Is preoperative hypoalbuminemia or hypoproteinemia a reliable marker for anastomotic leakage risk in patients undergoing elective colorectal surgery in an enhanced recovery after surgery (ERAS) program?
Joseph Do Woong ChoiCharlotte KwikNurojan VivekanandamoorthyAswin ShanmugalingamLachlan AllanFiona GaveganKaren SheddenAshleigh PetersToufic El KhouryNimalan PathmanathanJames Wei Tatt TohPublished in: International journal of colorectal disease (2023)
In patients undergoing elective colorectal surgery as part of an ERAS program, preoperative serum albumin and protein levels are not reliable in predicting AL. This may be because of nutritional supplementation provided as part of an ERAS program may correct nutritional deficits to protect against AL or that low albumin/protein is not as robust a marker of AL as previously reported.