Prehabilitation prior to intestinal resection in Crohn’s disease patients: An opinion review
Michiel T. Bak, Marit F E Ruiterkamp, Oddeke van Ruler, Marjo Campmans‐Kuijpers, Bart C. Bongers, N.L.U. van Meeteren, C. Janneke van der Woude, Laurents P S Stassen, Annemarie C. de Vries
Abstract
malnutrition). Prehabilitation focuses on the preoperative period with strategies designed to optimize modifiable risk factors concerning the physical and mental condition of the individual patient. The aim of prehabilitation is to enhance postoperative recovery and return to or even improve preoperative functional capacity. Preoperative improvement of nutritional status, physical fitness, cessation of smoking, psychological support, and critical revision of preoperative use of CD medication are important strategies. Studies of the effect on postoperative outcome in CD patients are scarce, and guidelines lack recommendations on tailored management. In this opinion review, we review the current evidence on the impact of screening and management of nutritional status, physical fitness, CD medication and laboratory values on the postoperative course following an intestinal resection in CD patients. In addition, we aim to provide guidance for individualized multimodal prehabilitation in clinical practice concerning these modifiable factors.