Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 May 16;11(5):1088.
doi: 10.3390/nu11051088.

Impact of Nutrition on Enhanced Recovery After Surgery (ERAS) in Gynecologic Oncology

Steven Bisch  1 , Gregg Nelson  2 , Alon Altman  3
Affiliations
Review

Impact of Nutrition on Enhanced Recovery After Surgery (ERAS) in Gynecologic Oncology

Steven Bisch et al. Nutrients. .

Abstract

Enhanced recovery after surgery (ERAS) pathways aim to improve surgical outcomes by applying evidence-based practices before, during, and after surgery. Patients undergoing surgery for gynecologic malignancies are at high risk of complications due to population, patient, disease, and surgical factors. The nutritional status of the patient provides the foundation for recovery after surgery, and opportunities to optimize outcomes exist from the first patient assessment to the early days after surgery. This review highlights the importance of nutritional assessment and intervention during the pre-operative and post-operative periods in the context of ERAS in gynecologic oncology surgery. The emerging role of immunonutrition, carbohydrate loading, and the importance of individualized care are explored. Evidence from studies in gynecologic oncology is presented, where available, and extrapolated from colorectal and other cancer surgery trials when applicable.

Keywords: ERAS; enhanced recovery after surgery; gynecologic/oncology; nutrition.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Laky B., Janda M., Bauer J., Vavra C., Cleghorn G., Obermair A. Malnutrition among gynaecological cancer patients. Eur. J. Clin. Nutr. 2007;61:642–646. doi: 10.1038/sj.ejcn.1602540. - DOI - PubMed
    1. Mu N., Zhu Y., Wang Y., Zhang H., Xue F. Insulin resistance: A significant risk factor of endometrial cancer. Gynecol. Oncol. 2012;125:751–757. doi: 10.1016/j.ygyno.2012.03.032. - DOI - PubMed
    1. Shoff S.M., Newcomb P.A. Diabetes, Body Size, and Risk of Endometrial Cancer. Am. J. Epidemiol. 1998;148:234–240. doi: 10.1093/oxfordjournals.aje.a009630. - DOI - PubMed
    1. Geisler J.P., Linnemeier G.C., Thomas A.J., Manahan K.J. Nutritional assessment using prealbumin as an objective criterion to determine whom should not undergo primary radical cytoreductive surgery for ovarian cancer. Gynecol. Oncol. 2007;106:128–131. doi: 10.1016/j.ygyno.2007.03.008. - DOI - PubMed
    1. Erekson E.A., Yip S.O., Ciarleglio M.M., Fried T.R. Postoperative complications after gynecologic surgery. Obstet. Gynecol. 2011;118:785–793. doi: 10.1097/AOG.0b013e31822dac5d. - DOI - PMC - PubMed

LinkOut - more resources