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Insulin Resistance in Patients Undergoing Abdominal Aortic Surgery with a Fast-track Pathway: The Double-blinded Supplementation of Carbohydrates Oral Pre-operative (Scopre) Study.

Piero Brustia, Giovanni Coppi, Alessandra Renghi, Renato Cassatella, Luca Gramaglia and Francesca Mottini, Italy

Although studies suggest that fasting does not prevent the risk of "ab ingestis" respiratory disease, pre-operative oral maltodextrin seems to help reduce insulin resistance and improve post-operative outcomes in patients undergoing gastrointestinal surgery. In our large series of patients treated with a fast-track pathway, patients were permitted to eat solids until 8 hours before surgery and consume clear liquids 2 hours before surgery, with no gastroenteric or respiratory complications, better psychophysical responses, and good, rapid passage of stools. In this study, we aimed to evaluate the effect of the fast-track pathway on post-operative insulin resistance

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