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COMBINED PREOPERATIVE PARENTERAL AND ENTERAL NUTRITION IN ESOPHAGOPLASTY

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Author(s): Laura Magdalena Nicolescu | S. Luncă

Journal: Jurnalul de Chirurgie
ISSN 1584-9341

Volume: 7;
Issue: 1;
Start page: 46;
Date: 2011;
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Keywords: PREOPERATIVE NUTRITION | POSTOPERATIVE OUTCOMES | ESOPHAGOPLASTY

ABSTRACT
Evidence to support preoperative nutrition support in major gastro-intestinal surgery is limited, but suggests that if malnourished individuals are adequately fed for at least 7–10 days preoperatively then surgical outcome can be improved. The aim of this study was to assess the effect of preoperative combined enteral and parenteral nutrition on postoperative outcome in patients with esophagoplasty. Sixty-seven patients were admitted in a retrospective study. The patients were divided into two groups: group A of 46 patients who received preoperative combined enteral and parenteral nutrition and group B of 21 patients who received only preoperative enteral nutrition. They received for ten days before the surgery parenteral supplements of amino acids and glucides. The evaluated outcomes were all in favor of group A: postoperative morbidity – 34.8% vs. 57.1% (p=0.01), the length of stay in intensive care unit – 89.1% vs. 66.6% (p=0.01), the length of postoperative mechanical ventilation - 69,5% vs. 52,3% (p
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