2017, Number 2
Particularities of the nutritional assessment of the surgical patient
Language: Spanish
References: 25
Page: 59-70
PDF size: 169.38 Kb.
ABSTRACT
Malnutrition is highly prevalent in surgical patients; it worsens their prognosis and is associated to higher rates of complications, morbidity and mortality, and to longer stays at hospital and higher costs for the health system. Despite all the implications related to the food deficiency condition, malnutrition is mostly undiagnosed and untreated in a timely and adequate way. This article was aimed at describing the consequences of nutritional deficiency in surgical disease and in the metabolic response to operative trauma. Emphasis was made on the relationship between the nutritional and the metabolic condition, and the outcome of the surgical patient, as well as the impact of specialized nutritional intervention on complications and mortality, its influence over the cancer relapse and how the nutritional advice should be part of the therapeutic arsenal of the surgeon. For these reasons, the compelling recommendation is the inclusion of nutritional education in the undergraduate and graduate medical career curricula.REFERENCES
Rocabruna Pedroso R. Nutrición en cirugía. En: Temas de actualización del Manual de procedimientos de diagnóstico y tratamiento en Cirugía General . Rev Cubana Cir 2009. [citado 27 Oct 2015];48(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932009000100016&lng=es&nrm=iso&tlng=es
Barreto Penié J, Santana Porbén S, Martínez González C. Implementación del grupo de apoyo nutricional en el hospital clínico quirúrgico "Hermanos Ameijeiras", La Habana. Revista Cubana Alimentación y Nutrición. 2009 [citado 2015 Aug 12];14(2):134-40. Disponible en: http://bvs.sld.cu/revistas/ali/vol14_2_00/ali09200.htm
Corish CA, Kennedy NP. Protein-energy undernutrition in hospital in-patients. Br J Nutr. 2000[citado 2015 Aug 12];83(6):575-91. Disponible en: https://www.cambridge.org/core/services/aop-cambridgecore/ content/view/F7A51BDC78644E79C285D0A23E2FF98D/S000711450000074Xa .pdf/protein-energy-undernutrition-in-hospital-in-patients.pdf
Bolet Astoviza M, Larrea Fabra ME, Cahcart Roca F. Impacto del tratamiento nutricional en pacientes tributarios de cirugia tóraco abdominal. Informe preliminar. Rev Haban Cienc Med. 2008 [citado 2015 Aug 12];8(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2008000100015 .
Socarrás Suárez MM, Bolet Astoviza M, Fernández Rodríguez T, Martínez Manríquez JR, Muñoz Caldas L, Companioni J. Desnutrición hospitalaria en el Hospital "Calixto García". Invest Biomed. 2004 [citado 2015 Aug 12];3(4):227-34. Disponible en: http://www.bvs.sld.cu/revistas/ibi/vol23_4_04/ibi05404.htm .
De Luis Román D, Aller de la Fuente R, Cuéllar Olmedo LA, Terroba MC, Izaola Jáuregui O, de Luis Román J, Arranz Pena MT, González-Sagrado M. Enteral nutrition: direct costs in a tertiary care hospital. Rev Clin Esp. 2004;(2):98-100. Disponible en: http://www.revclinesp.es/es/nutricion-enteral-costes-directosun/ articulo/13058805/
Ricardo Ramírez JM, Santillán Pilca G, Martínez Martínez R, Romero García LI, Morales Solís JM. Valoración nutricional de pacientes egresados de un servicio de cirugía general. MEDISAN [revista en Internet]. 2016 [citado 2016 Sep 5];20(9):[aprox. 0 p.]. Disponible en: http://www.medisan.sld.cu/index.php/san/article/view/722