Peran Larutan Maltodekstrin dalam Konsep ERAS
DOI:
https://doi.org/10.55175/cdk.v47i1.160Kata Kunci:
Enhanced Recovery After Surgery, ERAS, loading karbohidrat, maltodekstrin, nutrisi, resistensi insulinAbstrak
Enhanced Recovery After Surgery (ERAS) adalah konsep yang makin banyak digunakan dalam prosedur bedah karena memberikan berbagai manfaat. Loading karbohidrat menjadi salah satu bagian dari ERAS. Berbagai penelitian menunjukkan hasil positif loading karbohidrat terutama dalam menurunkan resistensi insulin yang dapat mengganggu metabolisme pasien pasca-operasi. Cairan maltodekstrin adalah salah satu komponen yang paling sering direkomendasikan untuk loading karbohidrat.
Enhanced Recovery After Surgery (ERAS) is a concept that is increasingly being used in surgical procedures because of its benefits. Carbohydrate loading becomes one part of ERAS. Various studies have shown positive results from carbohydrates loading, especially in reducing insulin resistance which can disrupt post-operative patient metabolism. Maltodextrin is one of the most frequently recommended components in carbohydrate loading.
Unduhan
Referensi
Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery [Internet]. [cited 2019 Nov 27]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943369/
ERAS: Improving outcome in the cachectic HPB patient [Internet]. [cited 2019 Nov 27]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5697643/
Weimann A, Braga M, Harsanyi L, Laviano A, Ljungqvist O, Soeters P, et al. ESPEN guidelines on enteral nutrition: Surgery including organ transplantation. Clin Nutr Edinb Scotl. 2006;25(2):224–44.
ERAS definition - Enhanced recovery after surgery [Internet]. [cited 2019 Oct 21]. Available from: https://www.encare.net/eras-definition
Ljungqvist O, Hubner M. Enhanced recovery after surgery—ERAS—principles, practice and feasibility in the elderly. Aging Clin Exp Res. 2018;30(3):249–52.
Eras [Internet]. Available from: http://erassociety.org/
Chon T, Ma A, Mun-Price C. Perioperative fasting and the patient experience. Cureus [Internet]. [cited 2019 Nov 27];9(5). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5481178/
de Aguilar-Nascimento JE, Dock-Nascimento DB. Reducing preoperative fasting time: A trend based on evidence. World J Gastrointest Surg. 2010;2(3):57–60.
Wilson GR, Dorrington KL. Starvation before surgery: Is our practice based on evidence? BJA Educ. 2017;17(8):275–82.
Simsek T, Simsek HU, Cantürk NZ. Response to trauma and metabolic changes: Posttraumatic metabolism. Turk J Surgery Ulusal Cerrahi Derg. 2014;30(3):153–9.
Insulin and insulin resistance [Internet]. [cited 2019 Nov 27]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1204764/
Ljungqvist O. Insulin resistance and outcomes in surgery. J Clin Endocrinol Metab. 2010;95(9):4217–9.
Sato H, Carvalho G, Sato T, Lattermann R, Matsukawa T, Schricker T. The association of preoperative glycemic control, intraoperative insulin sensitivity, and outcomes after cardiac surgery. J Clin Endocrinol Metab. 2010;95(9):4338–44.
To eat or not before surgery. AN Newsroom [Internet]. Available from: https://www.nutritionnews.abbott/nutrition-care/surgery-hospitalization/to-eat-or-notbefore-surgery/
Starvation, carbohydrate loading, and outcome after major surgery - BJA Education [Internet]. [cited 2019 Nov 27]. Available from: https://bjaed.org/article/S2058-5349(17)30173-7/fulltext
Clear liquid diet | GI associates [Internet]. [cited 2019 Oct 21]. Available from: https://gi.md/resources/clear-liquid-diet
American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid managem... - PubMed- NCBI [Internet]. [cited 2019 Oct 21]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27660701
Bilku DK, Dennison AR, Hall TC, Metcalfe MS, Garcea G. Role of preoperative carbohydrate loading: A systematic review. Ann R Coll Surg Engl. 2014;96(1):15–22.
Pogatschnik C, Steiger E. Review of preoperative carbohydrate loading. Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr. 2015;30(5):660–4.
Gastric physiology and function: effects of fruit juices. - PubMed - NCBI [Internet]. [cited 2019 Nov 27]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/8892179
Awad S, Varadhan KK, Ljungqvist O, Lobo DN. A meta-analysis of randomised controlled trials on preoperative oral carbohydrate treatment in elective surgery. Clin Nutr Edinb Scotl. 2013;32(1):34–44.
Zani FVB, Aguilar-Nascimento JE, Nascimento DBD, Silva AMC da, Caporossi FS, Caporossi C. Benefits of maltodextrin intake 2 hours before cholecystectomy by laparotomy in respiratory function and functional capacity: A prospective randomized clinical trial. Einstein Sao Paulo Braz. 2015;13(2):249–54.
Yilmaz N, Çekmen N, Bilgin F, Erten E, Özhan MÖ, Cosar A. Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting. J Res Med Sci Off J Isfahan Univ Med Sci. 2013;18(10):827–32.
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2020 Cermin Dunia Kedokteran
Artikel ini berlisensi Creative Commons Attribution-NonCommercial 4.0 International License.
