ROLE DE LA PRISE EN CHARGE NURITIONNELLE PERI OPERATOIRE SUR LA REHABILITATION POSTOPERATOIRE EN CHIRURGIE DIGESTIVE A SOISSONS - FRANCE

Perioperative nutritional management plays an essential role in postoperative rehabilitation: postoperative complications increase when perioperative malnutrition is present. Thesecomplications associatedto undernutrition can range from a simple hydro-electrolyte disorders prolonging the duration of hospitalization until death (29% versus 4% in normal subjects). Objective: To assessthe role of perioperative nutritional support on postoperative rehabilitation in digestive surgery. Type of study: Observational, analytical, prospective, monocentric study. Patients and methods: All patients hospitalized from May 2018 to April 2019 (12 months) who underwent digestive surgery by midline laparotomy were included. The Chi² test was used for correlation analysis between perioperative nutrition and postoperative rehabilitation. A p-value of less than 0.05 was considered significant. Results: Forty-seven patients were selected, aged 63 [32-100] years, sex ratio 1.47. Eighteen patients received preoperative nutritional support and 44 received postoperative nutrition. Pre- and postoperative protein intakes was correlated with first rising (p = 0,036 X² = 8,516) and complete ambulation (p