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Surgical Metabolism and Nutrition最新文献

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Status of Nutritional Support after Emergency Gastrointestinal Surgery in Korea: Retrospective Multicenter Study 韩国紧急胃肠手术后的营养支持状况:回顾性多中心研究
Surgical Metabolism and Nutrition Pub Date : 2020-06-30 DOI: 10.18858/smn.2020.11.1.1
Dae-Sang Lee, Youngeun Park, Kyoung Hoon Lim, Ye Rim Chang, Suk‐Kyung Hong, M. Kang, J. Bae, J. Jang, Y. Jo, Ki Hoon Kim, G. Lee
{"title":"Status of Nutritional Support after Emergency Gastrointestinal Surgery in Korea: Retrospective Multicenter Study","authors":"Dae-Sang Lee, Youngeun Park, Kyoung Hoon Lim, Ye Rim Chang, Suk‐Kyung Hong, M. Kang, J. Bae, J. Jang, Y. Jo, Ki Hoon Kim, G. Lee","doi":"10.18858/smn.2020.11.1.1","DOIUrl":"https://doi.org/10.18858/smn.2020.11.1.1","url":null,"abstract":"Purpose: Surgery itself causes an inflammatory response to an injury to the patient that leads to a stress metabolic state. Emergency gastrointestinal surgery may cause complications, such as ileus, bowel obstruction, ischemia, or anastomotic leakage, resulting in a delayed oral diet or poor overall nutrition. This study investigated the route of nutrition for patients who underwent emergency gastrointestinal surgery and when to provide nutrition after surgery. Materials and Methods: Ten hospitals collected data retrospectively on the nutritional status and nutritional status of patients undergoing emergency gastrointestinal surgery for one year from January to December 2016. The clinical outcomes of the nutrient supply method, duration of supply, and type of surgery were performed. The dates from the time of surgery to the start of enteral nutrition, oral nutrition, and parenteral nutrition were calculated. Results: Of 706 patients, there were 187 (26.5%) trauma patients, of which 63.5% were male. The onset of nutrition began after an average of 10.7 days postoperatively and after an average of 12.1 days of enteral nutrition. On average, it took 7.7 days to provide adequate calories, of which 63.3% had achieved adequate calories within a week. In the case of minimally invasive surgery, such as laparoscopic surgery, the adequate calorie supply time was five days, which was reached within one week. Conclusion: In a retrospective multicenter analysis, the patients who underwent emergency gastrointestinal surgery had a late start of oral or enteral nutrition, and the ratio of adequate calorie supply within a week was low. (Surg Metab Nutr 2020;11:1-6)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"62 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":"121834866","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
Risk Factor of Anemia after a Gastrectomy in Patients with Gastric Cancer 胃癌患者胃切除术后贫血的危险因素
Surgical Metabolism and Nutrition Pub Date : 2019-06-30 DOI: 10.18858/SMN.2019.10.1.15
I. Yang, Dong-wook Kim, Y. Jee
{"title":"Risk Factor of Anemia after a Gastrectomy in Patients with Gastric Cancer","authors":"I. Yang, Dong-wook Kim, Y. Jee","doi":"10.18858/SMN.2019.10.1.15","DOIUrl":"https://doi.org/10.18858/SMN.2019.10.1.15","url":null,"abstract":"Purpose: In this study, we evaluate hematologic change of iron and vitamin B 12 on post-operative anemia after gastrectomy for gastric cancer. Materials and Methods: The patients with gastric cancer who underwent gastrectomy between January 2013 and December 2013 in Dankook university hospital were retrospectively reviewed. The 62 patients were followed up for 36 month postoperatively. Results: The incidences of anemia in female patients were turned out to be higher than those in male patients but there were no statistical difference; (44.4% vs 40.9%, P=0.399) at 6 month, (33.3% vs 25.0%, P=0.252) at 12 month, (22.2% vs 15.9%, P=0.277) at 18 month, (27.8% vs 15.9%, P=0.142) at 36 month after surgery. Patients with distal gastrectomy after the surgery showed decreasing incidence of anemia while patients with total gastrectomy showed decreasing incidence of anemia until 12 months but increasing incidence after that time. Conclusion: Anemia, Vitamin B 12 and iron deficiency must be evaluated after surgery for gastric cancer and active treatment is necessary as needed. (Surg Metab Nutr 2019;10:15-19)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126254215","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
Major Surgery in Sarcopenic Patients 肌肉减少症患者的大手术
Surgical Metabolism and Nutrition Pub Date : 2019-06-30 DOI: 10.18858/SMN.2019.10.1.5
K. Seo
{"title":"Major Surgery in Sarcopenic Patients","authors":"K. Seo","doi":"10.18858/SMN.2019.10.1.5","DOIUrl":"https://doi.org/10.18858/SMN.2019.10.1.5","url":null,"abstract":"Sarcopenia refers to reduced muscle mass in the elderly population, and this malady is of great interest in clinical course, including postoperative complications and mortality when treating major cancer in the elderly. The definition of sarcopenia varies according to the method of measuring muscle mass, and the skeletal muscle index (SMI) tends to be extensively used in retrospective studies. In many reports, sarcopenia has been reported to be a poor prognostic factor after gastrectomy, colectomy, pancreatectomy and liver transplantation, with regards to complications and the length of the hospital stay. Additionally, patients suffering from sarcopenia have a higher medical burden due to their poor clinical outcome after surgery. To overcome these difficulties, nutritional support and exercise training to improve sarcopenia before surgery is helpful, and so further studies that focus on these treatments need to be conducted. (Surg Metab Nutr 2019;10:5-8)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131193922","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
The Present and Future of Nutrition Support Team 营养支持团队的现在和未来
Surgical Metabolism and Nutrition Pub Date : 2019-06-30 DOI: 10.18858/SMN.2019.10.1.1
J. Sul, J. Kim
{"title":"The Present and Future of Nutrition Support Team","authors":"J. Sul, J. Kim","doi":"10.18858/SMN.2019.10.1.1","DOIUrl":"https://doi.org/10.18858/SMN.2019.10.1.1","url":null,"abstract":"interdisciplinary approach was essential to archive a goal. Fortunately, Nutritional support team (NST) consultation fee has been reimbursed under the national health insurance system since 2014. Overall, it might be true that there has been some progress in the NST’s activities. However, it is still questionable whether there was a positive effect in terms of quality or cost effectiveness compared to quantitative improvements. Before taking into consideration of the future of NST, we are going to look at the status of nutritional support practice and utility of NST in Korea. Upon this background, we hope to make constructive suggestions for a better future of NST. (Surg Metab Nutr 2019;10:1-4)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125307984","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
Physiological Change of Serum Bilirubin Level by ω-3 Enriched Parenteral Nutrition Versus ω-3 Free Parenteral Nutrition in Healthy Male Subjects ω-3强化与ω-3游离肠外营养对健康男性血清胆红素水平的生理影响
Surgical Metabolism and Nutrition Pub Date : 2019-06-30 DOI: 10.18858/SMN.2019.10.1.20
Mi Rin Lee, Min-Gul Kim, Jaedo Yang, H. Hwang, Yunjeong Kim, J. Jeon, S. Ahn, H. Yu
{"title":"Physiological Change of Serum Bilirubin Level by ω-3 Enriched Parenteral Nutrition Versus ω-3 Free Parenteral Nutrition in Healthy Male Subjects","authors":"Mi Rin Lee, Min-Gul Kim, Jaedo Yang, H. Hwang, Yunjeong Kim, J. Jeon, S. Ahn, H. Yu","doi":"10.18858/SMN.2019.10.1.20","DOIUrl":"https://doi.org/10.18858/SMN.2019.10.1.20","url":null,"abstract":"Received April 15, 2019. Accepted June 5, 2019. Correspondence to: Hee Chul Yu, Department of Surgery, Chonbuk National University Medical School, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, Korea Tel: +82-63-250-1576, Fax: +82-63-271-6197, E-mail: hcyu@jbnu.ac.kr This study was supported by JW Pharmaceutical, Corp., Seoul, Republic of Korea. This article received the academic award in the 23th Fall Conference, Surgical metabolism and Nutrition, 2017.","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116108370","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
Nutrition Support for Pediatric Surgical Patients 儿科外科患者的营养支持
Surgical Metabolism and Nutrition Pub Date : 2019-06-30 DOI: 10.18858/SMN.2019.10.1.9
Jun Beom Park
{"title":"Nutrition Support for Pediatric Surgical Patients","authors":"Jun Beom Park","doi":"10.18858/SMN.2019.10.1.9","DOIUrl":"https://doi.org/10.18858/SMN.2019.10.1.9","url":null,"abstract":"Pediatric patients have characteristics such as a low capacity for storing energy/nutrients and high energy metabolism as compared those of adults. Because of the inherent characteristics that they are continually growing, supplying both rapid and adequate nutrition is of the utmost importance. In the case of children undergoing surgery (and particularly gastrointestinal surgery), there is a high possibility of a restricted supply of nutrition, and so active intervention to supply sufficient nutrition must be carried out. Of course, enteral nutrition is preferred, but continuous monitoring of nutrition is of paramount importance; thus, parenteral nutrition should be provided when necessary. Nutritional support requires continuous monitoring when and if complications arise. The complications of parenteral nutrition have yet to be overcome, so further research on this topic is certainly warranted. (Surg Metab Nutr 2019;10:9-14)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"2 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115662668","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
Effect of the Remnant Stomach Volume on the Nutritional and Body Composition in Stage 1 Gastric Cancer Patients 残胃体积对一期胃癌患者营养及体成分的影响
Surgical Metabolism and Nutrition Pub Date : 2018-12-30 DOI: 10.18858/SMN.2018.9.2.41
Koen Lee, K. Kim, Jung-bok Lee, Yongbin Shin, Jin Kyoo Jang, J. Yook, Byung-Sik Kim, Inseob Lee
{"title":"Effect of the Remnant Stomach Volume on the Nutritional and Body Composition in Stage 1 Gastric Cancer Patients","authors":"Koen Lee, K. Kim, Jung-bok Lee, Yongbin Shin, Jin Kyoo Jang, J. Yook, Byung-Sik Kim, Inseob Lee","doi":"10.18858/SMN.2018.9.2.41","DOIUrl":"https://doi.org/10.18858/SMN.2018.9.2.41","url":null,"abstract":"Received September 5, 2018. Accepted October 19, 2018. Correspondence to: In-Seob Lee, Department of Surgery, Asan Medical Center, Ulsan University College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-1728, Fax: +82-2-474-9027, E-mail: inseoblee77@gmail.com *These authors equally contribute to this work as co-first authors. This research was supported by a grant of the Korean Society of Surgical Metabolism and Nutrition.","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"294 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130416822","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
Effect of Sarcopenia in Patients after Pancreatectomy 胰腺切除术后肌肉减少症的影响
Surgical Metabolism and Nutrition Pub Date : 2018-12-30 DOI: 10.18858/SMN.2018.9.2.31
I. Han
{"title":"Effect of Sarcopenia in Patients after Pancreatectomy","authors":"I. Han","doi":"10.18858/SMN.2018.9.2.31","DOIUrl":"https://doi.org/10.18858/SMN.2018.9.2.31","url":null,"abstract":"Received September 5, 2018. Accepted September 28, 2018. Correspondence to: In Woong Han, Division of Hepato-biliary and Pancreatic Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea Tel: +82-2-3410-0772, Fax: +82-2-3410-6980, E-mail: cardioman76@gmail.com This study was supported by grant from the KSSMN and JW-pharma 2018 (중외학술상).","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122868814","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 Assessment of Critically Ill Patients after Abdominal Surgery and Predisposing Factors of Prolonged ICU Stay after Surgery 腹部手术后危重病人的营养评估及术后ICU住院时间延长的易感因素
Surgical Metabolism and Nutrition Pub Date : 2018-12-30 DOI: 10.18858/SMN.2018.9.2.68
Sung Eun Park, I. Lee, E. Y. Kim
{"title":"Nutritional Assessment of Critically Ill Patients after Abdominal Surgery and Predisposing Factors of Prolonged ICU Stay after Surgery","authors":"Sung Eun Park, I. Lee, E. Y. Kim","doi":"10.18858/SMN.2018.9.2.68","DOIUrl":"https://doi.org/10.18858/SMN.2018.9.2.68","url":null,"abstract":"","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"308 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121161783","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
Recovery Pattern of the Nutritional Status after Surgical Treatment for Pancreatic Head Disease: Compared with Malignancy and Non-malignancy 胰头病手术后营养状况的恢复模式:恶性与非恶性比较
Surgical Metabolism and Nutrition Pub Date : 2018-12-30 DOI: 10.18858/SMN.2018.9.2.51
Eunjung Kim, Youngmin Han, Hongbeom Kim, W. Kwon, Sun-Whe Kim, Jin‐Young Jang
{"title":"Recovery Pattern of the Nutritional Status after Surgical Treatment for Pancreatic Head Disease: Compared with Malignancy and Non-malignancy","authors":"Eunjung Kim, Youngmin Han, Hongbeom Kim, W. Kwon, Sun-Whe Kim, Jin‐Young Jang","doi":"10.18858/SMN.2018.9.2.51","DOIUrl":"https://doi.org/10.18858/SMN.2018.9.2.51","url":null,"abstract":"Purpose: Malnutrition affects the clinical outcomes of pancreatic disease. On the other hand, the changes in the nutritional status stratified by malignant and non-malignant diseases after surgery still need to be determined. The aim was to confirm the changing nutritional status and clinical outcomes after a pancreatoduodenectomy according to malignant and non-malignant disease. Materials and Methods: Data were collected prospectively from 157 patients between 2009 and 2015. The nutritional status was classified as well-nourished, at-risk of malnutrition, and malnourished by a Mini Nutrition Assessment. The clinical outcomes were assessed using the postoperative complication, hospital stay, biochemical nutritional markers, and quality-of-life (QOL). Results: Preoperatively, the proportion of malnourished status in the malignant disease group (group B) were 66.7% and 33.3% in the non-malignancy group (group A). The malnutrition rate in group B was higher than that in group A at 3, 6, and 12 months after surgery (58.1% vs. 41.9%, 90.0% vs. 10.0, 77.8% vs. 22.2%, respectively). The preoperative QOL was significantly lower in group B than in group A (P<.001); however, the QOL was comparable between the two groups after surgery. The body mass index was unrecovered after surgery in all groups. Conclusion: Patients with malignant pancreatic disease are more likely to suffer from a poor nutritional status than those with non-malignant pancreatic disease. One year after the pancreatoduodenctomy, the at-risk of malnutrition and malnourished rate were found to be over 70% in all patients. Therefore, more efforts will be needed to improve the nutritional status in pancreatic head disease. (Surg Metab Nutr 2018;9:51-58)","PeriodicalId":147842,"journal":{"name":"Surgical Metabolism and Nutrition","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125473501","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
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