Nutritional therapy and multimodal pre-habilitation in the non-critical surgical patient. A review

Terapia nutricional y pre-habilitación multimodal en el paciente quirúrgico no crítico. Una revisión.

Moreira, Eduardo - López, Patricia - Silva, Lourdes - Olano, Estela

Resumen:

Surgical patients often have a high nutritional risk and this is associated with poor postoperative results, putting survival at risk.The early identification of this type of patients is essential for early nutritional interventions with the aim of attenuating catabolism and preserving the processes of response to surgical stress that promotes recovery and immunoprotection,reduces perioperative morbidity and mortality and improves surgical outcomes.In recent years, various nutritional strategies have been studied during the perioperative period that have shown benefits.The purpose of the present review is to analyze the most recent evidence on nutritional therapy in non-critical surgical patients; for this purpose, electronic databasessuch as PubMed and journals of the main scientific societies competent in this field have been consulted.


Los pacientes quirúrgicos a menudo tienen un alto riesgo nutricional y esto se asocia con resultados posoperatorios deficientes, poniendo la supervivencia en riesgo.La identificación precoz de este tipo de pacientes es esencial para las intervenciones nutricionales tempranas con el objetivo de atenuar el catabolismo y preservar los procesos de respuesta al estrés quirúrgico que promueven la recuperación e inmunoprotección, reducen la morbimortalidad perioperatoria y mejoran los resultados quirúrgicos.En los últimos años, se han estudiado diversas estrategias nutricionales durante el período perioperatorio que han mostrado beneficios.El objetivo de la presente revisión es analizar la evidencia más reciente sobre la terapia nutricional en pacientes quirúrgicos no críticos; para ello se han consultado bases de datos electrónicas como PubMed, y revistas de las principales sociedades científicas competentes en la materia.


Detalles Bibliográficos
2019
Terapia nutricional
cirugía
riesgo nutricional
inmunonutrición
ayuno preoperatorio
prehabilitación en cirugía
Nutrition therapy
Surgery
Nutritional risk
Immunonutrition
Preoperative fasting
, Prehabilitation in surgery
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/45
Acceso abierto
Resumen:
Sumario:Surgical patients often have a high nutritional risk and this is associated with poor postoperative results, putting survival at risk.The early identification of this type of patients is essential for early nutritional interventions with the aim of attenuating catabolism and preserving the processes of response to surgical stress that promotes recovery and immunoprotection,reduces perioperative morbidity and mortality and improves surgical outcomes.In recent years, various nutritional strategies have been studied during the perioperative period that have shown benefits.The purpose of the present review is to analyze the most recent evidence on nutritional therapy in non-critical surgical patients; for this purpose, electronic databasessuch as PubMed and journals of the main scientific societies competent in this field have been consulted.