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IJMSHR

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

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

Abstract:
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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