{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T22:53:54Z","timestamp":1649026434194},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: Some factors can act on nutritional status of patients operated for a gastrointestinal cancer. A timely and appropriate nutritional intervention could have a positive effect on postoperative outcomes.  Aim: To determine the effect of a program of intestinal rehabilitation and early postoperative enteral nutrition on complications and clinical outcomes of patients underwent gastrointestinal surgery for cancer.  Methods:  This is a prospective study of 465 patients underwent gastrointestinal surgery for cancer consecutively admitted in an oncological intensive care unit. The program of intestinal rehabilitation and early postoperative enteral nutrition consisted in: 1) general rules, and 2) gastrointestinal rules.  Results:  The mean age of analysed patients was 63.7\u00b19.1 years. The most frequent operation sites were colon-rectum (44.9%), gynaecological with intestinal suture (15.7%) and oesophagus-gastric (11.0%). Emergency intervention was performed in 12.7% of patients. The program of intestinal rehabilitation and early postoperative enteral nutrition reduced major complication (19.2% vs. 10.2%; p=0.030), respiratory complications (p=0.040), delirium (p=0.032), infectious complications (p=0.047) and gastrointestinal complications (p&lt;0.001), mainly anastomotic leakage (p=0.033). The oncological intensive care unit mortality (p=0.018), length of oncological intensive care unit (p&lt;0.001) and hospital (p&lt;0.001) stay were reduced as well.  Conclusions:  Implementing a program of intestinal rehabilitation and early postoperative enteral nutrition is associated with reduction in postoperative complications and improvement of clinical outcomes in patients undergoing gastrointestinal surgery for cancer.<\/jats:p>","DOI":"10.1590\/0102-672020180001e1387","type":"journal-article","created":{"date-parts":[[2018,8,15]],"date-time":"2018-08-15T15:48:34Z","timestamp":1534348114000},"source":"Crossref","is-referenced-by-count":2,"title":["PROGRAM OF INTESTINAL REHABILITATION AND EARLY POSTOPERATIVE ENTERAL NUTRITION: A PROSPECTIVE COHORT STUDY"],"prefix":"10.1590","volume":"31","author":[{"given":"Frank Daniel","family":"MARTOS-BEN\u00cdTEZ","sequence":"first","affiliation":[{"name":"Institute of Oncology and Radiobiology,  Cuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anarelys","family":"GUTI\u00c9RREZ-NOYOLA","sequence":"additional","affiliation":[{"name":"Institute of Oncology and Radiobiology,  Cuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s Soto","family":"GARC\u00cdA","sequence":"additional","affiliation":[{"name":"Institute of Oncology and Radiobiology,  Cuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iraida","family":"GONZ\u00c1LEZ-MART\u00cdNEZ","sequence":"additional","affiliation":[{"name":"Institute of Oncology and Radiobiology,  Cuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilionanys","family":"BETANCOUR-PLAZA","sequence":"additional","affiliation":[{"name":"Institute of Oncology and Radiobiology,  Cuba"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,8,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"608","DOI":"10.3390\/nu5020608","article-title":"Enteral and Parenteral Nutrition in the Perioperative Period State of the Art","volume":"5","author":"Abunnaja 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