{"id":2038,"date":"2025-02-12T14:36:39","date_gmt":"2025-02-12T17:36:39","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=2038"},"modified":"2025-02-12T14:36:39","modified_gmt":"2025-02-12T17:36:39","slug":"omega-3-nutricao-parenteral-cirurgia-hepatica","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/omega-3-nutricao-parenteral-cirurgia-hepatica\/","title":{"rendered":"O papel do \u00f4mega-3 na nutri\u00e7\u00e3o parenteral na cirurgia hep\u00e1tica"},"content":{"rendered":"<p>A nutri\u00e7\u00e3o parenteral na cirurgia hep\u00e1tica pode ter um papel relevante na manuten\u00e7\u00e3o e melhora do estado nutricional desses pacientes, inclusive ap\u00f3s o procedimento, principalmente quando se leva em conta que a via enteral n\u00e3o est\u00e1 dispon\u00edvel por conta do processo de recupera\u00e7\u00e3o da fun\u00e7\u00e3o intestinal no p\u00f3s-operat\u00f3rio imediato<sup>1<\/sup>.<\/p>\n<p>No entanto, a introdu\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral deve ser\u00a0 acompanhada de perto por profissionais especializados em terapia nutricional, considerando que pode ampliar o risco de complica\u00e7\u00f5es hep\u00e1ticas e da resposta inflamat\u00f3ria<sup>1<\/sup>. Entre algumas das adversidades mais comuns est\u00e3o a <a href=\"https:\/\/www.sbhepatologia.org.br\/pdf\/3.pdf\">colestase<\/a>, a esteatose e a fibrose<sup>2<\/sup>. Al\u00e9m disso, a eleva\u00e7\u00e3o do estado inflamat\u00f3rio do organismo tamb\u00e9m pode ser uma preocupa\u00e7\u00e3o<sup>2<\/sup>.<\/p>\n<p>Por isso, v\u00e1rias f\u00f3rmulas de nutri\u00e7\u00e3o parenteral utilizam o \u00f4mega-3 como parte da emuls\u00e3o lip\u00eddica para prover energia e \u00e1cidos graxos essenciais aos pacientes, al\u00e9m de contribuir como nutriente<strong> imunomodulador e com efeitos anti-inflamat\u00f3rios que merecem ser observados de perto<sup>3<\/sup><sup>-5<\/sup><\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<h2>O risco de complica\u00e7\u00f5es hep\u00e1ticas em paciente recebendo nutri\u00e7\u00e3o parenteral<\/h2>\n<p>Complica\u00e7\u00f5es como a doen\u00e7a hep\u00e1tica associada \u00e0 insufici\u00eancia intestinal s\u00e3o <strong>relativamente comuns em pacientes que recebem nutri\u00e7\u00e3o parenteral por mais de duas semanas<\/strong><sup>6<\/sup>..<\/p>\n<p>Nesse cen\u00e1rio, a literatura sobre o assunto mostra que, dentre outros pontos, a composi\u00e7\u00e3o das emuls\u00f5es lip\u00eddicas da nutri\u00e7\u00e3o parenteral de escolha pode ser um fator de risco para tal evolu\u00e7\u00e3o indesejada<sup>7<\/sup>.<\/p>\n<p>Em geral, \u00e9 poss\u00edvel apontar que um <strong>maior teor de \u00e1cidos graxos \u00f4mega-6 em compara\u00e7\u00e3o ao <\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/o-que-e-omega-3-e-qual-seu-papel-na-nutricao\/\"><strong>\u00f4mega-3<\/strong><\/a><strong> e um alto teor de fitoster\u00f3is<\/strong> (t\u00edpicos do \u00f3leo de soja e \u00f3leo de c\u00e1rtamo) podem causar\u00a0 colestase e desfechos como preju\u00edzo ao fluxo biliar e forma\u00e7\u00e3o de c\u00e1lculos biliares<sup>8<\/sup>.<\/p>\n<p>Diante disso, formula\u00e7\u00f5es de emuls\u00f5es lip\u00eddicas ricas em \u00e1cidos graxos com \u00f4mega-3 (isto \u00e9, \u00e0 base de \u00f3leo de peixe) demonstraram ser capazes de minimizar o risco do desenvolvimento ou reverter a doen\u00e7a hep\u00e1tica associada \u00e0 fal\u00eancia intestinal, especialmente colestase<sup>7<\/sup>.<\/p>\n<p>Interessante observar que formula\u00e7\u00f5es \u00e0 base de <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/oleo-de-peixe-e-seu-papel-nutricional-no-paciente-critico\/\">\u00f3leo de peixe<\/a> tamb\u00e9m t\u00eam sido associadas a outros benef\u00edcios quando administradas como parte da emuls\u00e3o lip\u00eddica da nutri\u00e7\u00e3o parenteral. Isso inclui a redu\u00e7\u00e3o da mortalidade a curto prazo e diminui\u00e7\u00e3o da necessidade de transplante do \u00f3rg\u00e3o em quest\u00e3o<sup>9<\/sup>.<\/p>\n<p>Logo, a modifica\u00e7\u00e3o da composi\u00e7\u00e3o da formula\u00e7\u00e3o lip\u00eddica para promover o aumento da propor\u00e7\u00e3o de \u00f4mega-3 em rela\u00e7\u00e3o ao \u00f4mega-6 pode ser alcan\u00e7ada por meio do uso de emuls\u00f5es lip\u00eddicas mistas<sup>10,11<\/sup>. Tal escolha tem sido associada tamb\u00e9m ao <strong>aumento da imunidade, diminui\u00e7\u00e3o da inflama\u00e7\u00e3o e redu\u00e7\u00e3o do dano hep\u00e1tico<sup>10,11<\/sup><\/strong>.<\/p>\n<p>Outros fatores envolvidos nesse tipo de les\u00e3o hep\u00e1tica envolvem sobrecarga cal\u00f3rica, defici\u00eancias de determinados nutrientes e exposi\u00e7\u00e3o a elementos hepatot\u00f3xicos<sup>7<\/sup>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2039\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/02\/lam181-imagem-1.png\" alt=\"\" width=\"602\" height=\"670\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/02\/lam181-imagem-1.png 602w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/02\/lam181-imagem-1-270x300.png 270w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/02\/lam181-imagem-1-337x375.png 337w\" sizes=\"auto, (max-width: 602px) 100vw, 602px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>As evid\u00eancias sobre o uso do \u00f4mega-3 na nutri\u00e7\u00e3o parenteral<\/h2>\n<p>A partir disso, para entender melhor a amplitude dos benef\u00edcios do \u00f4mega-3 na nutri\u00e7\u00e3o parenteral na cirurgia hep\u00e1tica, um grupo de autores reuniu as evid\u00eancias sobre o tema em uma <a href=\"https:\/\/bmjopen.bmj.com\/content\/13\/9\/e066171\">revis\u00e3o sistem\u00e1tica<\/a><sup>1<\/sup>.<\/p>\n<p>Ela foi publicada em abril de 2023. Seu principal m\u00e9rito foi incluir na an\u00e1lise oito ensaios cl\u00ednicos randomizados que traziam a avalia\u00e7\u00e3o de uma s\u00e9rie de desfechos envolvidos com a fun\u00e7\u00e3o hep\u00e1tica e a presen\u00e7a de determinados marcadores inflamat\u00f3rios. Entre os indicadores analisados estavam<sup>1<\/sup>:<\/p>\n<ul>\n<li>Alanina aminotransferase e aspartato aminotransferase;<\/li>\n<li>Albumina;<\/li>\n<li>Contagem de gl\u00f3bulos brancos;<\/li>\n<li>Bilirrubina total;<\/li>\n<li>Mortalidade;<\/li>\n<li>Tempo de perman\u00eancia no hospital;<\/li>\n<li>Complica\u00e7\u00f5es associadas \u00e0 infec\u00e7\u00e3o;<\/li>\n<li>TNF-\u03b1;<\/li>\n<li>IL-2;<\/li>\n<li>IgA, IgG e IgM;<\/li>\n<li><\/li>\n<\/ul>\n<p>No fim, os dados dos oito ensaios cl\u00ednicos envolveram 748 pacientes (divididos entre grupos que receberam \u00f4mega 3 e grupos controle)<sup>1<\/sup>.<\/p>\n<p>F<strong>oi poss\u00edvel concluir que o uso do \u00f4mega-3 em pacientes sob cirurgia hep\u00e1tica se mostrou ben\u00e9fico em rela\u00e7\u00e3o \u00e0 melhora de \u00edndices cl\u00ednicos, diminui\u00e7\u00e3o de marcadores inflamat\u00f3rios e melhora da fun\u00e7\u00e3o hep\u00e1tica<sup>1<\/sup>.<\/strong> Houve ganhos cl\u00ednicos tamb\u00e9m (como menos infec\u00e7\u00f5es e redu\u00e7\u00e3o de tempo de interna\u00e7\u00e3o).<\/p>\n<p>Em resumo, a melhora da fun\u00e7\u00e3o hep\u00e1tica pode ser atribu\u00edda ao efeito anti-inflamat\u00f3rio do \u00f4mega-3. Com isso, h\u00e1 ainda redu\u00e7\u00e3o no dano celular ao f\u00edgado que \u00e9 desencadeado pela resposta inflamat\u00f3ria exacerbada<sup>1<\/sup>.<\/p>\n<p><em>Saiba mais: <\/em><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/omega3-braspen\/\"><em>O que a BRASPEN diz sobre o uso cl\u00ednico de \u00f4mega 3 via parenteral?<\/em><\/a><\/p>\n<p><em>\u00a0<\/em><\/p>\n<h3>As limita\u00e7\u00f5es do estudo e as perspectivas sobre o tema<\/h3>\n<p>No entanto, <strong>a melhor compreens\u00e3o do mecanismo do efeito do \u00f4mega-3 em outras condi\u00e7\u00f5es associadas depende de novos estudos<sup>1<\/sup><\/strong>.<\/p>\n<p>De todo modo, esses resultados refor\u00e7am o papel anti inflamat\u00f3rio de emuls\u00f5es lip\u00eddicas com \u00f3leo de peixe, bem como<strong> uma fonte de energia lip\u00eddica<\/strong> na nutri\u00e7\u00e3o parenteral em pacientes sob cirurgia hep\u00e1tica, caracter\u00edsticas positivas que merecem a devida aten\u00e7\u00e3o dos profissionais envolvidos no manejo desses pacientes.<\/p>\n<p>Aproveite agora para saber mais sobre a utiliza\u00e7\u00e3o das diferentes <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/emulsoes-lipidicas-parenterais\/\">formula\u00e7\u00f5es de emuls\u00f5es lip\u00eddicas parenterais. <\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Refer\u00eancias<\/strong><\/p>\n<ol>\n<li>He ZW, Zhang L, Wang P, Luo HM, Chen Q, Li B, et al. Does inclusion of bioactive n-3 PUFAs in parenteral nutrition benefit postoperative patients undergoing liver surgery? A systematic review and meta-analysis of randomised control trials. BMJ Open. 2023;13(9). Dispon\u00edvel em: &lt;<a href=\"https:\/\/bmjopen.bmj.com\/content\/13\/9\/e066171\">https:\/\/bmjopen.bmj.com\/content\/13\/9\/e066171<\/a>&gt; Acesso em 03 de setembro de 2024.<\/li>\n<li>Carter BA, Shulman RJ. Mechanisms of disease: update on the molecular etiology and fundamentals of parenteral nutrition associated cholestasis. Nat Clin Pract Gastroenterol Hepatol. 2007;4:277-87. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.nature.com\/articles\/ncpgasthep0796\">https:\/\/www.nature.com\/articles\/ncpgasthep0796<\/a>&gt; Acesso em 1\u00ba de agosto de 2024.<\/li>\n<li>Wanten GJA, Calder PC. Immune modulation by parenteral lipid emulsions. Am J Clin Nutr. 2007;85:1171-84. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0002916523280521?via%3Dihub\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0002916523280521?via%3Dihub<\/a>&gt; Acesso em 03 de setembro de 2024.<\/li>\n<li>Waitzberg DL, Torrinhas RS. Fish oil lipid emulsions and immune response: what clinicians need to know. Nutr Clin Pract. 2009;24:487-99. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533609339071\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533609339071<\/a>&gt; Acesso em 1\u00ba de agosto de 2024.<\/li>\n<li>Innes JK, Calder PC. Omega-6 fatty acids and inflammation. Prostaglandins Leukot Essent Fatty Acids. 2018;132:41-8. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.plefa.com\/article\/S0952-3278(18)30074-7\/abstract\">https:\/\/www.plefa.com\/article\/S0952-3278(18)30074-7\/abstract<\/a>&gt; Acesso em 1\u00ba de agosto de 2024.<\/li>\n<li>Lee WS, Chew KS, Ng RT, Kasmi KE, Sokol RJ. Intestinal failure-associated liver disease (IFALD): Insights into pathogenesis and advances in management. Hepatol Int. 2020;14:305-16. Dispon\u00edvel em: &lt;<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s12072-020-10048-8\">https:\/\/link.springer.com\/article\/10.1007\/s12072-020-10048-8<\/a>&gt; Acesso em 1\u00ba de agosto de 2024.<\/li>\n<li>Mihajlovic M, Kolar NM, Djordjevic J, Nikolic DM, Stankovic M, Petrovi\u0107 MD, et al. Parenteral nutrition-associated liver injury: clinical relevance and mechanistic insights. Toxicol Sci. 2024;199(1):1-11. Dispon\u00edvel em: &lt;https:\/\/pubmed.ncbi.nlm.nih.gov\/38383052\/&gt; Acesso em 03 de setembro de 2024.<\/li>\n<li>Zaloga GP. Phytosterols, lipid administration, and liver disease during parenteral nutrition. J Parenter Enteral Nutr. 2015;39(1 Suppl):39S-60S. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607115595978\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607115595978<\/a>&gt; Acesso em 1\u00ba de agosto de 2024.<\/li>\n<li>Puder M, Valim C, Meisel JA, Le HD, de Meijer VE, Robinson EM, et al. Parenteral fish oil improves outcomes in patients with parenteral nutrition-associated liver injury. Ann Surg. 2009;250:395-402. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3366279\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3366279\/<\/a>&gt; Acesso em 03 de setembro de 2024.<\/li>\n<li>DiNicolantonio JJ, O\u2019Keefe JH. Importance of maintaining a low omega-6\/omega-3 ratio for reducing inflammation. Open Heart. 2018;5 Dispon\u00edvel em: &lt;<a href=\"https:\/\/openheart.bmj.com\/content\/5\/2\/e000946.long\">https:\/\/openheart.bmj.com\/content\/5\/2\/e000946.long<\/a>&gt; Acesso em 03 de setembro de 2024.<\/li>\n<li>Guthrie G, Burrin D. Impact of parenteral lipid emulsion components on cholestatic liver disease in neonates. Nutrients. 2021;13:508 Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.mdpi.com\/2072-6643\/13\/2\/508\">https:\/\/www.mdpi.com\/2072-6643\/13\/2\/508<\/a>&gt; Acesso em 03 de setembro de 2024.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nutri\u00e7\u00e3o parenteral na cirurgia hep\u00e1tica pode ter um papel relevante na manuten\u00e7\u00e3o e melhora do estado nutricional desses pacientes, inclusive ap\u00f3s o procedimento, principalmente quando se leva em conta que a via enteral n\u00e3o est\u00e1 dispon\u00edvel por conta do processo de recupera\u00e7\u00e3o da fun\u00e7\u00e3o intestinal no p\u00f3s-operat\u00f3rio imediato1. No entanto, a introdu\u00e7\u00e3o da nutri\u00e7\u00e3o [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":2040,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[280,281,282,67,99],"class_list":["post-2038","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-cirurgia-hepatica","tag-dano-hepatico","tag-funcao-hepatica","tag-nutricao-parenteral","tag-omega-3"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>O \u00f4mega-3 na nutri\u00e7\u00e3o parenteral na cirurgia hep\u00e1tica<\/title>\n<meta name=\"description\" content=\"O \u00f4mega-3 oferece uma s\u00e9rie de benef\u00edcios para pacientes em terapia nutricional parenteral na cirurgia hep\u00e1tica.\" \/>\n<meta name=\"robots\" content=\"index, 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