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

Division of Gynecologic Oncology, Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg, MB R3A 1R9, Canada
Author to whom correspondence should be addressed.
Nutrients 2019, 11(5), 1088;
Received: 14 April 2019 / Revised: 6 May 2019 / Accepted: 11 May 2019 / Published: 16 May 2019
PDF [219 KB, uploaded 16 May 2019]


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. View Full-Text
Keywords: ERAS; enhanced recovery after surgery; gynecologic/oncology; nutrition ERAS; enhanced recovery after surgery; gynecologic/oncology; nutrition
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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MDPI and ACS Style

Bisch, S.; Nelson, G.; Altman, A. Impact of Nutrition on Enhanced Recovery After Surgery (ERAS) in Gynecologic Oncology. Nutrients 2019, 11, 1088.

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