Table 1.
Preoperative Nutrition Evaluation | Nutritional Intervention | Postoperative Nutritional Parameters to Follow |
---|---|---|
Albumin < 2.5 mg/dL or Weight Loss > 10% | Postpone surgery date. Begin aggressive nutrition supplementation Consider feeding jejunostomy tube (FJT) placement intraoperatively |
Required: Hemoglobin A1c or Oral Glucose Tolerance Test (OGTT), Albumin, Fecal Elastase, and Vitamin B12 Recommended: Zinc, Iron, Vitamin A, Vitamin E, 25-OH-vitamin D3 and fecal fat |
Weight Loss 5%–10% or Albumin < 3 mg/dL | Nutrition supplementation prior to surgery Consider FJT placement intraoperatively |