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Laryngorhinootologie 2010; 89(2): 103-113
DOI: 10.1055/s-0030-1247558
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© Georg Thieme Verlag KG Stuttgart · New York

Stellenwert der perioperativen Immunonutrition

The Significance of Perioperative ImmunonutritionD. Schreiter, S. Rabald, S. Bercker, U. X. Kaisers
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Publication History

Publication Date:
12 February 2010 (online)

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Zusammenfassung

Die perioperative Immunonutrition moduliert die im Zusammenhang mit großen operativen Eingriffen stattfindenden pathophysiologischen Veränderungen von Immun- und Stoffwechselfunktionen durch die gezielte Zufuhr von konstitutionell essentiellen Substraten wie Glutamin, Arginin, Omega-3-Fettsäuren oder Nukleotiden. Empfohlen wird die Anwendung bei Patienten mit großen abdominalchirurgischen Eingriffen und bei Tumoroperationen im Kopf-Hals-Bereich jeweils 5–7 Tage vor und nach dem Eingriff.

Abstract

Perioperative immunonutrition is aiming at modulating altered immunological and metabolic functions in the context of major surgery. It is defined as the supplementation of constitutionally essential substrates such as glutamine, arginine, omega-3-fatty acids or nucleotides. The application of such formula is recommended for patients undergoing major abdominal-surgical procedures and tumour surgery in the head neck area. The substitution should be given 5–7 days before and after the intervention.

Schlüsselwörter

Immunonutrition - Arginin - Glutamin - Omega-3-Fettsäuren - Chirurgie - postoperative Komplikationen

Key words

immunonutrition - arginine - glutamine - omega-3 fatty acids - surgery - postoperative complications

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