Starr AJ. Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures. Ann Thorac Surg 1999; 67:352-360.
31. Park MI, Camilleri M. Gastroparesis: clinical update. Am J Gastroenterol 2006;101: 1,129-1,139.
32. Horowitz M, O'Donovan D, Jones KL et al. Gastric emptying in diabetes: clinical significance and treatment. Diabet Med 2002; 19: 177-194.
33. Stacher G, Lenglinger J, Bergmann H et al. Impaired gastric emptying and altered intragastric meal distribution in diabetes mellitus related to autonomic neuropathy? Dig Dis Sci 2003; 48: 1,027-1,034.
34. Ziegler D, Schadewaldt P, Pour Mirza A et al. [13C]octanoic acid breath test for non-invasive assessment of gastric emptying in diabetic patients: validation and relationship to gastric symptoms and cardiovascular autonomic function. Diabetologia 1996; 39: 823-830.
35. Jebbink HJ, Bravenboer B, Akkermans LM et al. Relationships between dyspeptic symptoms and gastrointestinal motility in patients with type 1 (insulin-dependent) diabetes mellitus. Diabetologia 1993; 36: 948-954.