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Malnourished patients who undergo operation have an increased likelihood of perioperative morbidity and mortality. The performance of a nutritional assessment will aid in the recognition of such patients and provide a risk assessment profile. Preoperative parenteral nutrition is a major expense and delays surgical intervention. Studies to document the efficacy of preoperative parenteral nutrition suffer from design flaws and small sample sizes. Studies that exclusively address patients with cancer of the colon and rectum are absent; therefore results must be extrapolated from the existing literature. Cumulative evidence suggests that a 7\u201010 day period of parenteral nutrition repletion in the severely malnourished patient will diminish the incidence of postoperative septic complications and mortality. The preoperative treatment of lesser degrees of malnutrition remain controversial. Once the decision has been made to institute preoperative parenteral alimentation, attention to the details of protein requirements and caloric needs should be stressed. The endpoint of therapy is poorly defined. The role of glutamine, arginine, omega\u20103 fatty acids, and growth hormone in the preoperative repletion process provide an exciting arena for future research. \u00a9 1994 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ssu.2980100306","type":"journal-article","created":{"date-parts":[[2007,2,22]],"date-time":"2007-02-22T09:10:26Z","timestamp":1172135426000},"page":"183-194","source":"Crossref","is-referenced-by-count":11,"title":["Nutritional assessment and the role of preoperative parenteral nutrition in the colon cancer patient"],"prefix":"10.1002","volume":"10","author":[{"given":"Joseph M.","family":"Vitello","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,8,22]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1976.03260410023017"},{"key":"e_1_2_1_3_2","first-page":"599","article-title":"The prevalence of malnutrition in hospitalized patients remains high","volume":"12","author":"Vitello JM","year":"1993","journal-title":"J Am Coll of Nutr"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02586404"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(80)90246-9"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198019250-00004"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197709000-00002"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/28.10.1148"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(79)90127-2"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607185009004464"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198808000-00013"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1933.01170110031002"},{"key":"e_1_2_1_13_2","first-page":"33","article-title":"Effects of malnutrition and hyperalimenation on wound healing","volume":"146","author":"Irvin TT","year":"1978","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800740432"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0026-0495(87)90191-0"},{"key":"e_1_2_1_16_2","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1093\/ajcn\/30.8.1228","article-title":"Interaction of nutrition and infection in the hospital setting","volume":"30","author":"Bistrian BR","year":"1977","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_1_17_2","first-page":"183","volume-title":"Nutritional Assessment","author":"Bistrian BR","year":"1984"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/014860718701100108"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198204223061606"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607187011005440"},{"key":"e_1_2_1_21_2","volume-title":"Dorland's Illustrated Medical Dictionary","year":"1974"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198803000-00011"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/014860717700100101"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1936.02770060032009"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0148607182006003218"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0149-2918(05)80001-3"},{"key":"e_1_2_1_27_2","volume-title":"Anthropometric Assessment of Nutritional Status","author":"McMahon M","year":"1991"},{"key":"e_1_2_1_28_2","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1093\/ajcn\/31.3.429","article-title":"Assessment of protein\u2010calorie malnutrition in surgical patients from plasma proteins and anthropometric measurements","volume":"31","author":"Young GA","year":"1979","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1979.01370260011001"},{"key":"e_1_2_1_30_2","unstructured":"Metropolitan Life Insurance Company: \u201cMetropolitan Height and Weight Tables in Statistical Bulletin \u201d vol 64 p4. 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