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2020-03-01

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cc by-nc-sa (c) SENPE; Arán Ediciones S.L.
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/173663

Results of a survey on peri-operative nutritional support in pancreatic and biliary surgery in Spain

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https://doi.org/10.20960/nh.02895

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Introduction: a survey on peri-operative nutritional support in pancreatic and biliary surgery among Spanish hospitals in 2007 showed that few surgical groups followed the 2006 ESPEN guidelines. Ten years later we sent a questionnaire to check the current situation. Methods: a questionnaire with 21 items sent to 38 centers, related to fasting time before and after surgery, nutritional screening use and type, time and type of peri-operative nutritional support, and number of procedures. Results: thirty-four institutions responded. The median number of pancreatic resections (head/total) was 29.5 (95 % CI: 23.0-35; range, 5-68) (total, 1002); of surgeries for biliary malignancies (non-pancreatic), 9.8 (95 % CI: 7.3-12.4; range, 2-30); and of main biliary resections for benign conditions, 10.4 (95 % CI: 7.6-13.3; range, 2-33). Before surgery, only 41.2 % of the sites used nutritional support (< 50 % used any nutritional screening procedure). The mean duration of preoperative fasting for solid foods was 9.3 h (range, 6-24 h); it was 6.6 h for liquids (range, 2-12). Following pancreatic surgery, 29.4 % tried to use early oral feeding, but 88.2 % of the surveyed teams used some nutritional support; 26.5 % of respondents used TPN in 100 % of cases. Different percentages of TPN and EN were used in the other centers. In malignant biliary surgery, 22.6 % used TPN always, and EN in 19.3 % of cases. Conclusions: TPN is the commonest nutrition approach after pancreatic head surgery. Only 29.4 % of the units used early oral feeding, and 32.3 % used EN; 22.6 % used TPN regularly after surgery for malignant biliary tumours. The 2006 ESPEN guideline recommendations are not regularly followed 12 years after their publication in our country.

Matèries

Malalties del pàncrees, Nutrició

Matèries (anglès)

Pancréas diseases, Nutrition

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Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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LOINAZ, Carmelo, OCHANDO CERDÁN, Federico, VICENTE, Emilio, SERRABLO, Alejandro, LÓPEZ CILLERO, Pablo, GÓMEZ, Miguel ángel, FABREGAT PROUS, Joan, VARO, Evaristo, MIYAR DE LEON, Albert, FONDEVILA CAMPO, Constantino, VALDIVIESO, Andrés, BLANCO, Gerardo, SÁNCHEZ, Belinda, LÓPEZ ANDÚJAR, Rafael, FUNDORA, Yilian, CUGAT ANDORRÀ, Esteban, DÍEZ VALLADARES, Luis, HERRERA, Javier, GARCÍA GIL, Agustín, MORALES, Rafael, PARDO, Fernando, SABATER, Luis, BAENA, José ángel, MUÑOZ BELLVÍS, Luis, MARTÍN PÉREZ, Elena, PÉREZ SABORIDO, Baltasar, SUÁREZ, Miguel ángel, MENEU, Juan carlos, ALBIOL, Maite, SANJUANBENITO, Alfonso, RAMIA, José miguel, PEREIRA, Fernando, PASEIRO, Gloria, PALOMO, Juan carlos, LEON, Miguel, GENPOCIRP (Grupo Encuesta Nutrición PeriOperatoria en CIRugia Pancreatobiliar). Results of a survey on peri-operative nutritional support in pancreatic and biliary surgery in Spain. _Nutrición Hospitalaria_. 2020. Vol. 37, núm. 2, pàgs. 238-242. [consulta: 14 de gener de 2026]. [Disponible a: https://hdl.handle.net/2445/173663]

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