Nutrición Hospitalaria 00402 / http://dx.doi.org/10.20960/nh.402
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Revisión

Effects of a nutritional intervention in a fast-track program for a colorectal cancer surgery: systematic review


Carmina Wanden-berghe, Javier Sanz-Valero, Antonio Arroyo-sebastián, Kamila Cheikh-moussa, Pedro Moya-forcen

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Introducción: Preoperative nutritional status (NS) has consequences on postoperative (POSTOP) recovery. Our aim was to systematically review the nutritional interventions (NI) in Fast-Track protocols for colorectal cancer surgery and assess morbidity-mortality and patient´s recovery.Method: Systematic review of scientific literature after consulting bibliographic databases: Medline, The Cochrane Library, Scopus, Embase, Web of Science, Institute for Scientific Information, Latin American and Caribbean Health Sciences Literature, The Cumulative Index to Nursing and Allied Health Literature. MeSH Descriptors: “Colorectal Surgery”, “Fast-Track”, “Perioperative Care”, “Nutrition Therapy” and “Enhanced recovery programme”. Filters: “Humans”, Adult (19+ years) and “Clinical Trial”. Variables POSTOP outcomes: bowel recovery (BR), hospital stay (HS), complications and death.Results: Selected studies, 27, had good or excellent methodological quality. From 25 to 597 patients were included. Aged between 16-94 years, men were predominant in 66.6%. NS was evaluated in 13 studies; 7 by Body Mass Index while one by Subjective Global Assessment. One presented POSTOP data. Fast-Track groups had solids, liquids or supplements (SS) in prior 2-8 hours. SS were high in carbohydrates, immune-nutrients and non-residue. Free liquids, solids and SS intake was allowed in POSTOP. Half traditional groups fasted between 3-12 hours and resumed POSTOP food intake progressively.Conclusions: Fast-Track groups had early BR (p < 0.01). Traditional groups had more infections episodes, deaths and a longer HS. Great variability between NI but had a common item; early intake. Although was seen patient’s recovery. Future studies with detailed NI characteristics are need. Nutritional status must be assessed for a higher acknowledgement of NI impact.

Palabras Clave: Fast-track. Colorectal surgery. Perioperative care. Nutrition therapy.



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López Rodríguez-Arias, Francisco, Sánchez-Guillén, Luis, Armañanzas Ruiz, Laura Irene, Díaz Lara, Carlos, Lacueva Gómez, Francisco Javier, Balagué Pons, Carmen, Ramírez Rodríguez, José Manuel, Arroyo, Antonio (2020) Revisión narrativa de la prehabilitación en cirugía: situación actual y perspectivas futuras. Cirugía Española
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Cheong, Chee Mei, Golder, Allan M., Horgan, Paul G., McMillan, Donald C., Roxburgh, Campbell S.D. (2022) Evaluation of clinical prognostic variables on short-term outcome for colorectal cancer surgery: An overview and minimum dataset. Cancer Treatment and Research Communications
Benavides-Buleje, Jorge Alejandro, Fernández-Fernández, Pedro Vicente, Ruiz-Úcar, Elena, Solana-Bueno, Amparo, Parra-Baños, Pedro Antonio, Martínez-Torres, Beatriz, Lozoya-Trujillo, Roberto, Ruiz-Carmona, María Dolores, Alarcón-Iranzo, Marina, Rentero-Redondo, Lorena, Peña-Ros, Emilio, Muñoz-Camarena, José Manuel, Carrasco-Prats, Milagros, Ramírez-Faraco, María, Portillo-Ortega, Paloma, Albarracín-Marín-Blázquez, Antonio (2022) Postoperative Diet with an Oligomeric Hyperproteic Normocaloric Supplement versus a Supplement with Immunonutrients in Colorectal Cancer Surgery: Results of a Multicenter, Double-Blind, Randomized Clinical Trial. Nutrients

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