{"id":26942,"date":"2018-03-09T09:19:00","date_gmt":"2018-03-09T09:19:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-introduccion-de-un-protocolo-de-ingesta-oral-precoz-en-el-postoperatorio-inmediato-de-ciruga%c2%ada-colorrectal\/"},"modified":"2018-03-09T09:19:00","modified_gmt":"2018-03-09T09:19:00","slug":"estudio-de-la-introduccion-de-un-protocolo-de-ingesta-oral-precoz-en-el-postoperatorio-inmediato-de-ciruga%c2%ada-colorrectal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/pais-vasco-euskal-herriko-unibertsitatea\/estudio-de-la-introduccion-de-un-protocolo-de-ingesta-oral-precoz-en-el-postoperatorio-inmediato-de-ciruga%c2%ada-colorrectal\/","title":{"rendered":"Estudio de la introducci\u00f3n de un protocolo de ingesta oral precoz en el postoperatorio inmediato de cirugia colorrectal"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Yarnoz Irazabal M. Concepci\u00f3n <\/strong><\/h2>\n<p>Objetivos: los objetivos de este estudio fueron valorar la posibilidad de alimentaci\u00f3n oral en el postoperatorio inmediato de cirug\u00eda colorrectal y evaluar si esta alimentaci\u00f3n influ\u00eda en la morbilidad postoperatoria y en la estancia postoperatorio.  pacientes y m\u00e9todos: 200 pacientes fueron aleatorizados en dos grupos. en el grupo control, grupo 1, la sonda nasog\u00e1strica se mantuvo colocada hasta que se observaron signos de peristaltismo intestinal y la ingesta oral no se inici\u00f3 hasta que no se retir\u00f3 la sonda. En el grupo estudio, grupo 2, la sonda nasog\u00e1strica se retir\u00f3 nada m\u00e1s terminar la inducci\u00f3n anest\u00e9sica y la tolerancia oral se inicio el d\u00eda siguiente de la intervenci\u00f3n. las variables registradas fueron: la presencia de sonda durante los diez primeros d\u00edas del postoperatorio, la tolerancia a la ingesta oral, la presencia de nauseas y v\u00f3mitos, la necesidad de recolocar la sonda nasog\u00e1strica, la morbilidad asociada y la fecha de la alta hospitalaria.  resultados: no hubo mortalidad en la serie. Los pacientes del grupo 2 no necesitaron la sonda nasog\u00e1strica de manera rutinaria, la tasa de colocaci\u00f3n fue del 18,5%. El 92,5% de los pacientes del grupo 2 iniciaron la ingesta oral el primer d\u00eda postoperatorio frente a ning\u00fan paciente del grupo 1 (p menor 0,05); estas diferencias se mantuvieron hasta el quito d\u00eda del postoperatorio. Los pacientes del grupo 2 presentaron m\u00e1s v\u00f3mitos durante los cuatro primeros d\u00edas que los del grupo 1. No hubo diferencias en cuanto a la morbilidad. Los pacientes del grupo 2 fueron dados de alta de forma m\u00e1s precoz (estancia hospitalaria grupo 2:12,95 \/ 4,43; grupo 1: 16,35 \/ 9,36 p menor 0,05).  conclusiones: es posible iniciar de forma precoz la alimentaci\u00f3n oral en el postoperatorio inmediato de cirug\u00eda colorrectal. La alimentaci\u00f3n oral precoz no aumenta la morbilidad postoperatoria y permite disminuir la estancia hospitalaria.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la introducci\u00f3n de un protocolo de ingesta oral precoz en el postoperatorio inmediato de cirugia colorrectal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la introducci\u00f3n de un protocolo de ingesta oral precoz en el postoperatorio inmediato de cirugia colorrectal <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Yarnoz Irazabal M. Concepci\u00f3n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/11\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Hector Ortiz Hurtado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Garcia granero ximenez <\/li>\n<li>Juan  Manuel Casas fernandez de tejerina (vocal)<\/li>\n<li>damian Garc\u00eda olmo (vocal)<\/li>\n<li>sebastiano Biondo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Yarnoz Irazabal M. Concepci\u00f3n Objetivos: los objetivos de este estudio fueron valorar la posibilidad de alimentaci\u00f3n oral [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[12909],"tags":[19295,12270,17807,50987,77636,77635],"class_list":["post-26942","post","type-post","status-publish","format-standard","hentry","category-pais-vasco-euskal-herriko-unibertsitatea","tag-damian-garcia-olmo","tag-eduardo-garcia-granero-ximenez","tag-hector-ortiz-hurtado","tag-juan-manuel-casas-fernandez-de-tejerina","tag-sebastiano-biondo","tag-yarnoz-irazabal-m-concepcion"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/26942","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=26942"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/26942\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=26942"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=26942"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=26942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}