Prehabilitation prior to intestinal resection in Crohn’s disease patients:An opinion review

作     者：Michiel T J Bak Marit F E Ruiterkamp Oddeke van Ruler Marjo J E Campmans-Kuijpers Bart C Bongers Nico L U van Meeteren C Janneke van der Woude Laurents P S Stassen Annemarie C de Vries 

作者机构：Department of Gastroenterology and HepatologyErasmus University Medical Center RotterdamRotterdam 3015 GDNetherlands Department of SurgeryIJsselland HospitalCapelle aan den IJssel 2906 ZCNetherlands Department of SurgeryErasmus University Medical Center RotterdamRotterdam 3015 GDNetherlands Department of Gastroenterology and HepatologyUniversity Medical Center Groningen and University of GroningenGroningen 9713 GZNetherlands Department of Nutrition and Movement SciencesSchool of Nutrition and Translational Research in MetabolismMaastricht UniversityMaastricht 6200 MDNetherlands Department of EpidemiologyCare and Public Health Research InstituteMaastricht UniversityMaastricht 6200 MDNetherlands Department of AnaesthesiologyErasmus MC University Medical Center RotterdamRotterdam 3015 GDNetherlands Department of SurgeryMaastricht University Medical CenterMaastricht 6229 HXNetherlands 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2022年第28卷第22期

页      面：2403-2416页

核心收录：

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：Erasmus Universitair Medisch Centrum Rotterdam  Erasmus MC 

主　　题：Crohn’s disease Prehabilitation strategies Nutrition Physical fitness Medication Laboratory values 

摘      要：Patients with Crohn’s disease(CD)are at a considerable risk for intestinal *** 25%of patients with CD will undergo an intestinal resection within 10 years of *** complications after CD surgery have been reported in 20%-47%of the *** general and CD-related risk factors are associated with postoperative complications,and comprise non-modifiable(e.g.,age)and potentially modifiable risk factors(e.g.,malnutrition).Prehabilitation focuses on the preoperative period with strategies designed to optimize modifiable risk factors concerning the physical and mental condition of the individual *** aim of prehabilitation is to enhance postoperative recovery and return to or even improve preoperative functional *** improvement of nutritional status,physical fitness,cessation of smoking,psychological support,and critical revision of preoperative use of CD medication are important *** of the effect on postoperative outcome in CD patients are scarce,and guidelines lack recommendations on tailored *** this opinion review,we review the current evidence on the impact of screening and management of nutritional status,physical fitness,CD medication and laboratory values on the postoperative course following an intestinal resection in CD *** addition,we aim to provide guidance for individualized multimodal prehabilitation in clinical practice concerning these modifiable factors.