Terapia nutricional y pre-habilitación multimodal en el paciente quirúrgico no crítico. Una revisión.

  • Eduardo Moreira UCI del Hospital Maciel. Posgrado en Soporte Nutricional Avanzado. Integrante del Equipo Multidisciplinario de Terapia Nutricional del Hospital Maciel. ASSE
  • Patricia López Clínica Quirúrgica. Hospital de Clínicas. Facultad de Medicina. UdelaR. Integrante del Equipo Multidisciplinario de Terapia Nutricional del Hospital Maciel. ASSE
  • Lourdes Silva Licenciada en Enfermería Especializada.. Integrante del Equipo Multidisciplinario de Terapia Nutricional del Hospital Maciel. ASSE
  • Estela Olano 4 Médico Intensivista. Coordinadora del Equipo Multidisciplinario de Terapia Nutricional del Hospital Maciel. ASSE
Palabras clave: Terapia nutricional, cirugía, riesgo nutricional, inmunonutrición, ayuno preoperatorio, prehabilitación en cirugía

Resumen

Los pacientes quirúrgicos a menudo tienen un alto riesgo nutricional y esto se asocia con resultados posoperatorios deficientes, poniendo la supervivencia en riesgo.La identificación precoz de este tipo de pacientes es esencial para las intervenciones nutricionales tempranas con el objetivo de atenuar el catabolismo y preservar los procesos de respuesta al estrés quirúrgico que promueven la recuperación e inmunoprotección, reducen la morbimortalidad perioperatoria y mejoran los resultados quirúrgicos.En los últimos años, se han estudiado diversas estrategias nutricionales durante el período perioperatorio que han mostrado beneficios.El objetivo de la presente revisión es analizar la evidencia más reciente sobre la terapia nutricional en pacientes quirúrgicos no críticos; para ello se han consultado bases de datos electrónicas como PubMed, y revistas de las principales sociedades científicas competentes en la materia.

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Publicado
2019-07-15
Cómo citar
Moreira, E., López, P., Silva, L., & Olano, E. (2019). Terapia nutricional y pre-habilitación multimodal en el paciente quirúrgico no crítico. Una revisión. Revista Cirugía Del Uruguay, 2(2), 35-55. https://doi.org/10.31837/cir.urug/2.2.5