Impact of preoperative oral nutrition therapy in patients undergoing surgery for colorectal cancer

Abstract

espanolObjetivo: evaluar el impacto de la inmunonutricion oral preoperatoria y postoperatoria en la prevencion de la desnutricion y las complicaciones posquirurgicas en cancer colorrectal. Pacientes y metodo: estudio retrospectivo descriptivo observacional con una unica cohorte. Se incluyeron todos los pacientes sometidos a cirugia por cancer colorrectal desde junio de 2014 a diciembre de 2015, sin ningun criterio de exclusion. En un pequeno numero de casos (28 pacientes) no se suministro suplementacion nutricional oral y se consideran perdidas del estudio. Se realizo una evaluacion del estado nutricional preoperatorio (NSR-2002). Se pauto inmunonutricion durante los cinco o diez dias previos a la intervencion en funcion del resultado. En el postoperatorio, se anadio inmunonutricion al tercer dia postoperatorio hasta el septimo o hasta el alta hospitalaria. Los pacientes con albumina Resultados: se incluyeron 220 pacientes con cancer colorrectal, de los cuales 28 fueron perdidas del estudio. La suplementacion preoperatoria mejoro significativamente las cifras de prealbumina y transferrina al ingreso. En el postoperatorio recibieron nutricion enteral 121 pacientes y 41 nutricion parenteral. Los pacientes que no tomaron suplementos nutricionales preoperatorios tuvieron mas complicaciones (50% vs. 28,1%; p = 0,019) y la estancia media fue superior (14,64 ± 11,86 vs. 9,36 ± 5,5; p Conclusion: la administracion de suplementos nutricionales orales previo a la intervencion y en el postoperatorio en la cirugia del cancer colorrectal se ha asociado a menos complicaciones y estancia media. EnglishIntroduction: the aim of the study is to evaluate the effect of preoperative and postoperative oral nutritional therapy in the prevention of malnutrition and postsurgical complications in colorectal cancer. Patients and methods: patients who underwent oncological colorectal surgery between June 2014 and December 2015 are included. An evaluation of preoperative nutritional status is performed. Patients received IMPACT® (2/day) for 5-10 days previous surgery. In the postoperative period, patients received IMPACT®/24h from 3rd to 7th postoperative day. Patients with low rates of albumin ( Results: two hundred and twenty colorectal cancer patients were included. Twenty-eight patients did not take the preoperative oral supplements. Following the intake of nutritional supplements, an improvement of prealbumin and transferrin was noticed. One hundred and twenty-one patients received oral nutrition and 41 received parenteral nutrition in the postoperative period. There were more postoperative complications among patients without preoperative nutritional supplements (50% vs 28.1%; p = 0.019), and hospital stay was higher 14.64 ± 11.86 vs 9.36 ± 5.5; p Conclusion: in our study, patients that received oral nutritional supplements prior and following colorectal surgery had a lower rate of complications and a shorter hospital stay.