this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons , the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery .
The prescription of these recommendations can accelerate the postoperative recovery of patients su bmi tted to elective general surgery , with decrease in morbidity , length of stay and rehospitalization , and consequently , of costs
OBJECTIVE to present recommendations based on the ACERTO Project ( Acceleration of Total Post-Operative Recovery ) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures .
Shrinking preoperative fast time with maltodextrin and protein hydrolysate in gastrointestinal resections due to cancer.
OBJECTIVE Prolonged preoperative fasting increases postoperative hospital length of stay and current evidence recommends patients drink a carbohydrate-based liquid drink 2 h before surgery . The aim of this study was to investigate whether the addition of hydrolyzed protein to a carbohydrate-based drink would reduce both the inflammatory response and hospital length of stay . METHODS We evaluated 22 patients of both sexes , undergoing gastrointestinal resection due to cancer . Patients were r and omized into two groups : control group ( n = 12 ; 6 - 8 h fast ) and the intervention group ( n = 10 ; fasted to solids for 6 h ; and given a beverage containing 11 % pea protein hydrolysate and 89 % carbohydrates ( 79 % maltodextrin and 21 % sucrose ) , 400 mL the night before and 200 mL 3 h before surgery . Blood sample s were collected the morning before surgery and on postoperative day 2 . RESULTS Overall mortality was 4.5 % ( one case , control group ) . The duration of postoperative hospital stay was twofold longer in the control group ( P = 0.04 ) . A significant increase of serum C-reactive protein/albumin ratio was observed in controls compared with the intervention group ( P = 0.04 ) . CONCLUSION The abbreviation of preoperative fasting time to 3 h using a solution containing carbohydrates and hydrolyzed pea proteins reduces the acute-phase inflammatory response and decreases the postoperative length of stay in patients undergoing major surgery for a malignancy
this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons , the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery .
The prescription of these recommendations can accelerate the postoperative recovery of patients su bmi tted to elective general surgery , with decrease in morbidity , length of stay and rehospitalization , and consequently , of costs
OBJECTIVE to present recommendations based on the ACERTO Project ( Acceleration of Total Post-Operative Recovery ) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures .