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 .
Randomized clinical trial of new intravenous lipid (SMOFlipid 20%) versus medium-chain triglycerides/long-chain triglycerides in adult patients undergoing gastrointestinal surgery.
BACKGROUND SMOFlipid 20 % is intravenous lipid emulsion ( ILE ) containing long-chain triglycerides ( LCT ) , medium-chain triglycerides ( MCT ) , olive oil , and fish oil as a mixed emulsion containing α-tocopherol . The aim was to assess the efficacy of this new ILE in gastrointestinal surgery compared with MCT/LCT . METHODS In this prospect i ve study , 40 patients were r and omized to SMOFlipid 20 % or MCT/LCT ( Lipovenoes 20 % ) group . Clinical and biochemistry data were collected . Inflammatory markers ( CRP , IL-6 , IL-10 , TNF-α , TGF-β1 ) and oxidative stress ( ROS and superoxide ) were measured . RESULTS Thirty-five patients ( 17 males and 18 females ) with a mean age of 57 years completed the study . The patients ' demographic characteristics ( age , gender , height , body weight , and BMI ) were similar without significant differences between groups . The increment of triglyceride on day 6 from baseline was significantly lower in SMOFlipid group than in Lipovenoes MCT/LCT group . Inflammatory markers , as well as superoxide radical and total oxygen radical were not different between groups . CONCLUSIONS Despite the comparable effect on inflammatory response , because of its well-balanced fatty acid pattern , relatively low n-6:n-3 ratio , and high vitamin E content , SMOFlipid had a better triglyceride-lowering effect as compared with MCT/LCT in adult patients undergoing gastrointestinal surgery
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 .