José Eduardo de-Aguilar-Nascimento1,2, Alberto Bicudo Salomão1, Dan Linetzky Waitzberg3, Diana Borges Dock-Nascimento1, Maria Isabel T D Correa4, Antonio Carlos L Campos5, Paulo Roberto Corsi6, Pedro Eder Portari7, Cervantes Caporossi1. 1. - Federal University of Mato Grosso, Post-Graduate Course in Health Sciences, Cuiabá, MT, Brazil. 2. - Várzea Grande University Center (UNIVAG), Várzea Grande, MT, Brazil. 3. - University of São Paulo, Faculty of Medicine, Department of Gastrenterology, São Paulo, SP, Brazil. 4. - Federal University of Minas Gerais, Alfa Institute of Gastrenterology, Clinics Hospital, Belo Horizonte, MG, Brazil. 5. - Federal University of Paraná, Post-Graduation Program in Clinical Surgery, Curitiba, PR, Brazil. 6. - Faculty of Medical Sciences of the Santa Casa de São Paulo, Department of Surgery, São Paulo, SP, Brazil. 7. - Federal University of the State of Rio de Janeiro (UNIRIO), Department of General and Specialized Surgery, Rio de Janeiro, RJ, Brazil.
Abstract
OBJECTIVE: to present recommendations based on the ACERTO Project (Acceleration of Total Post-Operative Recovery) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures. METHODS: review of relevant literature from 2006 to 2016, based on a search conducted in the main databases, with the purpose of answering guiding questions previously formulated by specialists, within each theme of this guideline. We preferably used randomized controlled trials, systematic reviews and meta-analyzes but also selected some cohort studies. We contextualized each recommendation-guiding question to determine the quality of the evidence and the strength of this recommendation (GRADE). This material was sent to authors using an open online questionnaire. After receiving the answers, we formalized the consensus for each recommendation of this guideline. RESULTS: the level of evidence and the degree of recommendation for each item is presented in text form, followed by a summary of the evidence found. CONCLUSION: this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons, the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery. The prescription of these recommendations can accelerate the postoperative recovery of patients submitted to elective general surgery, with decrease in morbidity, length of stay and rehospitalization, and consequently, of costs.
OBJECTIVE: to present recommendations based on the ACERTO Project (Acceleration of Total Post-Operative Recovery) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures. METHODS: review of relevant literature from 2006 to 2016, based on a search conducted in the main databases, with the purpose of answering guiding questions previously formulated by specialists, within each theme of this guideline. We preferably used randomized controlled trials, systematic reviews and meta-analyzes but also selected some cohort studies. We contextualized each recommendation-guiding question to determine the quality of the evidence and the strength of this recommendation (GRADE). This material was sent to authors using an open online questionnaire. After receiving the answers, we formalized the consensus for each recommendation of this guideline. RESULTS: the level of evidence and the degree of recommendation for each item is presented in text form, followed by a summary of the evidence found. CONCLUSION: this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons, the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery. The prescription of these recommendations can accelerate the postoperative recovery of patients submitted to elective general surgery, with decrease in morbidity, length of stay and rehospitalization, and consequently, of costs.
Authors: José Eduardo de Aguilar-Nascimento; Alberto Bicudo-Salomão; Mara Regina Rosa Ribeiro; Diana Borges Dock-Nascimento; Cervantes Caporossi Journal: Arq Bras Cir Dig Date: 2022-06-24
Authors: Alberto Bicudo-Salomão; Rosana de Freitas Salomão; Mariani Parra Cuerva; Michelle Santos Martins; Diana Borges Dock-Nascimento; José Eduardo de Aguilar-Nascimento Journal: Arq Bras Cir Dig Date: 2019-12-20
Authors: Eduardo Wendler; Paulo Afonso Nunes Nassif; Osvaldo Malafaia; Jose Luzardo Brites Neto; José Guilherme Agner Ribeiro; Laura Brandão DE Proença; Maria Eduarda Mattos; Bruno Luiz Ariede Journal: Arq Bras Cir Dig Date: 2022-01-05
Authors: Fernando C Abrão; Sabrina Araujo de França; Igor R L B de Abreu; João Carlos das Neves Pereira; Emílio C Del Massa; Andréa Oliver; Maria Gabriela C Cavalcante Journal: J Thorac Dis Date: 2021-09 Impact factor: 2.895