Results of a survey on peri-operative nutritional support in pancreatic and biliary surgery in Spain
INTRODUCTION: 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.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2020 |
---|---|
Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
---|---|
Enthalten in: |
Nutricion hospitalaria - 37(2020), 2 vom: 16. Apr., Seite 238-242 |
Sprache: |
Englisch |
---|
Weiterer Titel: |
Resultados de una encuesta sobre el soporte nutricional perioperatorio en la cirugía pancreática y biliar en España |
---|
Links: |
---|
Themen: |
---|
Anmerkungen: |
Date Completed 28.04.2021 Date Revised 14.04.2022 published: Print Citation Status MEDLINE |
---|
doi: |
10.20960/nh.02895 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM306834278 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM306834278 | ||
003 | DE-627 | ||
005 | 20231225124237.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2020 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.20960/nh.02895 |2 doi | |
028 | 5 | 2 | |a pubmed24n1022.xml |
035 | |a (DE-627)NLM306834278 | ||
035 | |a (NLM)32090583 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Loinaz Segurola, Carmelo |e verfasserin |4 aut | |
245 | 1 | 0 | |a Results of a survey on peri-operative nutritional support in pancreatic and biliary surgery in Spain |
246 | 3 | 3 | |a Resultados de una encuesta sobre el soporte nutricional perioperatorio en la cirugía pancreática y biliar en España |
264 | 1 | |c 2020 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 28.04.2021 | ||
500 | |a Date Revised 14.04.2022 | ||
500 | |a published: Print | ||
500 | |a Citation Status MEDLINE | ||
520 | |a INTRODUCTION: 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 | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Páncreas. Biliar. Cirugía. Nutrición. | |
700 | 1 | |a Ochando Cerdán, Federico |e verfasserin |4 aut | |
700 | 1 | |a Vicente López, Emilio |e verfasserin |4 aut | |
700 | 1 | |a Serrablo Requejo, Alejandro |e verfasserin |4 aut | |
700 | 1 | |a López Cillero, Pedro |e verfasserin |4 aut | |
700 | 1 | |a Gómez Bravo, Miguel Ángel |e verfasserin |4 aut | |
700 | 1 | |a Fabregat Prous, Juan |e verfasserin |4 aut | |
700 | 1 | |a Varo Pérez, Evaristo |e verfasserin |4 aut | |
700 | 1 | |a Miyar de León, Albert |e verfasserin |4 aut | |
700 | 1 | |a Fondevila Campo, Constantino |e verfasserin |4 aut | |
700 | 1 | |a Valdivieso López, Andrés |e verfasserin |4 aut | |
700 | 1 | |a Blanco Fernández, Gerardo |e verfasserin |4 aut | |
700 | 1 | |a Sánchez, Belinda |e verfasserin |4 aut | |
700 | 1 | |a López Andújar, Rafael |e verfasserin |4 aut | |
700 | 1 | |a Fundora Suárez, Yilian |e verfasserin |4 aut | |
700 | 1 | |a Cugat Andorra, Esteban |e verfasserin |4 aut | |
700 | 1 | |a Díez Valladares, Luis |e verfasserin |4 aut | |
700 | 1 | |a Herrera Cabezón, Javier |e verfasserin |4 aut | |
700 | 1 | |a García Gil, Agustín |e verfasserin |4 aut | |
700 | 1 | |a Morales Soriano, Rafael |e verfasserin |4 aut | |
700 | 1 | |a Pardo Sánchez, Fernando |e verfasserin |4 aut | |
700 | 1 | |a Sabater Ortí, Luis |e verfasserin |4 aut | |
700 | 1 | |a López Baena, José Ángel |e verfasserin |4 aut | |
700 | 1 | |a Muñoz Bellvís, Luis |e verfasserin |4 aut | |
700 | 1 | |a Martín Pérez, Elena |e verfasserin |4 aut | |
700 | 1 | |a Pérez Saborido, Baltasar |e verfasserin |4 aut | |
700 | 1 | |a Suárez Muñoz, Miguel Ángel |e verfasserin |4 aut | |
700 | 1 | |a Meneu Día, Juan Carlos |e verfasserin |4 aut | |
700 | 1 | |a Albiol Quer, Maite |e verfasserin |4 aut | |
700 | 1 | |a Sanjuanbenito Dehesa, Alfonso |e verfasserin |4 aut | |
700 | 1 | |a Ramia Ángel, José Miguel |e verfasserin |4 aut | |
700 | 1 | |a Pereira Pérez, Fernando |e verfasserin |4 aut | |
700 | 1 | |a Paseiro Crespo, Gloria |e verfasserin |4 aut | |
700 | 1 | |a Palomo Sánchez, Juan Carlos |e verfasserin |4 aut | |
700 | 1 | |a León Sanz, Miguel |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Nutricion hospitalaria |d 1996 |g 37(2020), 2 vom: 16. Apr., Seite 238-242 |w (DE-627)NLM012943444 |x 1699-5198 |7 nnns |
773 | 1 | 8 | |g volume:37 |g year:2020 |g number:2 |g day:16 |g month:04 |g pages:238-242 |
856 | 4 | 0 | |u http://dx.doi.org/10.20960/nh.02895 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 37 |j 2020 |e 2 |b 16 |c 04 |h 238-242 |