2026-04-17T03:00:01Zhttps://recercat.cat/oai/request

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

00925njm 22002777a 4500 dc Loinaz, Carmelo author Ochando Cerdán, Federico author Vicente, Emilio author Serrablo Requejo, Alejandro author López Cillero, Pablo author Gómez, Miguel Ángel author Fabregat Prous, Joan author Varo, Evaristo author Miyar de Leon, Albert author Fondevila Campo, Constantino author Valdivieso, Andrés author Blanco, Gerardo author Sánchez, Belinda author López Andújar, Rafael author Fundora, Yilian author Cugat Andorrà, Esteban author Díez Valladares, Luis author Herrera, Javier author García Gil, Agustín author Morales, Rafael author Pardo, Fernando author Sabater, Luis author Baena, José Ángel author Muñoz Bellvís, Luis author Martín Pérez, Elena author Pérez Saborido, Baltasar author Suárez, Miguel Ángel author Meneu, Juan Carlos author Albiol, Maite author Sanjuanbenito, Alfonso author Ramia, José Miguel author Pereira, Fernando author Paseiro, Gloria author Palomo, Juan Carlos author Leon, Miguel author GENPOCIRP (Grupo Encuesta Nutrición PeriOperatoria en CIRugia Pancreatobiliar) author 2021-02-07T19:25:15Z 2021-02-07T19:25:15Z 2020-03-01 2021-01-25T08:42:54Z 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. Malalties del pàncrees Nutrició Pancréas diseases Nutrition Results of a survey on peri-operative nutritional support in pancreatic and biliary surgery in Spain