Nutritional management after hepatopancreatobiliary surgery

Since Wilmore and Kehlet first introduced the concepts of fast track protocols and enhanced recovery after surgery(ERAS)in 2001,a growing amount of attention has been paid to clinical research(1).ERAS encompasses multidisciplinary programs in nursing and anesthesia,nutrition and infusion therapy,and minimally invasive surgery.More than 400 related studies have been completed in the past 2 years after the introduction of postoperative care in the ERAS manual.Nutrition is particularly important in enhanced postoperative recovery,as it encourages early postoperative feeding.Malnutrition is a common problem for hospitalized patients,and 30-50%of hospitalized patients have malnutrition issues(2).Malnutrition affects prognosis and the quality of life of the patients.Therefore,proper nutritional assistance can improve the patient’s own immunity,and reduce the incidence of infection and postoperative complications.