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 .
[Feasibility of "no tube no fasting" therapy in thoracolaparoscopic oesophagectomy for patients with oesophageal cancer].
OBJECTIVE To investigate the feasibility of no nasogastric intubation and early oral feeding at will after thoracolaparoscopic esophagectomy for patients with esophageal cancer . METHODS Between January 2013 and January 2014 , the feasibility of no nasogastric intubation and early oral feeding at postoperative day(POD ) 1 after thoracolaparoscopic esophagectomy was prospect ively investigated in 156 patients ( trial group ) with esophageal cancer in the Henan Cancer Hospital . One hundred and sixty patients previously managed in the same unit who were treated routinely after thoracolaparoscopic esophagectomy were served as control group . RESULTS Of 156 patients of trial group , 6(3.8 % ) patients could not take food early as planned because of postoperative complications . The overall complication rate in trial group was 19.2%(30/156 ) , which was 25.0%(30/160 ) in control group ( P=0.217 ) . The anastomotic leakage in trial group and control group was 2.6%(4/156 ) and 4.3%(7/160 ) respectively ( P=0.380 ) . Compared with control group , time to first flatus [ ( 2.1±0.9 ) d vs. ( 3.3±1.1 ) d , P<0.001 ] , bowel movement [ ( 4.4±1.3 ) d vs. ( 6.6±1.0 ) d , P<0.001 ] and postoperative hospital stay [ ( 8.3±3.2 ) d vs. ( 10.4±3.6 ) d , P<0.001 ] were significantly shorter in trial group . CONCLUSIONS No nasogastric intubation and early oral feeding postoperatively in patients with thoracolaparoscopic esophagectomy  is feasible and safe . This management can shorten postoperative hospital stay and fasten postoperative bowel function recovery
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 .