Prolonged preoperative fasting in elective surgical patients: Why should we reduce it?

Nutrition in Clinical Practice

Volumn 29, Issue 1, 2014, Pages 22-28

  Pimenta, Gunther Peres ^a   De Aguilar Nascimento, José Eduardo ^a  

^a FEDERAL UNIVERSITY OF MATO GROSSO   (Brazil)

Author keywords

acute phase proteins; carbohydrates; fasting; glutamine; insulin resistance; preoperative care; trauma; whey protein

Indexed keywords

CARBOHYDRATE; GLUTAMINE;

ABDOMINAL SURGERY; ACUTE PHASE RESPONSE; ANESTHESIST; ARTICLE; DIET RESTRICTION; ELECTIVE SURGERY; HOSPITALIZATION; HUMAN; INSULIN RESISTANCE; LEAN BODY WEIGHT; LENGTH OF STAY; META ANALYSIS; POSTOPERATIVE COMPLICATION; POSTOPERATIVE DISCOMFORT; POSTOPERATIVE NAUSEA AND VOMITING; PRACTICE GUIDELINE; PREOPERATIVE TREATMENT; RANDOMIZED CONTROLLED TRIAL (TOPIC); SURGICAL PATIENT; SYSTEMATIC REVIEW;

ACUTE-PHASE PROTEINS; CARBOHYDRATES; FASTING; GLUTAMINE; INSULIN RESISTANCE; PREOPERATIVE CARE; TRAUMA; WHEY PROTEIN;

DIETARY CARBOHYDRATES; FASTING; GLUTAMINE; HUMANS; INSULIN RESISTANCE; MILK PROTEINS; NAUSEA; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; POSTOPERATIVE PERIOD; PRACTICE GUIDELINES AS TOPIC; PREOPERATIVE CARE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; VOMITING; WOUNDS AND INJURIES;

EID: 84893088464     PISSN: 08845336     EISSN: 19412452     Source Type: Journal    
DOI: 10.1177/0884533613514277     Document Type: Article

References (68)

1. Maltby JR. Fasting from midnight - the history behind the dogma. Best Pract Res Clin Anaesthesiol. 2006 ; 20 (3). 363-378
2. Kehlet H, Wilmore DW. Fast-track surgery. Br J Surg. 2005 ; 92: 3-4
3. Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005 ; 24 (3). 466-477
4. de Aguilar-Nascimento JE, Bicudo-Salomão A, Caporossi C, Silva RM, Cardoso EA, Santos TP. Enhancing surgical recovery in Central-West Brazil: the ACERTO protocol results. e-SPEN. 2008 ; 3: e78 - e83
5. Bicudo-Salomão A, Meireles MB, Caporossi C, Crotti PL, de Aguilar-Nascimento JE. Impact of the ACERTO project in the postoperative morbi-mortality in a university hospital. Rev Col Bras Cir. 2011 ; 38 (1). 3-10
6. Varadhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010 ; 29 (4). 434-440
7. Warner MA. Is pulmonary aspiration still an import problem in anesthesia?. Curr Opin Anesthesiol. 2000 ; 13: 215-218
8. Mendelson. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obst Gynecol. 1946 ; 52: 191-205
9. Aguilar-Nascimento JE, Dock-Nascimento DB. Reducing preoperative fasting time: a trend based on evidence. World J Gastrointest Surg. 2010 ; 2 (3). 57-60
10. Soreide E, Eriksson LI, Hirlekar G, et al. Pre-operative fasting guidelines: an update. Acta Anaesthesiol Scand. 2005 ; 49 (8). 1041-1047
11. Smith I, Kranke P, Murat I, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011 ; 28 (8). 556-569
12. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology. 2011 ; 114 (3). 495-511
13. Aguilar-Nascimento JE, Perrone F, de Assunção Prado LI. Preoperative fasting of 8 hours or 2 hours: what does evidence reveal?. Rev Col Bras Cir. 2009 ; 36 (4). 350-352
14. Nygren J. The metabolic effects of fasting and surgery. Best Pract Res Clin Anaesthesiol. 2006 ; 20: 429-438
15. Soop M, Nygren J, Thorell A, Ljungqvist O. Stress-induced insulin resistance: recent developments. Curr Opin Clin Nutr Metab Care. 2007 ; 10: 181-186
16. Thorell A, Nygren J, Ljungqvist O. Insulin resistance: a marker of surgical stress. Curr Opin Clin Nutr Metab Care. 1999 ; 2 (1). 69-78
17. Blixt C, Ahlstedt C, Ljungqvist O, Isaksson B, Kalman S, Rooyackers O. The effect of perioperative glucose control on postoperative insulin resistance. Clin Nutr. 2012 ; 31 (5). 676-681
18. van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients. N Engl J Med. 2001 ; 345 (19). 1359-1367
19. Thorell A, Nygren J, Essén P, et al. The metabolic response to cholecystectomy: insulin resistance after open compared with laparoscopic operation. Eur J Surg. 1996 ; 162 (3). 187-191
20. Kanno H, Kiyama T, Fujita I, et al. Laparoscopic surgery improves blood glucose homeostasis and insulin resistance following distal gastrectomy for cancer. JPEN J Parenter Enteral Nutr. 2009 ; 33 (6). 686-690
21. Greisen J, Juhl CB, Grøfte T, Vilstrup H, Jensen TS, Schmitz O. Acute pain induces insulin resistance in humans. Anesthesiology. 2001 ; 95 (3). 578-584
22. Biensø RS, Ringholm S, Kiilerich K, et al. GLUT4 and glycogen synthase are key players in bed rest-induced insulin resistance. Diabetes. 2012 ; 61 (5). 1090-1099
23. Faria MS, de Aguilar-Nascimento JE, Pimenta OS, Alvarenga LC, Dock-Nascimento DB, Slhessarenko N. 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 (6). 1158-1164
24. Ljungqvist O, Jonathan E. Rhoads lecture 2011: insulin resistance and enhanced recovery after surgery. JPEN J Parenter Enteral Nutr. 2012 ; 36 (4). 389-398
25. Awad S, Constantin-Teodosiu D, Constantin D, et al. Cellular mechanisms underlying the protective effects of preoperative feeding: a randomized study investigating muscle and liver glycogen content, mitochondrial function, gene and protein expression. Ann Surg. 2010 ; 252 (2). 247-253
26. Awad S, Constantin-Teodosiu D, Macdonald IA, Lobo DN. Short-term starvation and mitochondrial dysfunction - a possible mechanism leading to postoperative insulin resistance. Clin Nutr. 2009 ; 28: 497-509
27. Thorell A, Nygren J, Hirshman MF, et al. Surgery-induced insulin resistance in human patients: relation to glucose transport and utilization. Am J Physiol. 1999 ; 276 (4). E754 - E761
28. Sugden MC, Holness MJ. Therapeutic potential of the mammalian pyruvate dehydrogenase kinases in the prevention of hyperglycaemia. Curr Drug Targets Immune Endocr Metabol Disord. 2002 ; 2 (2). 151-165
29. Tsintzas K, Jewell K, Kamran M, et al. Differential regulation of metabolic genes in skeletal muscle during starvation and refeeding in humans. J Physiol. 2006 ; 575: 291-303
30. Soop M, Nygren J, Myrenfors P, Thorell A, Ljungqvist O. Preoperative oral carbohydrate treatment attenuates immediate postoperative insulin resistance. Am J Physiol Endocrinol Metab. 2001 ; 280: E576 - E583
31. Nygren J, Soop M, Thorell A, Efendic S, Nair KS, Ljungqvist O. Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Clin Nutr. 1998 ; 17 (2). 65-71
32. Perrone F, da-Silva-Filho AC, Adôrno IF, et al. Effects of preoperative feeding with a whey protein plus carbohydrate drink on the acute phase response and insulin resistance: a randomized trial. Nutr J. 2011 ; 10: 66
33. Awad S, Varadhan KK, Ljungqvist O, Lobo DN. A meta-analysis of randomized controlled trials on preoperative oral carbohydrate treatment in elective surgery. Clin Nutr. 2013 ; 32 (1). 34-44
34. Aguilar-Nascimento JE, Marra JG, Slhessarenko N, Fontes CJ. Effectiveness of the NNIS score, acute phase proteins and interleukin-6 in predicting postoperative infections in major gastrointestinal operations. São Paulo Med J. 2007 ; 125 (1). 34-45
35. Desborough JP. The stress response to trauma and surgery. Br J Anaesth. 2000 ; 85: 109-117
36. Viganò J, Cereda E, Caccialanza R, et al. Effects of preoperative oral carbohydrate supplementation on postoperative metabolic stress response of patients undergoing elective abdominal surgery. World J Surg. 2012 ; 36 (8). 1738-1743
37. Zelić M, Stimac D, Mendrila D, et al. Influence of preoperative oral feeding on stress response after resection for colon cancer. Hepatogastroenterology. 2012 ; 59 (117). 1385-1389
38. Melis GC, van Leeuwen PA, von Blomberg-van der Flier BM, et al. A carbohydrate-rich beverage prior to surgery prevents surgery-induced immunodepression: a randomized, controlled, clinical trial. JPEN J Parenter Enteral Nutr. 2006 ; 30 (1). 21-26
39. Hershman MJ, Cheadle WG, Wellhausen SR, Davidson PF, Polk HC. Monocyte HLA-DR antigen expression characterizes clinical outcome in the trauma patient. Br J Surg. 1990 ; 77 (2). 204-207
40. Feguri GR, Lima PR, Lopes AM, et al. Clinical and metabolic results of fasting abbreviation with carbohydrates in coronary artery bypass graft surgery. Rev Bras Cir Cardiovasc. 2012 ; 27 (1). 7-17
41. Li L, Wang Z, Ying X, et al. Preoperative carbohydrate loading for elective surgery: a systematic review and meta-analysis. Surg Today. 2012 ; 42 (7). 613-624
42. 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 (4). 485-494
43. Noblett SE, Watson DS, Huong H, Davison B, Hainsworth PJ, Horgan AF. Pre-operative oral carbohydrate loading in colorectal surgery: a randomized controlled trial. Colorectal Dis. 2006 ; 8 (7). 563-569
44. Hausel J, Nygren J, Lagerkranser M, et al. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth Analg. 2001 ; 93 (5). 1344-1350
45. Yildiz H, Gunal SE, Yilmaz G, Yucel S. Oral carbohydrate supplementation reduces preoperative discomfort in laparoscopic cholecystectomy. J Invest Surg. 2013 ; 26 (2). 89-95
46. Helminen H, Viitanen H, Sajanti J. Effect of preoperative intravenous carbohydrate loading on preoperative discomfort in elective surgery patients. Eur J Anaesthesiol. 2009 ; 26 (2). 123-127
47. Rolls BJ, Wood RJ, Rolls ET, Lind H, Lind W, Ledingham JG. Thirst following water deprivation in humans. Am J Physiol. 1980 ; 239 (5). R476 - R482
48. Apfel CC, Heidrich FM, Jukar-Rao S, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth. 2012 ; 109 (5). 742-753
49. Hausel J, Nygren J, Thorell A, Lagerkranser M, Ljungqvist O. Randomized clinical trial of the effects of oral preoperative carbohydrates on postoperative nausea and vomiting after laparoscopic cholecystectomy. Br J Surg. 2005 ; 92 (4). 415-421
50. Erskine L, Hunt JN. The gastric emptying of small volumes given in quick succession. J Physiol. 1981 ; 313: 335-341
51. Brener W, Hendrix TR, McHugh P. Regulation of gastric emptying of glucose. Gastroenterology. 1983 ; 85: 76-82
52. Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent preoperative complications. Cochrane Database Syst Rev. 2003 ; (4). CD004423
53. Søreide E, Fasting S, Raeder JC. New preoperative fasting guidelines in Norway. Acta Anaesthesiol Scand. 1997 ; 41: 799
54. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: a report by the American Society of Anaesthesiologists Task Force on Preoperative Fasting. Anesthesiology. 1999 ; 90: 896-905
55. Merchant R, Chartrand D, Dain S, et al. Guidelines to the practice of anesthesia revised edition 2013. Can J Anaesth. 2013 ; 60 (1). 60-84
56. Association of Anaesthetists of Great Britain and Ireland. AAGBI Safety Guideline: Pre-Operative Assessment and Patient Preparation: The Role of the Anaesthetist. London, UK: Association of Anaesthetists of Great Britain and Ireland; 2010. http://www.aagbi.org/sites/default/files/preop2010.pdf
57. Crenshaw JT, Winslow EH. Preoperative fasting: old habits die hard. Am J Nurs. 2002 ; 102 (5). 36-44
58. Gustafsson UO, Nygren J, Thorell A, et al. Preoperative carbohydrate loading may be used in type 2 diabetes patients. Acta Anaesthesiol Scand. 2008 ; 52: 946-951
59. Pexe-Machado PA, de Oliveira BD, Dock-Nascimento DB, de Aguilar-Nascimento JE. Shrinking preoperative fast time with maltodextrin and protein hydrolysate in gastrointestinal resections due to cancer. Nutrition. 2013 ; 29 (7-8). 1054-1059
60. Souba WW. Nutritional support. N Engl J Med. 1997 ; 336: 41-48
61. Déchelotte P, Hasselmann M, Cynober L, et al. L-alanyl-L-glutamine dipeptide-supplemented total parenteral nutrition reduces infectious complications and glucose intolerance in critically ill patients: the French controlled, randomized, double-blind, multicenter study. Crit Care Med. 2006 ; 34: 598-604
62. Dock-Nascimento DB, de Aguilar-Nascimento JE, Magalhães Faria MS, Caporossi C, Slhessarenko N, Waitzberg DL. Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: a controlled randomized trial. JPEN J Parenter Enteral Nutr. 2012 ; 36 (1). 43-52
63. Lobo DN, Hendry PO, Rodrigues G, et al. Gastric emptying of three liquid oral preoperative metabolic preconditioning regimens measured by magnetic resonance imaging in healthy adult volunteers: a randomised double-blind, crossover study. Clin Nutr. 2009 ; 28 (6). 636-641
64. Borges Dock-Nascimento D, Aguilar-Nascimento JE, Caporossi C, et al. Safety of oral glutamine in the abbreviation of preoperative fasting: a double-blind, controlled, randomized clinical trial. Nutr Hosp. 2011 ; 26 (1). 86-90
65. Dangin M, Boirie Y, Guillet C, Beaufrère B. Influence of the protein digestion rate on protein turnover in young and elderly subjects. J Nutr. 2002 ; 132 (10). 3228S - 3233S
66. Pennings B, Boirie Y, Senden JM, Gijsen AP, Kuipers H, van Loon LJ. Whey protein stimulates postprandial muscle protein accretion more effectively than do casein and casein hydrolysate in older men. Am J Clin Nutr. 2011 ; 93 (5). 997-1005
67. Xu R, Liu N, Xu X, Kong B. Antioxidative effects of whey protein on peroxide-induced cytotoxicity. J Dairy Sci. 2011 ; 94 (8). 3739-3746
68. Oliveira KG, Balsan M, Oliveira S, de Aguilar-Nascimento JE. Does abbreviation of preoperative fasting to two hours with carbohydrate increase anesthesic risk?. Rev Bras Anestesiol. 2009 ; 59 (5). 577-584