{"id":1899,"date":"2023-05-10T13:54:55","date_gmt":"2023-05-10T16:54:55","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1899"},"modified":"2023-10-24T12:46:46","modified_gmt":"2023-10-24T15:46:46","slug":"impacto-desnutricao-preoperatorio","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/impacto-desnutricao-preoperatorio\/","title":{"rendered":"Qual o impacto da desnutri\u00e7\u00e3o em pacientes no pr\u00e9-operat\u00f3rio de doen\u00e7as g\u00e1stricas?"},"content":{"rendered":"<p>\u00c9 relativamente conhecido o impacto da desnutri\u00e7\u00e3o em pacientes no momento do pr\u00e9-operat\u00f3rio de doen\u00e7as g\u00e1stricas<strong>. Apesar disso, ainda que essa condi\u00e7\u00e3o esteja associada a um maior risco de complica\u00e7\u00f5es no p\u00f3s-operat\u00f3rio, n\u00e3o \u00e9 raro que esse aspecto seja negligenciado pelos profissionais de sa\u00fade que conduzem todo o perioperat\u00f3rio<sup>2<\/sup>. <\/strong><\/p>\n<p>Logo, \u00e9 indispens\u00e1vel entender o que caracteriza a desnutri\u00e7\u00e3o pr\u00e9-operat\u00f3ria em quadros de doen\u00e7as g\u00e1stricas e como \u00e9 poss\u00edvel atuar para mitig\u00e1-la, conforme orientam as <a href=\"https:\/\/www.scielo.br\/j\/rcbc\/a\/QrQS3Xxq5ztxp5RtCwr3JNz\/?lang=pt&amp;format=pdf\">diretrizes nacionais <\/a>e internacionais. Com isso, \u00e9 poss\u00edvel minimizar o risco de desfechos p\u00f3s-operat\u00f3rios indesejados.<\/p>\n<p>&nbsp;<\/p>\n<h2>Impacto da desnutri\u00e7\u00e3o pr\u00e9-operat\u00f3ria<\/h2>\n<p><strong>O risco de desnutri\u00e7\u00e3o pr\u00e9-operat\u00f3ria \u00e9 maior em pacientes oncol\u00f3gicos e candidatos \u00e0 procedimentos cir\u00fargicos no trato gastrointestinal. Nesses casos, em m\u00e9dia, 2 a cada 3 pacientes apresentam algum grau de desnutri\u00e7\u00e3o no per\u00edodo anterior \u00e0 cirurgia<sup>3<\/sup>.<\/strong> A partir disso, \u00e9 comum que indiv\u00edduos com quadro de desnutri\u00e7\u00e3o permane\u00e7am mais tempo internados, registrem maior\u00a0 <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/menor-ingestao-alimentar-morte-hospitalar\/\">mortalidade <\/a>e elevem os custos hospitalares<sup>4-7<\/sup>.<\/p>\n<p>Portanto, estudos bem desenhados e sociedades experientes no assunto recomendam o acompanhamento nutricional como mecanismo fundamental para a preven\u00e7\u00e3o de uma s\u00e9rie de complica\u00e7\u00f5es. Para isso, v\u00e1rias ferramentas e m\u00e9todos podem ser utilizados para identificar e caracterizar pacientes desnutridos ou sob risco de desnutri\u00e7\u00e3o, que certamente s\u00e3o que mais v\u00e3o se beneficiar da introdu\u00e7\u00e3o de suporte nutricional em todo perioperat\u00f3rio.<\/p>\n<p><strong>No caso das cirurgias g\u00e1stricas, \u00e9 preciso ainda levar em conta que, pacientes com esses quadros podem, devido ao pr\u00f3prio curso da doen\u00e7a, apresentar estado nutricional prejudicado<\/strong>. \u00c9 o que acontece, por exemplo, em pacientes com c\u00e2ncer g\u00e1strico, que, n\u00e3o raro, apresentam sinais de emagrecimento, anorexia, n\u00e1useas, v\u00f4mitos, entre outros sintomas que prejudicam a manuten\u00e7\u00e3o de uma ingest\u00e3o alimentar adequada<sup>7<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Saiba mais<\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/pancreatite-aguda-e-nutricao-parenteral\/\"><strong>:<\/strong> Pancreatite aguda e nutri\u00e7\u00e3o parenteral: quando recorrer?<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>Terapia nutricional nos pacientes com doen\u00e7as g\u00e1stricas<\/h2>\n<p>Em pacientes que se submeter\u00e3o a cirurgias de m\u00e9dio e grande porte no aparelho digestivo, a <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/monitorizacao-terapia-nutricional-importancia\/\">terapia nutricional<\/a> se mostra ben\u00e9fica se introduzida entre 5 e 10 dias antes do procedimento, desde que ele n\u00e3o seja de emerg\u00eancia<strong>. Normalmente, s\u00e3o indicados suplementos proteicos, com a introdu\u00e7\u00e3o de imunonutrientes nos pacientes de maior risco. Se a via oral n\u00e3o \u00e9 poss\u00edvel, nutri\u00e7\u00e3o enteral ou parenteral podem ser necess\u00e1rias<sup>1<\/sup>. <\/strong><\/p>\n<p>Outra recomenda\u00e7\u00e3o essencial para a redu\u00e7\u00e3o do risco nutricional pr\u00e9-operat\u00f3rio envolve o per\u00edodo de jejum. Ele n\u00e3o precisa ser maior do que intervalos de 6 a 8 horas, para alimentos s\u00f3lidos, antes da indu\u00e7\u00e3o anest\u00e9sica. Pacientes sem problemas com esvaziamento g\u00e1strico podem se beneficiar da oferta de l\u00edquidos ricos em carboidratos at\u00e9 duas horas antes do procedimento<sup>1<\/sup>.<\/p>\n<p>No p\u00f3s-operat\u00f3rio, desde que o paciente esteja hemodinamicamente est\u00e1vel, a realimenta\u00e7\u00e3o por via oral ou enteral pode ser feita de forma precoce, em at\u00e9 24 horas ap\u00f3s a cirurgia. Em pacientes que passaram por cirurgias de grande porte no trato digestivo superior, pode haver indica\u00e7\u00e3o de terapia nutricional especializada p\u00f3s-operat\u00f3ria via cateter ou sonda. Pacientes que em at\u00e9 7 dias ap\u00f3s a cirurgia n\u00e3o alcan\u00e7arem 60% da meta nutricional por via oral tamb\u00e9m podem ser submetidos a essa interven\u00e7\u00e3o<sup>1<\/sup>.<\/p>\n<p>Portanto, <strong>em nenhuma hip\u00f3tese o impacto da desnutri\u00e7\u00e3o em pacientes no pr\u00e9-operat\u00f3rio de doen\u00e7as g\u00e1stricas deve ser desconsiderado<\/strong>. Dessa forma, \u00e9 poss\u00edvel reduzir uma s\u00e9rie de complica\u00e7\u00f5es, necessidade de reinterna\u00e7\u00f5es, al\u00e9m de reduzir o per\u00edodo de <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/perda-muscular-em-pacientes-hospitalizados-nutricao-ajuda\/\">hospitaliza\u00e7\u00e3o.<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Aproveite e conhe\u00e7a mais sobre o <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\">Unidos Pela Nutri\u00e7\u00e3o Cl\u00ednica<\/a>, uma iniciativa da Fresenius Kabi para lutar contra as doen\u00e7as relativas \u00e0 desnutri\u00e7\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>de-Aguilar-Nascimento, J. E., Salom\u00e3o, A. B., Waitzberg, D. L., Dock-Nascimento, D. B., Correa, M. I. T., Campos, A. C. L., &#8230; &amp; Caporossi, C. (2017). Diretriz ACERTO de interven\u00e7\u00f5es nutricionais no perioperat\u00f3rio em cirurgia geral eletiva. <em>Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es<\/em>, <em>44<\/em>, 633-648.<\/li>\n<li>Mosquera C, Koutlas NJ, Edwards KC, Strickland A, Vohra NA, Zervos EE, et al. Impact of malnutrition on gastrointestinal surgical patients. J Surg Res. 2016;205(1):95-101.<\/li>\n<li>Williams, D. G., Molinger, J., &amp; Wischmeyer, P. E. (2019). The malnourished surgery patient: a silent epidemic in perioperative outcomes?. <em>Current opinion in anaesthesiology<\/em>,\u00a0<em>32<\/em>(3), 405.<\/li>\n<li>Pressoir M, Desne S, Berchery D, et al. Prevalence, risk factors and clinical implications of malnutrition in french comprehensive cancer centres. Br J Cancer. 2010;102:966e971<\/li>\n<li>Covinsky KE. Malnutrition and bad outcomes. J Gen Intern Med. 2002;17:956e957.<\/li>\n<li>Stratton RJ, King CL, Stroud MA, Jackson AA, Elia M. \u2019Malnutrition universal screening tool\u2019 predicts mortality and length of hospital stay in acutely ill elderly. Br J Nutr. 2006;95:325e330.Ferraz, L. F., &amp; Campos, A. C. (2012). Nutri\u00e7\u00e3o imunomoduladora pr\u00e9-operat\u00f3ria em pacientes com cancer g\u00e1strico. <em>Nutr Cl\u00edn Diet Hosp<\/em>,\u00a0<em>32<\/em>(3), 43-6.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9 relativamente conhecido o impacto da desnutri\u00e7\u00e3o em pacientes no momento do pr\u00e9-operat\u00f3rio de doen\u00e7as g\u00e1stricas. Apesar disso, ainda que essa condi\u00e7\u00e3o esteja associada a um maior risco de complica\u00e7\u00f5es no p\u00f3s-operat\u00f3rio, n\u00e3o \u00e9 raro que esse aspecto seja negligenciado pelos profissionais de sa\u00fade que conduzem todo o perioperat\u00f3rio2. Logo, \u00e9 indispens\u00e1vel entender o que [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":1900,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[41],"tags":[223,70,81,224,204],"class_list":["post-1899","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo","tag-cirurgia","tag-desnutricao","tag-nutricao-clinica","tag-pre-operatorio","tag-suplementacao-oral"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>O impacto da desnutri\u00e7\u00e3o em pacientes no pr\u00e9-operat\u00f3rio<\/title>\n<meta name=\"description\" content=\"Saiba como pacientes com doen\u00e7as g\u00e1stricas podem se beneficiar da manuten\u00e7\u00e3o do estado nutricional adequado no pr\u00e9-operat\u00f3rio.\" \/>\n<meta name=\"robots\" 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