Abordaje Nutricional en el Perioperatorio: Problemas y Soluciones

CONTENIDOS: 

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· Premisas

· Recomendaciones  básicas

· Valoración nutricional

· Soporte nutricional:

      1. Generalidades

      2. Preoperatorio

      3. Postoperatorio

          - Nutrición enteral

          - Nutrición parenteral

· Importancia del control glucémico

· Resumen 

 

BIBLIOGRAFÍA: 

1- Braga M.The 2015 ESPEN Arvid Wretlind lecture.Evolving concepts on perioperative metabolism and support. Clin Nutr 2016;35 : 7-11
2- Guía de Práctica Clínica sobre Cuidados Perioperatorios en Cirugía Mayor Abdominal . Ministerio de Sanidad,Servicios Sociales e Igualdad 2016
3- ESPEN Guideline Clinical Nutrition in Surgery 2017. In press
4- Goh S N S, Yeoh E, Tan K Y. Impact of perioperative hypoglycaemia in subjects with diabetes undergoing colorectal surgery.Int J Colorectal Dis.DOI 10.1007/s00384-016-2680-9
5- Gustafsson U O, Thorell A, Soop M, et al. Haemoglobin A 1c as a predictor of postoperative hyperglycaemia and complications after mayor colorectal surgery. Br J Surg 2009;96:1358-1364
6- Lambert E, Carey S.Practice guideline recommendations on perioperative fasting: A systematic review. J Parenter Enteral Nutr 2016;40 (8): 1158-1165
7- Miller K, Wischmeyer P, Taylor B et al. An evidence- based approach to perioperative nutrition support in the elective surgery patient. J Parenter Enteral  Nutr 2013;( supp 1) 39s-50s
8- Margonis G, Amini N, Sasaki K et al . Perioperative hyperglycemia and postoperative outcomes in patinets undergoing resection of colorectal liver-metastases.J Gastrointest Surg 2017;21:228-237
9- Standards of Medical Care  in Diabetes. Diabetes Care 2017;40 ( suppl 1) S120-S127 10- Willcutts K, Chung M, Erenberg Ch, et al . Early oral feeding as compared with traditional timing of oral feeding after upper gastrointestinal surgery. Ann Surg 2016;264:54-63

 

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