This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Simple versus complex preoperative carbohydrate drink to preserve perioperative insulin sensitivity in laparoscopic colectomy. A randomized controlled trial. Ann Surg 2020; 271: 819-826

Published: 15th June 2020

Authors: Karimian N, Kaneva P, Donatelli F, Stein B, Liberman AS, Charlebois P et al.

Conclusion

Patients were randomly allocated a simple or complex carbohydrate drink two hours before laparoscopic colectomy. Intra-operative insulin sensitivity was preserved equally in both groups. Similarly there was no difference in hepatic insulin resistance or fasting blood glucose in either group up to day three after surgery.

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