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 .
[The comparison between early enteral nutrition and total parenteral nutrition after total gastrectomy in patients with gastric cancer: the randomized prospective study].
BACKGROUND / AIMS Early enteral nutrition ( EEN ) has benefits in reducing infectious complication , length of stay ( LOS ) and preserving liver function . There are few data about the effect of EEN in the patients who had total gastrectomy . The aim of this r and omized and prospect i ve study was to evaluate the effect of EEN after total gastrectomy on nutritional status , liver function , complications and LOS , compared to total parenteral nutrition ( TPN ) in patients with gastric cancer . METHODS Among 56 patients with gastric cancer , 36 and 20 were r and omly assigned to EEN and TPN groups , and finally 17 and 16 completed EEN and TPN schedules , respectively . The nutritional parameters , liver function , LOS and abdominal symptoms were compared between 2 groups on pre-operative day and post-operative 7th day . RESULTS There was no significant difference in the nutritional parameters , liver function between EEN and TPN groups . Vomiting and abdominal distention were more frequent in EEN than TPN group ( 2 vs. 0 cases , p=0.485 ; 1 vs. 0 case , p=1.000 , respectively ) , while increased AST , ALT and total bilirubin were more common in TPN than EEN group ( 4 vs. 2 cases , p=0.398 ; 1 vs. 0 case , p=0.485 , respectively without statistical significance ) . LOS was shorter in EEN than TPN group without statistical significance ( 12 vs. 13 days , p=0.289 ) . CONCLUSIONS No significant differences were found in the nutritional status parameters , liver function , complications and LOS between EEN and TPN groups on 7th day after total gastrectomy . Further large scale studies on the advantages and disadvantages of EEN after total gastrectomy are warranted
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 .