DYNAMICS OF PHOSPHATE LEVEL AND ADAPTATION POTENTIAL IN THE IMPLEMENTATION OF THE ERAS-PROTOCOL IN OVERWEIGHT PATIENTS WITH A SURGICAL PROFILE
Open Access
- 8 September 2020
- journal article
- Published by RS Global Sp. z O.O. in World Science
Abstract
The results of the treatment of overweight patients under the ERAS program are presented. When comparing different variants of the intensive care protocol, it is best to add colecalciferol and D-fructose-1,6-diphosphate sodium salt hydrate.An increase in the amount of secretory active adipose tissue in the body is accompanied by a decrease in the bioavailability of vitamin D, a decrease in the level of 25 (OH) D in the blood increases the level of parathyroid hormone. The introduction of a planned surgical profile in overweight patients at the screening stage 10 days before surgery to determine the level of 25 (OH) D in the blood is a key point in deciding the possibility of a perioperative period under the ERAS program. Additional use to its classic protocol of colecalciferol (positive effect on long-term effects and is significant in the prediction process) and sodium D-fructose-1,6-diphosphate hydrate solution (directly affects the effect of rapid recovery after elective surgery) improves the quality of motor activity of patients after operations, increases their adaptive capacity by restoring lost muscle function. The optimized classical algorithm of the ERAS program significantly (pKeywords
This publication has 11 references indexed in Scilit:
- Obesity and hypovitaminosis D: causality or casualty?International Journal of Obesity Supplements, 2019
- Mechanisms of vitamin D on skeletal muscle function: oxidative stress, energy metabolism and anabolic stateEuropean Journal of Applied Physiology, 2019
- Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018World Journal of Surgery, 2018
- Enhanced Recovery After Surgery (ERAS): New Concepts in the Perioperative Management of Gynecologic SurgeryRBGO Gynecology & Obstetrics, 2018
- An energetic view of stress: Focus on mitochondriaFrontiers in Neuroendocrinology, 2018
- Diet Modification Based on the Enhanced Recovery After Surgery Program (ERAS) in Patients Undergoing Laparoscopic Colorectal ResectionClinical Nutrition Research, 2018
- Effect of hypophosphatemia on the withdrawal of mechanical ventilation in patients with acute exacerbations of chronic obstructive pulmonary diseaseBiomedical Reports, 2016
- Usefulness of Measuring Both Body Mass Index and Waist Circumference for the Estimation of Visceral Adiposity and Related Cardiometabolic Risk Profile (from the INSPIRE ME IAA Study)The American Journal of Cardiology, 2014
- Vitamin D and ObesityNutrients, 2013
- Role of FGF23 in vitamin D and phosphate metabolism: Implications in chronic kidney diseaseExperimental Cell Research, 2012