Perioperative nutritional support.
The relationship between preoperative malnutrition and morbi-mortality has been documented for years. Despite the existence of tools that allow its detection, and therefore treat this entity, their introduction into clinical practice is not wide-spread. Both perioperative insulin resistance and hyperglycemia are associated with increased perioperative morbidity and length of hospital stay. The intake of carbohydrate-rich drinks 2-4h prior to surgery reduces insulin resistance. In the immediate postoperative period, the enteral route is safe and well tolerated and its early use reduces hospital stay and postoperative complications compared with parenteral nutritional support. Inmunonutrition has been proven effective to decrease postoperative complications and hospital stay. In view of these data we opted for the adoption of these measures replacing bowel rest and the indiscriminate use of postoperative parenteral nutrition.
Unidad de Endocrinología y Nutrición, Hospital San Pedro de Alcántara, Cáceres, España. Electronic address: jesusmoranlopez@yahoo.es.
Jesús Manuel
JM
Morán López
Sección de Endocrinología y Nutrición, Hospital Valdecilla, Santander, España.
María
M
Piedra León
Servicio de Análisis Clínicos, Hospital Valdecilla, Santander, España.
María Teresa
MT
García Unzueta
Servicio de Análisis Clínicos, Hospital Valdecilla, Santander, España.
María
M
Ortiz Espejo
Unidad de Endocrinología y Nutrición, Hospital San Pedro de Alcántara, Cáceres, España.
Miriam
M
Hernández González
Unidad de Endocrinología y Nutrición, Hospital San Pedro de Alcántara, Cáceres, España.
Ruth
R
Morán López
Sección de Endocrinología y Nutrición, Hospital Valdecilla, Santander, España.
José Antonio
JA
Amado Señaris
D004750:Enteral Nutrition; D005215:Fasting; D006801:Humans; D018529:Nutritional Support; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control*
Inmunonutrición; Inmunonutrition; Insulinorresistencia perioperatoria; Perioperative insulin resistence; Perioperative nutritional support; Soporte nutricional perioperatorio