Paradigm shift in gastrointestinal surgery−combating sarcopenia with prehabilitation:Multimodal review of clinical and scientific data  

作　　者：Frederick H Koh Jason MW Chua Joselyn LJ Tan Fung-Joon Foo Winson J Tan Sharmini S Sivarajah Leonard Ming Li Ho Bin-Tean Teh Min-Hoe Chew 

机构地区：[1]Division of Surgery,Sengkang General Hospital,Singapore 544886,Singapore [2]Institute of Molecular and Cell Biology,Agency for Science Technology and Research,Singapore 138673,Singapore [3]Duke-NUS Graduate Medical School,National Cancer Centre Singapore,Singapore 169610,Singapore

出　　处：《World Journal of Gastrointestinal Surgery》2021年第8期734-755,共22页世界胃肠外科杂志（英文版）（电子版）

摘　　要：A growing body of evidence has demonstrated the prognostic significance of sarcopenia in surgical patients as an independent predictor of postoperative complications and outcomes.These included an increased risk of total complications,major complications,re-admissions,infections,severe infections,30 d mortality,longer hospital stay and increased hospitalization expenditures.A program to enhance recovery after surgery was meant to address these complications;however,compliance to the program since its introduction has been less than ideal.Over the last decade,the concept of prehabilitation,or"pre-surgery rehabilitation",has been discussed.The presurgical period represents a window of opportunity to boost and optimize the health of an individual,providing a compensatory"buffer"for the imminent reduction in physiological reserve postsurgery.Initial results have been promising.We review the literature to critically review the utility of prehabilitation,not just in the clinical realm,but also in the scientific realm,with a resource management point-of-view.

关 键 词：SARCOPENIA Prehabilitation SURGERY FRAILTY Value Gastrointestinal surgery 

分 类 号：R656[医药卫生—外科学] R685[医药卫生—临床医学] R493