<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932021000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía mayor abdominal electiva sin descompresión nasogástrica y con apertura precoz de vía oral]]></article-title>
<article-title xml:lang="en"><![CDATA[Major Elective Abdominal Surgery without Nasogastric Decompression and with Early Opening of the Oral Route]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamora Santana]]></surname>
<given-names><![CDATA[Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quesada Peña]]></surname>
<given-names><![CDATA[Susel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Licea Videaux]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacios Morejón]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar Rojas]]></surname>
<given-names><![CDATA[Ilionis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González González]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932021000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932021000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932021000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La descompresión con sonda nasogástrica y la vía oral cerrada por varios días, ha sido práctica común tras procedimientos quirúrgicos electivos del tracto digestivo. Los programas para mejorar la recuperación posoperatoria (Enhanced Recovery After Surgery), aconsejan cambiar esta práctica.  Objetivo:  Evaluar el cumplimiento y repercusión en la evolución posoperatoria de dos acciones del programa en el retiro de la sonda nasogástrica y la apertura de la vía oral el día de la intervención.  Métodos:  Se realizó un estudio prospectivo, en el Servicio de Cirugía General del Hospital &#8220;Hermanos Ameijeiras&#8221; de septiembre 2017 a agosto 2020. La muestra fue de 270 pacientes con intervención quirúrgica mayor electiva del colon, hígado, vía biliar o páncreas, a los que se les aplicó el programa para mejorar la recuperación posoperatoria.  Resultados:  En 79,6 % de pacientes, la sonda nasogástrica se retiró en el quirófano tras la intervención y esto se asoció a más rápida recuperación de la función intestinal, menor estadía, complicaciones, reingresos y reintervenciones. En 60 % se inició la vía oral 6 horas después de la cirugía y 79,6 % toleraban dieta blanda a las 48 horas. Estos pacientes presentaron menos complicaciones y mortalidad.  Conclusiones: En el contexto de un programa para mejorar la recuperación posoperatoria, tras cirugía abdominal electiva, el retiro de la sonda nasogástrica el día de la intervención, con apertura precoz de la vía oral y rápida progresión a dieta blanda, son acciones bien toleradas que repercuten positivamente en la evolución posoperatoria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Nasogastric tube decompression, together with the oral route closed for several days, has been a common practice after elective surgical procedures of the digestive tract. Programs to improve postoperative recovery (Enhanced Recovery After Surgery) advise changing this practice.  Objective: To assess compliance and impact on postoperative evolution of two program actions for nasogastric tube removal and opening of the oral route on the intervention day.  Methods: A prospective study was carried out, from September 2017 to August 2020, in the general surgery service of Hermanos Ameijeiras Hospital. The sample consisted of 270 patients who underwent major elective surgery of the colon, liver, bile duct or pancreas and were applied the program to improve postoperative recovery.  Results: In 79.6% of patients, the nasogastric tube was removed in the operating room after the intervention, a fact associated with faster recovery of intestinal function, shorter stay, as well as fewer complications, readmissions and reinterventions. In 60% of the patients, the oral route was started at six hours after surgery, while 79.6% of them tolerated a soft diet at 48 hours. These patients presented fewer complications and mortality.  Conclusions:  In the context of a program to improve postoperative recovery after elective abdominal surgery, nasogastric tube removal on the intervention day, with early opening of the oral route and rapid progression to a soft diet, are well-tolerated actions that have a positive effect on postoperative evolution.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[programas ERAS]]></kwd>
<kwd lng="es"><![CDATA[cirugía Fast-track]]></kwd>
<kwd lng="es"><![CDATA[recuperación posoperatoria]]></kwd>
<kwd lng="en"><![CDATA[ERAS programs]]></kwd>
<kwd lng="en"><![CDATA[fats-track surgery]]></kwd>
<kwd lng="en"><![CDATA[postoperative recovery]]></kwd>
</kwd-group>
</article-meta>
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