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 .
Preoperative nutritional support in cancer patients with no clinical signs of malnutrition—prospective randomized controlled trial
Purpose Preoperative nutrition is beneficial for malnourished cancer patients . Yet , there is little evidence whether or not it should be given to nonmalnourished patients . The aim of this study was to assess the need to introduce preoperative nutritional support in patients without malnutrition at qualification for surgery . Methods This was a prospect i ve , two-arm , r and omized , controlled , open-label study . Patients in interventional group received nutritional supplementation for 14 days before surgery , while control group kept on to their everyday diet . Each patient ’s nutritional status was assessed twice — at qualification ( weight loss in 6 months , laboratory parameters : albumin , total protein , transferrin , and total lymphocyte count ) and 1 day before surgery ( change in body weight and laboratory parameters ) . After surgery , all patients were followed up for 30 days for postoperative complications . Results Fifty-four patients in interventional and 48 in control group were analyzed . In postoperative period , patients in control group suffered from significantly higher ( p < 0.001 ) number of serious complications compared with patients receiving nutritional supplementation . Moreover , levels of all laboratory parameters declined significantly ( p < 0.001 ) in these patients , while in interventional arm were stable ( albumin and total protein ) or raised ( transferrin and total lymphocyte count ) . Conclusions Preoperative nutritional support should be introduced for nonmalnourished patients as it helps to maintain proper nutritional status and reduce number and severity of postoperative complications compared with patients without such support
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 .