ESPEN guideline: Clinical nutrition in surgery

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art_WEIMANN_ESPEN_guideline_Clinical_nutrition_in_surgery_2017.PDF (1.03 MB)
Citações na Scopus
1174
Tipo de produção
article
Data de publicação
2017
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
CHURCHILL LIVINGSTONE
Autores
WEIMANN, Arved
BRAGA, Marco
CARLI, Franco
HIGASHIGUCHI, Takashi
HUEBNER, Martin
KLEK, Stanislaw
LAVIANO, Alessandro
LJUNGQVIST, Olle
LOBO, Dileep N.
MARTINDALE, Robert
Citação
CLINICAL NUTRITION, v.36, n.3, p.623-650, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Early oral feeding is the preferred mode of nutrition for surgical patients. Avoidanc'e of any nutritional therapy bears the risk of underfeeding during the postoperative course after major surgery. Considering that malnutrition and underfeeding are risk factors for postoperative complications, early enteral feeding is especially relevant for any surgical patient at nutritional risk, especially for those undergoing upper gastrointestinal surgery. The focus of this guideline is to cover nutritional aspects of the Enhanced Recovery After Surgery (ERAS) concept and the special nutritional needs of patients undergoing major surgery, e.g. for cancer, and of those developing severe complications despite best perioperative care. From a metabolic and nutritional point of view, the key aspects of perioperative care include: integration of nutrition into the overall management of the patient avoidance of long periods of preoperative fasting re-establishment of oral feeding as early as possible after surgery start of nutritional therapy early, as soon as a nutritional risk becomes apparent metabolic control e.g. of blood glucose reduction of factors which exacerbate stress-related catabolism or impair gastrointestinal function minimized time on paralytic agents for ventilator management in the postoperative period early mobilisation to facilitate protein synthesis and muscle function The guideline presents 37 recommendations for clinical practice.
Palavras-chave
Surgery, ERAS, Perioperative nutrition, Enteral nutrition, Parenteral nutrition, Prehabilitation
URI
https://observatorio.fm.usp.br/handle/OPI/20034
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MGT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/35
Artigos e Materiais de Revistas Científicas - ODS/02
Artigos e Materiais de Revistas Científicas - ODS/03