2012, Number 1
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Rev Latinoam Cir 2012; 2 (1)
Mexican Consensus on Perioperative Nutrition. Cancun Group
Anaya PR, Bolio GA, Ruy-Díaz RJA, Arenas MH, Carrasco RJA, Tapia JJ, Ocampo GS, Díaz PGJI, Flores VJA, Galindo ML, García RA, Hernández AJC, Mijares GJM, Rueda TB, Athié AAJ
Language: Spanish
References: 22
Page: 26-33
PDF size: 156.67 Kb.
ABSTRACT
Background: Undergraduate and postgraduate courses in our country lack adequate curricula on key nutritional issues considered fundamental for the hospitalized patient. Thus, patients at nutritional risk are not assessed; neither perioperative nutritional support is timely indicated. Long fasting periods are, in many occasions, the routine for many surgical services. The need rises as to review the most recent advances on perioperative nutrition by a national health group of professionals (Cancun Group) dedicated to nutritional therapy in teaching, work, health direction and national leader academic organization scenarios. The purpose was to present and analysis and consensus proposals by the Group on nutritional Management in the perioperative period.
Discussion: The interest of the professionals integrating this consensus is that the knowledge of these basic aspects is used more frequently by surgical specialists along our country. This is because it is well known that an adequate and time nutrition support to the correct patient should reduce length of stay, diminish the complications and lower hospitalization costs.
Conclusion: This paper summarizes the discussion the Cancun Group had during the consensus and gives the basic concepts to deliver an adequate nutritional support in the surgical patient. We believe this should be a good tool for any surgeon at any institution.
REFERENCES
Howard L, Ashley C, Nutrition in the perioperative patient. Annu Rev Nutr 2003;23:263-282.
Perioperative total parenteral nutrition in surgical patients. The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. N Engl J Med 1991;325:525-532.
Braga M, Gianotti L, Nespoli L, Radaelli G, Di Carlo V. Nutritional approach in malnourished surgical patients. Arch Surg 2002:137:174-180.
Braga M. ESPEN Guidelines on parenteral nutrition: surgery. Clin Nutr 2009;28(4):378-386.
Torosiani M. Perioperative nutrition support for patients undergoing gastrointestinal surgery: critical analysis and recommendations. World J Surg 1999;23:565-569.
Carter J, Aust NZJ. Fast track surgery: a clinical audit. Obstet Gynaecol 2010;50(2):159-163.
Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN Guidelines for nutrition screening 2002. Clin Nutr 2003;22:415-421.
Kyle UG, Kossovsky MP, Karsegard VL, Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin Nutr 2006;25:409-417.
Filipović BF, Gajić M, Milinić N, Milovanović B, Filipović BR, Cvetković M et al. Comparison of two nutritional assessment methods in gastroenterology patients. World J Gastroenterol 2010;16(16):1999-2004.
Ozkalkanli MY, Ozkalkanli DT, Katircioglu K, Savaci S. Comparison of tools for nutrition assessment and screening for predicting the development of complications in orthopedic surgery. Nutr Clin Pract 2009;24(2):274-280.
Wu B, Yin TT, Cao W, Gu ZD, Wang X, Yan M et al. Validation of the Chinese version of the Subjective Global Assessment scale of nutritional status in a sample of patients with gastrointestinal cancer. Int J Nurs Stud 2010;47(3):323-331.
Naghshineh N, O’Brien Coon D, McTigue K, Courcoulas AP, Fernstrom M, Rubin JP. Nutritional assessment of bariatric surgery patients presenting for plastic surgery: a prospective analysis. Plast Reconstr Surg 2010;126(2):602-610.
Chopra SS, Schmidt SC, Fotopoulou C, Sehouli J, Schumacher G. Evidence-based perioperative management: strategic shifts in times of fast track surgery. Anticancer Res 2009;29(7):2799-2802.
Leggett M, Harbrecht BG. Glucose control and its implications for the general surgeon. Am Surg 2009;75(11):1031-1035.
Zhang MM, Zhonghua Wei Chang, Wai Ke Za Zhi. Influence of ecoimmunonutrition supplement on intestinal mucosa morphology and gut barrier function in rats after operative stress. Zhonghua Wei Chang Wai Ke Za Zhi 2009;12(3):306-309.
Kotzampassi K, Kolios G, Manousou P, Kazamias P, Paramythiotis D, Papavramidis TS. Oxidative stress due to anesthesia and surgical trauma: importance of early enteral nutrition. Mol Nutr Food Res 2009;53(6):770-779.
Varadhan KK, Lobo DN, Ljunggvist O. Enhanced recovery after surgery: the future of improving surgical care critical care clinics. 2010; 26(3): 527-547, x.
Nakamura M, Iwahashi M, Takifuji K, Nakamori M, Naka T, Ishida K et al. Optimal dose of preoperative enteral immunonutrition for patients with esophageal cancer. Surg Today 2009;39(10):855-860.
Kawasaki N, Suzuki Y, Nakayoshi T, Hanyu N, Nakao M, Takeda A et al. Early postoperative enteral nutrition is useful for recovering gastrointestinal motility and maintaining the nutritional status. Surg Today 2009;39(3):225-230.
Koltz PF, Chen R, Messing S, Gusenoff JA. Prospective assessment of nutrition and exercise parameters before body contouring surgery: optimizing attainability in the massive weight loss population. Plast Reconstr Surg 2010;125(4):1242-1247.
Mirtallo J, Canada T, Johnson D, Kumpf V, Petersen C, Sacks G et al. Task force for the revision of safe practices for parenteral nutrition. J Parenter Enteral Nutr 2004;28(Suppl 6):S39-S70.
Mechanick JI, Kushner RF, Sugerman HJ, González-Campoy JM, Collazo-Clavell ML, Guven S et al. American Association of Clinical Endocrinologist, The obesity Society, and American Society for Metabolic & Bariatric Surgery Medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Endocr Pract 2008; 14 (suppl 1): 1-83.