Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial

Introduction: A significant proportion of patients undergoing major gastrointestinal operations suffer from malnutrition. Although the benefit of postoperative nutritional support is well established, the effects of energy intake during pre-operative period is less reported. The present study was de...

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Autores principales:	Ananya Bhattacharyya, Lakshmi Ramamoorthy, Biju Pottakkat
Formato:	article
Lenguaje:	EN
Publicado:	Tabriz University of Medical Sciences 2021
Materias:	nutritional status nutritional support pre-operative nutrition postoperative outcomes gastrointestinal surgery Medicine (General) R5-920 General works R5-130.5
Acceso en línea:	https://doaj.org/article/6cc54b70ca5d4a0f8ecc714cd238aaaf
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spelling	oai:doaj.org-article:6cc54b70ca5d4a0f8ecc714cd238aaaf2021-11-21T05:40:35ZEffect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial2251-992010.34172/jcs.2021.030https://doaj.org/article/6cc54b70ca5d4a0f8ecc714cd238aaaf2021-11-01T00:00:00Zhttps://jcs.tbzmed.ac.ir/PDF/jcs-10-177.pdfhttps://doaj.org/toc/2251-9920Introduction: A significant proportion of patients undergoing major gastrointestinal operations suffer from malnutrition. Although the benefit of postoperative nutritional support is well established, the effects of energy intake during pre-operative period is less reported. The present study was designed to test the effect of structured pre-operative nutritional therapy on the postoperative recovery of patients undergoing major gastrointestinal operations. Methods: A randomized clinical trial was conducted among 80 patients of the surgical gastroenterology department of a tertiary care center in south India. A simple random sampling method was used. The nutritional status of all participants was assessed by subjective global assessment (SGA). While control group received standard energy intake nutrition, the experimental group received calculated nutrition with an extra 50 g of soy protein for seven days pre operatively. Data were analysed using SPSS version 20. Results: The median day of removal of abdominal drainage tube was 3 (0-5) compared to 5 (2.5-7.5) in the control group. In the intervention group, the median time for the appearance of bowel sounds and starting of enteral feeding was 1.1 (0.5) days and 2 (1-2) days, while in the control group, it was 1.6 (0.9) days, 3 (1-4) days, respectively which was significant at P<0.05. Similarly, the mean (SD) postoperative serum albumin on third day was 3.6 (0.4) g/dL vs 3.4 (0.4) g/dL experimental and in the control group. Conclusion: Preoperative nutrition protocol improved the patients’ clinical outcomes in terms of post-operative serum albumin, the timing of bowel sounds, and early initiation of enteral feeds.Ananya BhattacharyyaLakshmi RamamoorthyBiju PottakkatTabriz University of Medical Sciencesarticlenutritional statusnutritional supportpre-operative nutritionpostoperative outcomesgastrointestinal surgeryMedicine (General)R5-920General worksR5-130.5ENJournal of Caring Sciences, Vol 10, Iss 4, Pp 177-183 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	nutritional status nutritional support pre-operative nutrition postoperative outcomes gastrointestinal surgery Medicine (General) R5-920 General works R5-130.5
spellingShingle	nutritional status nutritional support pre-operative nutrition postoperative outcomes gastrointestinal surgery Medicine (General) R5-920 General works R5-130.5 Ananya Bhattacharyya Lakshmi Ramamoorthy Biju Pottakkat Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial
description	Introduction: A significant proportion of patients undergoing major gastrointestinal operations suffer from malnutrition. Although the benefit of postoperative nutritional support is well established, the effects of energy intake during pre-operative period is less reported. The present study was designed to test the effect of structured pre-operative nutritional therapy on the postoperative recovery of patients undergoing major gastrointestinal operations. Methods: A randomized clinical trial was conducted among 80 patients of the surgical gastroenterology department of a tertiary care center in south India. A simple random sampling method was used. The nutritional status of all participants was assessed by subjective global assessment (SGA). While control group received standard energy intake nutrition, the experimental group received calculated nutrition with an extra 50 g of soy protein for seven days pre operatively. Data were analysed using SPSS version 20. Results: The median day of removal of abdominal drainage tube was 3 (0-5) compared to 5 (2.5-7.5) in the control group. In the intervention group, the median time for the appearance of bowel sounds and starting of enteral feeding was 1.1 (0.5) days and 2 (1-2) days, while in the control group, it was 1.6 (0.9) days, 3 (1-4) days, respectively which was significant at P<0.05. Similarly, the mean (SD) postoperative serum albumin on third day was 3.6 (0.4) g/dL vs 3.4 (0.4) g/dL experimental and in the control group. Conclusion: Preoperative nutrition protocol improved the patients’ clinical outcomes in terms of post-operative serum albumin, the timing of bowel sounds, and early initiation of enteral feeds.
format	article
author	Ananya Bhattacharyya Lakshmi Ramamoorthy Biju Pottakkat
author_facet	Ananya Bhattacharyya Lakshmi Ramamoorthy Biju Pottakkat
author_sort	Ananya Bhattacharyya
title	Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial
title_short	Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial
title_full	Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial
title_fullStr	Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial
title_full_unstemmed	Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial
title_sort	effect of pre-operative nutritional protocol implementation on postoperative outcomes following gastrointestinal surgeries: a randomized clinical trial
publisher	Tabriz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/6cc54b70ca5d4a0f8ecc714cd238aaaf
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Effect of Pre-operative Nutritional Protocol Implementation on Postoperative Outcomes Following Gastrointestinal Surgeries: A Randomized Clinical Trial

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