Preoperative Nutritional Optimization and Gastroenterological Challenges for Children with Severe Neurologic Impairment and Medical Complexity.

Optimizing nutrition in children with medical complexity is a crucial preoperative task for clinicians. A comprehensive nutrition assessment should include the evaluation of coexisting gastrointestinal conditions that affect nutritional status, as well as detailed physical, anthropometric, and laboratory assessments. Using this comprehensive evaluation and assessment, personalized nutrition plans that include oral and enteral nutrition support can be developed. Since nutrition interventions take time, clear communication between the nutrition and surgical teams is vital to ensure the appropriate timing of surgery.