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PROGRAM OF INTESTINAL REHABILITATION AND EARLY POSTOPERATIVE ENTERAL NUTRITION: A PROSPECTIVE COHORT STUDY
Frank Daniel Martos-Benítez1, Anarelys Gutiérrez-Noyola1, Andrés Soto García1
1Department of Intensive Care, Institute of Oncology and Radiobiology, Havana, Cuba.
Summary
Early enteral nutrition and intestinal rehabilitation significantly reduce complications and improve outcomes for gastrointestinal cancer surgery patients. This intervention enhances recovery and lowers mortality rates.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Intensive Care Medicine
Background:
- Nutritional status is critical for patients undergoing gastrointestinal cancer surgery.
- Timely nutritional interventions can positively impact postoperative recovery.
Purpose of the Study:
- To evaluate the impact of a structured intestinal rehabilitation and early enteral nutrition program.
- To assess effects on complications and clinical outcomes in gastrointestinal cancer surgery patients.
Main Methods:
- Prospective study of 465 patients undergoing gastrointestinal surgery for cancer.
- Implementation of a program including general and gastrointestinal-specific rules for rehabilitation and nutrition.
- Patients were admitted to an oncological intensive care unit.
Main Results:
- The intervention group showed a significant reduction in major complications (19.2% vs. 10.2%), including respiratory, infectious, and gastrointestinal issues like anastomotic leakage.
- Postoperative delirium incidence decreased.
- Reduced mortality and length of stay in both intensive care and hospital settings were observed.
Conclusions:
- A program combining intestinal rehabilitation and early postoperative enteral nutrition effectively reduces complications.
- This approach improves clinical outcomes for patients after gastrointestinal cancer surgery.
- The findings support the integration of this program into postoperative care protocols.
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