Manejo preoperatorio de la anemia en cirugia oncologica.

Autors de IIS La Fe

• 

  Óscar Díaz Cambronero

  Autor

• Salomé Matoses Jaén

  Autor

• Natalia García Claudio

  Autor

• Nuria García Gregorio

  Autor

Autors aliens a IIS La Fe

• Molins-Espinosa J

Grups d'Investigació

• Anestesia y Cuidados Críticos

  Investigador Principal

  María Azucena Pajares Moncho

Abstract

Preoperative anemia in patients with cancer is highly prevalent, is associated with increased perioperative morbidity and is a risk factor for transfusion. There is evidence that patients who undergo transfusions have higher morbidity, increased cancer recurrence and poorer survival. The pathophysiology of anemia is multifactorial, with an inflammatory component to which chronic blood loss and nutritional deficiencies can be associated. Therefore, preoperative anemia in patients with cancer should be treated appropriately, given that there is sufficient time in the preoperative period. Of the currently available options, parenteral iron is an effective alternative, especially for those types of cancer that have an associated hemorrhagic component.

Keywords

• *Anemia preoperatoria; *Cirugia oncologica; *Hierro parenteral; *Oncologic surgery; *Parenteral iron; *Preoperative anemia; *Transfusion; *Transfusion