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Current Urology Reports
Published in: Current Urology Reports 12/2018

01-12-2018 | Urothelial Cancer (S Daneshmand, Section Editor)

Optimizing Nutrition Prior to Radical Cystectomy

Authors: Anthony D. Oberle, Jeremy M. West, Conrad M. Tobert, Gabriel L. Conley, Kenneth G. Nepple

Published in: Current Urology Reports | Issue 12/2018

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Abstract

Purpose of Review

Malnutrition in a prevalent problem in patients undergoing radical cystectomy. Preoperative malnutrition has been shown to contribute to increased rates of postoperative complications. Given the significant morbidity and mortality of the procedure of radical cystectomy, there is potential for improvement in patient outcomes by nutritional intervention.

Recent Findings

Prospective studies have demonstrated a reduction in postoperative infection rates in patients who receive supplemental immunonutrition prior to major surgery including radical cystectomy. These initial evaluations of nutritional optimization show significant potential for improved outcomes. Additionally, several studies using enhanced recovery after surgery protocols, which include a preoperative nutritional component, have shown a benefit in reducing length of stay.

Summary

Emerging literature has shown the benefits of preoperative immunonutrition in improving postoperative outcomes of radical cystectomy. However, further work is needed to determine the best mechanism to optimize nutrition prior to radical cystectomy.
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Metadata
Title
Optimizing Nutrition Prior to Radical Cystectomy
Authors
Anthony D. Oberle
Jeremy M. West
Conrad M. Tobert
Gabriel L. Conley
Kenneth G. Nepple
Publication date
01-12-2018
Publisher
Springer US
Published in
Current Urology Reports / Issue 12/2018
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-018-0854-4

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