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Fluid Management, Volume Overload, and Gastrointestinal Tolerance in the Perioperative Period

  • Nutrition, Metabolism, and Surgery (K.R. Miller, Section Editor)
  • Published:
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Abstract

This following is an extensive review of the practice of fluid administration in various medical and surgical disease states and the resilience of the intestinal track compared with other organ systems in maintaining preserved function in a fluid-overloaded state. Recent evidence supports a more conservative and even goal-directed fluid treatment strategy in cardiac, pulmonary, and septic medical conditions. However, the evidence is not as strong in favoring a restrictive versus a more liberal fluid strategy in several surgical specialties including general surgery and colorectal surgery. Despite the negative consequences of excessive fluid administration on the cardiopulmonary and gastrointestinal systems, enteral nutrition changes gene expression and increases intestinal aquaporin channels in edematous small bowel allowing tolerance.

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Authors and Affiliations

  1. Division of Trauma and Critical Care, Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI, 53226, USA

    Panna A. Codner

  2. Department of Pulmonary Critical Care, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI, 53226, USA

    Jayshil Patel

  3. Department of Surgery, University of Florida College of Medicine, PO Box 10019, Gainesville, FL, 32610, USA

    Martin Rosenthal

  4. Department of Surgery, University of Michigan Health System, 1500 E. Medical Drive, Ann Arbor, MI, 48109, USA

    Philip Carrot

  5. Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville School of Medicine, 550 S. Jackson St., Louisville, KY, 40292, USA

    Stephen A. McClave

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  1. Panna A. Codner
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  2. Jayshil Patel
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  3. Martin Rosenthal
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Correspondence to Panna A. Codner.

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This article is part of the Topical Collection on Nutrition, Metabolism, and Surgery.

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Codner, P.A., Patel, J., Rosenthal, M. et al. Fluid Management, Volume Overload, and Gastrointestinal Tolerance in the Perioperative Period. Curr Surg Rep 4, 12 (2016). https://doi.org/10.1007/s40137-016-0135-4

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  • DOI: https://doi.org/10.1007/s40137-016-0135-4

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