2026-04-17T03:10:51Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1736632026-03-07T00:57:55Zcom_2072_1057col_2072_478916col_2072_478917

urn:hdl:2445/173663 Results of a survey on peri-operative nutritional support in pancreatic and biliary surgery in Spain Loinaz, Carmelo Ochando Cerdán, Federico Vicente, Emilio Serrablo Requejo, 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) Malalties del pàncrees Nutrició Pancréas diseases Nutrition 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. 2021-02-07T19:25:15Z 2021-02-07T19:25:15Z 2020-03-01 2021-01-25T08:42:54Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Reproducció del document publicat a: https://doi.org/10.20960/nh.02895 Nutrición Hospitalaria, 2020, vol. 37, num. 2, p. 238-242 https://doi.org/10.20960/nh.02895 cc by-nc-sa (c) SENPE; Arán Ediciones S.L. http://creativecommons.org/licenses/by-nc-sa/3.0/es/ info:eu-repo/semantics/openAccess Arán Ediciones, SL Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))