title: [Nutrition in the surgical patient: immunonutrition].
abstract: Malnutrition plays an important role in the rate of postoperative complications that interfere with our surgical activity, impairing immune response mechanisms; synthesis and regeneration processes are damaged and the fight against infection is altered. Preoperative and postoperative administration of diets enriched with diverse substances included under the name of "immunonutrients" reduces the rate of complications. Our knowledge about the mechanisms of action of each immunonutrient is increasing as well as the fact that the combined action of these substances improves the immune system and protects the organism against the negative effect of the systemic inflammatory response syndrome.
authors.affiliation: Servicio de Cirugía II, Hospital de León. culebras@nora.es
authors.forename: J M
authors.initials: JM
authors.lastname: Culebras-Fernández
authors.forename: R
authors.initials: R
authors.lastname: de Paz-Arias
authors.forename: F
authors.initials: F
authors.lastname: Jorquera-Plaza
authors.forename: A
authors.initials: A
authors.lastname: García de Lorenzo
mesh_terms: D001120:Arginine / Q000008:administration & dosage / Q000502:physiology; D018988:Bacterial Translocation; D002986:Clinical Trials as Topic; D004032:Diet; D004041:Dietary Fats / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D004311:Double-Blind Method; D004750:Enteral Nutrition; D015525:Fatty Acids, Omega-3 / Q000008:administration & dosage / Q000502:physiology; D005973:Glutamine / Q000008:administration & dosage / Q000502:physiology; D006801:Humans; D007107:Immune System / Q000502:physiology; D007153:Immunologic Deficiency Syndromes / Q000209:etiology / Q000517:prevention & control*; D017053:Infection Control; D007422:Intestines / Q000276:immunology; D008221:Lymphoid Tissue / Q000276:immunology; D015337:Multicenter Studies as Topic; D009711:Nucleotides / Q000008:administration & dosage / Q000502:physiology; D009748:Nutrition Disorders / Q000150:complications / Q000517:prevention & control*; D009751:Nutritional Requirements; D018529:Nutritional Support; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D014815:Vitamins / Q000008:administration & dosage / Q000502:physiology
chemical_list: D004041:Dietary Fats; D004044:Dietary Proteins; D015525:Fatty Acids, Omega-3; D009711:Nucleotides; D014815:Vitamins; D005973:Glutamine; D001120:Arginine