Program of gastrointestinal rehabilitation and early postoperative enteral nutrition: a prospective study
| Autor: | A. Soto-García, I. González-Martínez, Ilionanys Betancourt-Plaza, Frank Daniel Martos-Benítez, Anarelys Gutiérrez-Noyola |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Deep vein law.invention 03 medical and health sciences Enteral Nutrition Postoperative Complications 0302 clinical medicine law medicine Humans Prospective Studies Gastrointestinal cancer Antibiotic prophylaxis Prospective cohort study Digestive System Surgical Procedures Aged Postoperative Care business.industry Postoperative complication Middle Aged medicine.disease Intensive care unit Surgery Treatment Outcome Parenteral nutrition medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology medicine.symptom business Postoperative nausea and vomiting |
| Zdroj: | Updates in Surgery. 70:105-112 |
| ISSN: | 2038-3312 2038-131X |
| Popis: | Nutritional depletion is commonly observed in patients undergoing surgical treatment for a gastrointestinal malignancy. An appropriate nutritional intervention could be associated with improved postoperative outcomes. The study was aimed to determine the effect of a program of gastrointestinal rehabilitation and early postoperative enteral nutrition upon complications and clinical outcomes in patients who experienced gastrointestinal surgery for cancer. This is a prospective study (2013 January–2015 December) of 465 consecutive patients submitted to gastrointestinal surgery for cancer and admitted to an Oncological Intensive Care Unit. The program of gastrointestinal rehabilitation and early postoperative enteral nutrition consisted on: (1) general rules: pain relive, early mobilization, antibiotic prophylaxis, deep vein thrombosis prophylaxis and respiratory physiotherapy; and (2) gastrointestinal rules: gastric protection, control of postoperative nausea and vomiting, early nasogastric tube remove and early enteral nutrition. The most frequent surgical sites were colorectal (44.9%), gynecological with intestinal suturing (15.7%) and esophagus/stomach (11.0%). Emergency surgery was performed in 12.7% of patients. The program of intestinal rehabilitation and early postoperative enteral nutrition reduced major complications (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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