RT Journal Article
T1 Perioperative Nutritional Support: A Review of Current Literature.
A1 Martínez-Ortega, Antonio Jesús
A1 Piñar-Gutiérrez, Ana
A1 Serrano-Aguayo, Pilar
A1 González-Navarro, Irene
A1 Remón-Ruíz, Pablo Jesús
A1 Pereira-Cunill, José Luís
A1 García-Luna, Pedro Pablo
K1 Enhanced Recovery After Surgery
K1 enteral nutrition
K1 immunonutrition
K1 oncological surgery
K1 perioperative nutritional support
AB Since the beginning of the practice of surgery, the reduction of postoperative complications and early recovery have been two of the fundamental pillars that have driven the improvement of surgical techniques and perioperative management. Despite great advances in these fields, the rationalization of antibiotic prophylaxis, and other important innovations, postoperative recovery (especially in elderly patients, oncological pathology or digestive or head and neck surgery) is tortuous. This can be explained by several reasons, among which, malnutrition has a major role. Perioperative nutritional support, included within the ERAS (Enhanced Recovery After Surgery) protocol, has proven to be a main element and a critical step to achieve better surgical results. Starting with the preoperative nutritional assessment and treatment in elective surgery, we can improve nutritional status using oral supplements and immunomodulatory formulas. If we add early nutritional support in the postoperative scenario, we are able to significantly reduce infectious complications, need for intensive care unit (ICU) and hospital stay, costs, and mortality. Throughout this review, we will review the latest developments and the available literature.
YR 2022
FD 2022-04-12
LK http://hdl.handle.net/10668/21471
UL http://hdl.handle.net/10668/21471
LA en
DS RISalud
RD Apr 6, 2025