402 Association of Upper Gi Surgery of Gb&i (Augis)/Perioperative Quality Initiative (Poqi) Consensus Statement on Optimisation of Nutrition in Patients Undergoing Oesophagogastric Resections

Abstract Aim A recent National Oeosphagogastric Nutrition Audit in the UK concluded there was a lack of confidence to provide nutritional support at the ‘front end’ of the pathway, a large variation of resource allocation and raised concerns over funding and staffing resource. This multidisciplinary collaborative study aimed to use best available evidence to produce guideline statements and recommendations on optimisation of nutrition in patients undergoing OG resections. Method A modified Delphi process, previously developed by the Peri-Operative Quality Initiative, was employed to develop consensus statements regarding the optimisation of nutrition in patients undergoing elective OG resections for cancer. The POQI board provided approval and independent supervision of the POQI process and meetings. Results Following a multicentre survey, thirty-nine consensus statements were agreed upon over the course of three online POQI conferences. A total of 30 participants took part in the POQI consensus process. The consensus statements covered four subgroups: 1. Nutrition Assessment, 2. Pre-Operative Nutrition Optimisation, 3. Post-Operative Nutrition Optimisation and 4. Nutrition Optimisation in Long Term Survivors. The level of evidence to support each statement was considered and recorded. Areas where evidence was limited, but felt to be critical for further optimisation, were identified as recommendations for research. Conclusions Consensus guidelines to optimise nutrition in patients undergoing OG cancer resections have been developed and refined. These guidelines will facilitate the multidisciplinary team in their goal to improve outcomes for patients undergoing OG resections.