Surgical Metabolism and Nutrition最新文献

Validity of Bioelectrical Impedance Analysis for Older Amputees with Leprosy 老年麻风截肢患者生物电阻抗分析的有效性

Surgical Metabolism and Nutrition Pub Date : 2021-06-30 DOI: 10.18858/smn.2021.12.1.7

Ji-hyun Lee, Seorin Doo, Yeonhee Lee, Jaeyoung Ahn, Yookyoung Park, Hyunjun Shin, Jae-myeong Lee

引用次数: 1

Effect of Malnutrition Assessed by Comprehensive Nutritional Screening Tool on In-Hospital Mortality after Surgery for Gastrointestinal Perforation 综合营养筛查工具评估营养不良对胃肠道穿孔术后住院死亡率的影响

Surgical Metabolism and Nutrition Pub Date : 2021-06-30 DOI: 10.18858/smn.2021.12.1.1

Seung-Young Oh, Hannah Lee, H. Ryu, Hyuk-Joon Lee

{"title":"Effect of Malnutrition Assessed by Comprehensive Nutritional Screening Tool on In-Hospital Mortality after Surgery for Gastrointestinal Perforation","authors":"Seung-Young Oh, Hannah Lee, H. Ryu, Hyuk-Joon Lee","doi":"10.18858/smn.2021.12.1.1","DOIUrl":"https://doi.org/10.18858/smn.2021.12.1.1","url":null,"abstract":"Purpose: This study examined the effects of malnutrition on in-hospital mortality after surgery for gastrointestinal (GI) perforation. Materials and Methods: Patients who underwent surgery for GI perforation between 2010 and 2017 were analyzed retrospectively. The preoperative nutritional status was assessed by the Seoul National University Hospital-Nutrition Screening Index, a tool that comprehensively evaluates 11 factors that reflect the nutritional status. The risk factors for in-hospital mortality after surgery for GI perforation were evaluated by univariate and multivariate analyses. Results: Four hundred and eighty-nine patients were divided into two groups: 439 patients in the survival group and 50 patients in the in-hospital mortality group. The risk of malnutrition was higher (93.6% vs. 65.9%, P<0.001) in the in-hospital mortality group than in the survival group. The preoperative albumin level was lower, and the blood urea nitrogen level was higher in the in-hospital mortality group than in the survival group. Emergency surgery, lymphoma as a cause of perforation, and fecal-contaminated ascites were also identified as factors associated with in-hospital mortality. Multivariate analyses demonstrated that a high risk of malnutrition (HR=5.71, 95% CI 1.38~26.02, P=0.017), lymphoma as a cause of perforation (HR=4.12, 95% CI 1.17~14.51, P=0.028), low preoperative albumin (HR=4.77, 95% CI 2.35~9.69, P<0.001), and high preoperative BUN (HR=1.03, 95% CI 1.01~1.05, P=0.001) had significant effects on the in-hospital mortality after surgery for GI perforation. Conclusion: A high risk of malnutrition assessed by the composite index was associated with in-hospital mortality after surgery for a GI perforation.","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129780848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Impact of Preoperative Sarcopenia to Postoperative Prognosis in Patients with Periampullary Malignancy: Retrospective Multicenter Study 壶腹周围恶性肿瘤患者术前肌肉减少对术后预后的影响:回顾性多中心研究

Surgical Metabolism and Nutrition Pub Date : 2020-12-30 DOI: 10.18858/smn.2020.11.2.40

Jee-Hyun Park, Y. Ryu, S. Song, Naru Kim, S. Shin, J. Heo, D. Choi, W. Jeong, W. Jung, Y. C. Shin, C. Lim, I. Han

引用次数: 0

Preoperative Neutrophil to Lymphocyte Ratio and Albumin Level as Predictors for Postoperative Complication in Patients with Colorectal Cancer 术前中性粒细胞/淋巴细胞比值和白蛋白水平预测结直肠癌患者术后并发症

Surgical Metabolism and Nutrition Pub Date : 2020-12-30 DOI: 10.18858/smn.2020.11.2.66

Kyung Pil Kang, Young Hun Kim, K. Kim

{"title":"Preoperative Neutrophil to Lymphocyte Ratio and Albumin Level as Predictors for Postoperative Complication in Patients with Colorectal Cancer","authors":"Kyung Pil Kang, Young Hun Kim, K. Kim","doi":"10.18858/smn.2020.11.2.66","DOIUrl":"https://doi.org/10.18858/smn.2020.11.2.66","url":null,"abstract":"Purpose: Systematic inflammatory response biomarkers are recognized as potential prognostic factors for colorectal cancer (CRC). Recently, the neutrophil-to-lymphocyte ratio (NLR) has emerged as a possible marker for predicting the outcomes of patients with CRC. The purpose of the current study was to determine if NLR could function as a predictive marker of postoperative complications in patients with colorectal cancer who were treated surgically. Materials and Methods: One hundred and seven patients who underwent radical surgery for colorectal cancer were enrolled in the study. The NLR values were determined from the complete blood counts within one month before surgery. Values of less than or greater than 3 were defined as low (NLR-low) or high (NLR-high), respectively. Statistical comparisons were made between the NLR and the clinical-pathological variables. Results: Sixty-eight patients met the criteria of NLR-low, and 39 patients were categorized as NLR-high. The NLR status was significantly correlated with T-stage, perineural invasion, and an increased likelihood of complications. Univariate analysis indicated that both low albumin and meeting the criteria for the NLR-high group correlated with an increased occurrence of complications (P=0.004, P=0.004, respectively). Multivariate analysis identified NLR-high and low albumin levels as independent predictors for complications (P=0.007, odd ratio=6.405, P=0.016, odd ratio=9.641, respectively) Conclusion: The current results suggest that the preoperative NLR levels could be useful tools for predicting the occurrence of postoperative complications.","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130263375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of Intravenous Ferric Carboxymaltose in Patients with Acute Post-Operative Anemia after Colorectal Cancer Surgery 静脉注射羧麦芽糖铁治疗结直肠癌术后急性贫血的疗效

Surgical Metabolism and Nutrition Pub Date : 2020-12-30 DOI: 10.18858/smn.2020.11.2.61

Y. Oh, Dae Hee Pyo, Jung Kyong Shin, Y. Park, J. Huh, H. Kim, S. Yun, W. Lee, Y. Cho

{"title":"Efficacy of Intravenous Ferric Carboxymaltose in Patients with Acute Post-Operative Anemia after Colorectal Cancer Surgery","authors":"Y. Oh, Dae Hee Pyo, Jung Kyong Shin, Y. Park, J. Huh, H. Kim, S. Yun, W. Lee, Y. Cho","doi":"10.18858/smn.2020.11.2.61","DOIUrl":"https://doi.org/10.18858/smn.2020.11.2.61","url":null,"abstract":"Purpose: This study evaluated the efficacy of administering intravenous ferric carboxymaltose (Ferinject ® ) in patients with acute post-operative anemia after colorectal surgery. Materials and Methods: Patients with colorectal cancer, who underwent colectomy from January 2017 to July 2019 at the Samsung Medical Center, were retrospectively reviewed. Depending on their body weight, patients were administered 500 mg or 1000 mg of ferric carboxymaltose (ferric carboxymaltose group, 92 patients). The primary outcome evaluated was serum hemoglobin level on post-operative day 21. The secondary outcome was the number of hemoglobin responders, defined as the proportion of patients with normalized serum hemoglobin on post-operative day 21 (hemoglobin level of 12 g/dL or more for male, 11 g/dL or more for female), and a serum hemoglobin increase of 2 g/dL or more from baseline (day 0). Results: Of the 560 patients who underwent colectomy, 92 patients (median age, 67 years; women 59.8%; mean baseline hemoglobin level 10.7 g/dL) received intravenous ferric carboxymaltose. Compared with the no-ferric carboxymaltose group, patients in the ferric carboxymaltose group experienced significantly greater improvement in serum hemoglobin level (post-operative day 5: 8.9 g/dL, P=0.09; post-operative day 21: 11.7 g/dL, P=0.006). The increase in hemoglobin levels was significantly greater in the ferric carboxymaltose group (2.7 g/dL) than the no-ferric carboxymaltose group (2.1 g/dL) (P=0.002). Conclusion: Findings of this study indicate a better outcome after administering intravenous ferric carboxymaltose, which results in continuous increase in the levels of hemoglobin during the early post-operative period after colorectal cancer surgery.","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130366854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Nutritional Status of Patients with Hepatobiliary-Pancreatic Surgical Disease 肝胆胰外科疾病患者的营养状况

Surgical Metabolism and Nutrition Pub Date : 2020-12-30 DOI: 10.18858/smn.2020.11.2.46

Sang Soo Eom, Y. C. Shin, C. Lim, I. Han, W. Jung, Y. Byun, D. Choi, J. Heo, Hongbeom Kim

{"title":"Nutritional Status of Patients with Hepatobiliary-Pancreatic Surgical Disease","authors":"Sang Soo Eom, Y. C. Shin, C. Lim, I. Han, W. Jung, Y. Byun, D. Choi, J. Heo, Hongbeom Kim","doi":"10.18858/smn.2020.11.2.46","DOIUrl":"https://doi.org/10.18858/smn.2020.11.2.46","url":null,"abstract":"Purpose: This study examined the nutritional status of patients with hepatobiliary-pancreatic diseases before surgery to establish basic reference data. Materials and Methods : This study evaluated retrospectively 2,322 patients admitted for hepatobiliary-pancreatic surgery between 2014 and 2016 at four Korean medical institutions using the body mass index (BMI) score. The prognostic nutrition index (PNI) was calculated in patients diagnosed with malignant diseases. Results: The mean BMI was 24.0 kg/m 2 (range, 13.2~39.1 kg/m 2 ). The patients were classified as low BMI (<21.5 kg/ m 2 , below 25 percentile), intermediate BMI (21.5~25.5 kg/m 2 ), and high BMI (>25.5 kg/m 2 , above 75 percentile). There were significant differences in the age, sex distribution, ASA classification, type of hospitalization, biliary drainage, organ, and pathology diagnosis between the pairs among the low, intermediate, and high BMI groups. Among the three BMI groups, the complication rate of the low BMI group was highest (34.4% vs. 29.7% vs. 25.8% P=0.005). The median lengths of hospital stay in the low, intermediate, and high BMI groups were 9, 9, and 7 days, respectively (P<0.001). Multivariate analysis revealed the risk factors of the low BMI group to be a higher ASA classification, biliary drainage, pancreatic disease, and malignant disease. The group with PNI<45 had significantly longer hospital stays than the group with PNI≥45 (P<0.001). Conclusion: low BMI had ASA classification, preoperative biliary drainage, disease, and than necessary for assessing the risk of malnutrition and its treatment.","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121950277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usefulness of Bioelectrical Impedance Analysis as a Guidance of Fluid Management in Critically Ill Patients after Major Abdomen Surgery; a Single Center, Prospective Cohort Study 生物电阻抗分析对腹部大手术后危重病人输液管理的指导意义单中心前瞻性队列研究

Surgical Metabolism and Nutrition Pub Date : 2020-12-30 DOI: 10.18858/smn.2020.11.2.53

Yoon Ji Chung, E. Y. Kim

{"title":"Usefulness of Bioelectrical Impedance Analysis as a Guidance of Fluid Management in Critically Ill Patients after Major Abdomen Surgery; a Single Center, Prospective Cohort Study","authors":"Yoon Ji Chung, E. Y. Kim","doi":"10.18858/smn.2020.11.2.53","DOIUrl":"https://doi.org/10.18858/smn.2020.11.2.53","url":null,"abstract":"Purpose: We evaluated the patterns and changes in bioelectrical impedance analysis parameters of patient who underwent abdominal surgery throughout the early period in surgical intensive care unit stay. Materials and Methods: From May 2019 to April 2020, patients admitted to surgical intensive care unit for more than 48 hours after surgery were enrolled. Body composition and volume status of patients were measured prospectively using portable bioelectrical impedance analysis device every morning for three days from the day of intensive care unit admission. Overhydration was defined as the case where the value of extracellular water ratio is above 0.390, and the participants were daily classified into overhydration or normohydration group. Relationship between daily volume status measured by bioelectrical impedance analysis and outcomes was assessed. Results: 107 patients who underwent abdominal surgery and 26 patients who underwent endovascular surgery were reviewed as control group. During the first postoperative 48 hours, most of them showed overhydration status, while the rate of overhydaration was significantly lower in the control group. Overhydration status on day 3 was significant predictors of postoperative morbidities (OR 5.709, 95% CI 2.199~14.819, P<0.001) and in-hospital mortality (OR 4.244, 95% CI 1.398~12.883, P<0.001). Conclusion: Overhydration status by extracellular water ratio on postoperative day 3 needs careful monitoring and appropriate interventions to improve the postoperative morbidities and in-hospital mortality. Bioelectrical impedance analysis could be a simple, easy and useful tool to monitor the volume status of patients who requiring intensive fluid resuscitation after abdominal surgery.","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125763665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Muscle Protein Metabolism in Critically Illness 危重疾病中的肌肉蛋白质代谢

Surgical Metabolism and Nutrition Pub Date : 2020-12-30 DOI: 10.18858/smn.2020.11.2.35

Min Chang Kang

引用次数: 1

Risk Factors for Unexpected Removal of Peripherally Inserted Central Catheters and Proper Duration of the Catheter Maintenance 外周置管中心导管意外拔出的危险因素及导管维持的适当时间

Surgical Metabolism and Nutrition Pub Date : 2020-06-30 DOI: 10.18858/smn.2020.11.1.27

Narang Lee, Hyundong Chae, In-Hwan Kim

{"title":"Risk Factors for Unexpected Removal of Peripherally Inserted Central Catheters and Proper Duration of the Catheter Maintenance","authors":"Narang Lee, Hyundong Chae, In-Hwan Kim","doi":"10.18858/smn.2020.11.1.27","DOIUrl":"https://doi.org/10.18858/smn.2020.11.1.27","url":null,"abstract":"Purpose: Despite the advantages of a peripherally inserted central catheter (PICC), many complications have led to the unexpected removal of catheters. On the other hand, there are no guidelines for the duration of PICC maintenance. This study analyzed the risk factors for the unexpected removal of PICC to suggest guidelines for the duration of catheter maintenance. Materials and Methods: Among 520 patients who underwent PICC insertion from January 2014 to December 2015, 407 were included. Unexpected removal was observed in 95 patients. Univariate and multivariate analyses were performed to evaluate the risk factors for unexpected removal. The changing pattern of the probability of unexpected removal was analyzed by change point analysis. Results: Malignancy (OR=4.498, 95% CI=2.49∼8.125) and ICU hospitalization (OR=4.218, 95% CI=1.694∼10.505) were significant risk factors for the unexpected removal of PICC. The left arm (OR=0.279, 95% CI=0.143∼0.544) and basilic vein (OR=0.323, 95% CI=0.192∼0.545) were associated with a lower probability of unexpected removal compared to the right arm and brachial vein, but selection bias could exist in the arm side and vein. Change-point analysis revealed a rapid increase in the probability of unexpected removal after 54 catheter days. Conclusion: This study suggests the removal or exchange of PICC before 54 catheter days to minimize serious complications. More attention is needed for patients with malignancies and ICU stays. (Surg Metab Nutr 2020;11:27-33)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124123271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of Muscle Using CT Anthropometry in Major Trauma Patients 重大创伤患者的肌肉CT人体测量分析

Surgical Metabolism and Nutrition Pub Date : 2020-06-30 DOI: 10.18858/smn.2020.11.1.12

H. Cho, Y. Hwang, Y. Lee, D. Cho, D. Lee, Maru Kim

{"title":"Analysis of Muscle Using CT Anthropometry in Major Trauma Patients","authors":"H. Cho, Y. Hwang, Y. Lee, D. Cho, D. Lee, Maru Kim","doi":"10.18858/smn.2020.11.1.12","DOIUrl":"https://doi.org/10.18858/smn.2020.11.1.12","url":null,"abstract":"Purpose: The feasibility of nutritional assessment using computed tomography anthropometry has been previously proven. The abdominal muscle at the L3 vertebra is a well-known nutritional biomarker for predicting the prognosis of various diseases, and especially sarcopenia. However, any studies on nutritional assessment of the brain, face, or neck via computed tomography are still scarce. We retrospectively investigated the applicability of the masseter muscle as a nutritional biomarker. Materials and Methods: Patients who underwent simultaneous brain and abdominopelvic computed tomography at a regional trauma center were retrospectively analyzed. Their masseter muscles at 2 cm below the zygomatic arch and abdominal muscle at L3 were assessed via computed tomography anthropometry. Basic clinical data including trauma information was also reviewed. The data was analyzed in conjunction with the patients’ mortality. Results: A total of 411 patients were analyzed in the study (316 men and 95 women, mean age: 50.41 years, mean areas of the masseter and abdominal muscles: 10.6 and 137.3 cm 2 , respectively) and there 146 major trauma patients with an injury severity score higher than 15. The masseter muscle area was decreased in the mortality group of major trauma patients (10.4 vs 7.9 cm 2 , P=0.001). However, abdominal muscles did not show statistical significance (137.9 vs. 117.7 cm 2 , P=0.054). Conclusion: The masseter muscle, when analyzed via computed tomography anthropometry, showed a statistical association with patients’ mortality and it could prove its feasibility as a nutritional biomarker. (Surg Metab Nutr 2020;11:12-15)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131217147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0