Perioperative medicine & outcomes

Impact of Perioperative Immunonutrition on Postoperative Outcomes for Patients Undergoing Head and Neck or Gastrointestinal Cancer Surgeries: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Ann SurgPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Nutritional intervention with perioperative immunonutrition in patients with HAN and GI cancers significantly reduced total postoperative complications and infectious complications.

Study context

Population
Adults with or without malnutrition undergoing elective surgery for head and neck (HAN) or gastrointestinal (GI) cancers
Participants
4,825 adults · 48 studies
Comparison
Perioperative immunonutrition vs standard nutritional therapy
Outcome
Total postoperative and infectious complications (Clavien-Dindo grade ≥ II)
Follow-up
Within 30 days after surgery
Methodological detailsIncluded studies: 19 upper GI, 9 lower GI, 8 mixed, 12 HAN cancer
  • Included studies: 19 upper GI, 9 lower GI, 8 mixed, 12 HAN cancer

Pooled result

As reported in the abstract

Certainty of evidence: high
Each group vs standard nutritional therapyEstimate (95% CI)
Immunonutrition
RR (total postoperative complications) 0.78(0.66–0.93)
Immunonutrition
RR (infectious complications) 0.71(0.61–0.82)

Original publication

Impact of Perioperative Immunonutrition on Postoperative Outcomes for Patients Undergoing Head and Neck or Gastrointestinal Cancer Surgeries: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Ann Surg. Published 26 October 2023. doi:10.1097/sla.0000000000006116

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