PROGRAM OF INTESTINAL REHABILITATION AND EARLY POSTOPERATIVE ENTERAL NUTRITION: A PROSPECTIVE COHORT STUDY
| Autor: | Frank Daniel Martos-Benítez, Andrés Soto García, Ilionanys Betancour-Plaza, Anarelys Gutiérrez-Noyola, I. González-Martínez |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Complicação pós-operatória Time Factors RD1-811 Nutrição pós-operatória Resultado clínico postoperative nutrition RC799-869 Câncer gastrointestinal law.invention Cohort Studies Gastrointestinal cancer Enteral Nutrition Postoperative Complications law Internal medicine medicine Humans Prospective Studies Prospective cohort study Gastrointestinal Neoplasms Postoperative Care business.industry Clinical outcome Cancer Postoperative complication General Medicine Middle Aged Diseases of the digestive system. Gastroenterology medicine.disease Intensive care unit Parenteral nutrition Treatment Outcome enhanced recovery after surgery Delirium Original Article Female Surgery Recuperação aprimorada após a cirurgia medicine.symptom business Cohort study |
| Zdroj: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.31 n.3 2018 ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 31, Iss 3 (2018) Arquivos Brasileiros de Cirurgia Digestiva : ABCD ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), Volume: 31, Issue: 3, Article number: e1387, Published: 16 AUG 2018 |
| Popis: | Background: Some factors can act on nutritional status of patients operated for a gastrointestinal cancer. A timely and appropriate nutritional intervention could have a positive effect on postoperative outcomes. Aim: To determine the effect of a program of intestinal rehabilitation and early postoperative enteral nutrition on complications and clinical outcomes of patients underwent gastrointestinal surgery for cancer. Methods: This is a prospective study of 465 patients underwent gastrointestinal surgery for cancer consecutively admitted in an oncological intensive care unit. The program of intestinal rehabilitation and early postoperative enteral nutrition consisted in: 1) general rules, and 2) gastrointestinal rules. Results: The mean age of analysed patients was 63.7±9.1 years. The most frequent operation sites were colon-rectum (44.9%), gynaecological with intestinal suture (15.7%) and oesophagus-gastric (11.0%). Emergency intervention was performed in 12.7% of patients. The program of intestinal rehabilitation and early postoperative enteral nutrition reduced major complication (19.2% vs. 10.2%; p=0.030), respiratory complications (p=0.040), delirium (p=0.032), infectious complications (p=0.047) and gastrointestinal complications (p |
| Databáze: | OpenAIRE |
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