Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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COMBINED PREOPERATIVE PARENTERAL AND ENTERAL NUTRITION IN ESOPHAGOPLASTY
Laura Magdalena Nicolescu (1), S. Luncă (2)
1. Department of Anesthesiology and Intensive Care
2. Emergency Surgical Clinic
Hospital St. John "Iasi
"Gr. T. Popa" University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (1): 46-53
Full text:
Format PDF (Română/Romanian)

Abstract:

Evidence to support preoperative nutrition support in major gastro-intestinal surgery is limited, but suggests that if malnourished individuals are adequately fed for at least 7–10 days preoperatively then surgical outcome can be improved. The aim of this study was to assess the effect of preoperative combined enteral and parenteral nutrition on postoperative outcome in patients with esophagoplasty. Sixty-seven patients were admitted in a retrospective study. The patients were divided into two groups: group A of 46 patients who received preoperative combined enteral and parenteral nutrition and group B of 21 patients who received only preoperative enteral nutrition. They received for ten days before the surgery parenteral supplements of amino acids and glucides. The evaluated outcomes were all in favor of group A: postoperative morbidity – 34.8% vs. 57.1% (p=0.01), the length of stay in intensive care unit – 89.1% vs. 66.6% (p=0.01), the length of postoperative mechanical ventilation - 69,5% vs. 52,3% (p<0.05), the time needed for complete ambulation – 63% vs.42.8% (p=0.02), the days needed until the reappearance of bowel movements – 61.1% vs. 52.3% (p<0.05). In conclusion, preoperative combined enteral and parenteral nutrition has benefits on postoperative outcome and has to be part of a preoperative strategy in patients submitted to major gastro-intestinal surgery.

KEY WORDS: PREOPERATIVE NUTRITION, POSTOPERATIVE OUTCOMES, ESOPHAGOPLASTY

Correspondence to: Dr. Laura Magdalena Nicolescu, Hospital St. John "Iasi, Str. Gen. Berthelot nr. 2, Iaşi



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.