• Jesús Manuel Morán López, María Piedra León, María Teresa García Unzueta, María Ortiz Espejo, Miriam Hernández González, Ruth Morán López, and José Antonio Amado Señaris.
• Unidad de Endocrinología y Nutrición, Hospital San Pedro de Alcántara, Cáceres, España. Electronic address: jesusmoranlopez@yahoo.es.
• Cir Esp. 2014 Jun 1;92(6):379-86.

AbstractThe relationship between preoperative malnutrition and morbi-mortality has been documented for years. Despite the existence of tools that allow its detection, and therefore treat this entity, their introduction into clinical practice is not wide-spread. Both perioperative insulin resistance and hyperglycemia are associated with increased perioperative morbidity and length of hospital stay. The intake of carbohydrate-rich drinks 2-4h prior to surgery reduces insulin resistance. In the immediate postoperative period, the enteral route is safe and well tolerated and its early use reduces hospital stay and postoperative complications compared with parenteral nutritional support. Inmunonutrition has been proven effective to decrease postoperative complications and hospital stay. In view of these data we opted for the adoption of these measures replacing bowel rest and the indiscriminate use of postoperative parenteral nutrition.Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.

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