The preferred method of nutrition for surgical patients is early oral feeding (Weimann, et al., 2017) (Williams, Molinger, & Wischmeyer, 2019). The surgical procedure itself leads to metabolic alterations like the release of stress hormones and inflammation. It causes the breakdown of glycogen, fat and protein in order to provide the substrates for healing and the immune response (Gillis & Carli, 2015). The consequence of protein breakdown is a loss of muscle mass which is a short and long-term burden for functional recovery.

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