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colorectal surgery and nutrition

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https://www.readbyqxmd.com/read/27889271/assessment-of-perioperative-nutrition-practices-and-attitudes-a-national-survey-of-colorectal-and-gi-surgical-oncology-programs
#1
J D Williams, Paul E Wischmeyer
BACKGROUND: Implementation of evidence-based peri-operative nutrition in the U.S. is poorly described and hypothesized to be suboptimal. This study broadly describes practices and attitudes regarding nutrition screening/intervention in U.S. gastrointestinal and oncologic surgeons. METHODS: Nationwide nutritional practice survey of GI/Oncologic surgical faculty. RESULTS: Program response rates were 57% and 81% for colorectal and oncology fellowships, respectively...
November 17, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27815476/prognostic-impact-of-a-nutritional-index-including-muscle-volume-in-stage-4-colorectal-cancer
#2
Tomoyuki Nagata, Yuen Nakase, Kei Nakamura, Akira Sougawa, Satoshi Mochiduki, Shozo Kitai, Seishiro Inaba
BACKGROUND: Nutritional status influences cancer prognosis. Measurement of the area of the psoas muscle on computed tomography is useful for evaluation of skeletal muscle mass and prediction of prognosis. PATIENTS AND METHODS: The psoas muscle index (PMI) was determined in 42 patients undergoing surgery for stage 4 colorectal cancer. Patients were classified into high and low PMI groups using a cutoff of 5.5×10(-4) cm(2) m(-2) Relationships of PMI with prognosis, chemotherapy period, and postoperative complications were examined...
November 2016: In Vivo
https://www.readbyqxmd.com/read/27783239/risk-scores-as-useful-predictors-of-perioperative-complications-in-patients-with-rectal-cancer-who-received-radical-surgery
#3
Hiroshi Miyakita, Sotaro Sadahiro, Gota Saito, Kazutake Okada, Akira Tanaka, Toshiyuki Suzuki
BACKGROUND: Rectal cancer is associated with a higher rate of surgical complications. The ability to predict the risk of complications before treatment would facilitate the design of personalized treatment strategies optimally suited for each patient. METHODS: We retrospectively studied 260 patients with rectal cancer who underwent radical surgery to examine the relations between complications and 5 types of risk scores. RESULTS: Complications developed in 56 patients (21...
October 25, 2016: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/27783027/eras-protocol-reduces-il-6-secretion-in-colorectal-laparoscopic-surgery-results-from-a-randomized-clinical-trial
#4
Giulio Mari, Jacopo Crippa, Andrea Costanzi, Michele Mazzola, Michele Rossi, Dario Maggioni
BACKGROUND: Enhanced Recovery After Surgery (ERAS) program applied to colorectal laparoscopic surgery is well known to reduce hospitalization improving short-terms outcomes. Its goal is to minimize the surgical stress response in order to maintain the physiological homeostasis altered by surgery. However, there is little knowledge about the involved dynamics in the reduction of the surgical stress that these programs allow. The primary aim of this study was to compare the level of immune and nutritional serum investigators across surgery in patients undergoing elective colorectal laparoscopic surgery within an ERAS protocol or according to a standard care program...
October 25, 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27770249/enhanced-recovery-eras-for-elderly-a-safe-and-beneficial-pathway-in-colorectal-surgery
#5
J Slieker, P Frauche, J Jurt, V Addor, C Blanc, Nicolas Demartines, M Hübner
BACKGROUND: Enhanced recovery after surgery (ERAS) pathway includes recovery goals requiring active participation of the patients; this may be perceived as "aggressive" care in older patients. The aim of the present study was to assess whether ERAS was feasible and beneficial in older patients. METHODS: Since June 2011, all consecutive colorectal patients were included in an ERAS pathway and documented in a dedicated prospective database. This retrospective analysis included 513 patients, 311 younger patients (<70 years) and 202 older patients (≥70 years)...
October 21, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27739314/the-impact-of-high-protein-nutritional-support-on-clinical-outcomes-and-treatment-costs-of-patients-with-colorectal-cancer
#6
V Maňásek, K Bezděk, A Foltys, K Klos, J Smitka, D Smehlik
BACKGROUND: The primary objective of this study was to investigate the impact of high protein oral nutrition support (ONS) on clinical outcomes in patients with colorectal cancer (CRC). The secondary aim was to compare the cost of treatment and length of stay (LoS) for CRC patients taking high protein ONS vs. patients on conventional nutritional support. MATERIALS AND METHODS: The study was conducted on adult patients with CRC undergoing colorectal surgery. Informed consent was obtained before the study...
2016: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
https://www.readbyqxmd.com/read/27730356/cancer-survivor-study-casus-on-colorectal-patients-longitudinal-study-on-physical-activity-fitness-nutrition-and-its-influences-on-quality-of-life-disease-recurrence-and-survival-rationale-and-design
#7
Luisa Soares-Miranda, Sandra Abreu, Marco Silva, Armando Peixoto, Rosa Ramalho, Pedro Correia da Silva, Carla Costa, João Paulo Teixeira, Carla Gonçalves, Pedro Moreira, Jorge Mota, Guilherme Macedo
PURPOSE: Evidence suggests that being physically active in combination with a healthy diet contributes to diminish colorectal cancer risk. However, if this is true for colorectal cancer primary prevention, the same is not clear for its recurrence after colorectal cancer treatments. Data on cancer survival are scarce, and there is a need for greater attention on these survivors' lifestyle behavior. This manuscript describes rationale and design of the Cancer Survival Study (CASUS) on colorectal patients, a longitudinal observational study with the aim of investigating how physical activity, physical fitness, and dietary intake are related with their quality of life, disease recurrence, and survival...
October 11, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27721925/minimally-invasive-management-of-anastomotic-leaks-in-colorectal-surgery
#8
Yusuf Sevim, Suleyman Utku Celik, Hana Yavarifar, Cihangir Akyol
Anastomotic leakage is an unfortunate complication of colorectal surgery. This distressing situation can cause severe morbidity and significantly affects the patient's quality of life. Additional interventions may cause further morbidity and mortality. Parenteral nutrition and temporary diverting ostomy are the standard treatments of anastomotic leaks. However, technological developments in minimally invasive treatment modalities for anastomotic dehiscence have caused them to be used widely. These modalities include laparoscopic repair, endoscopic self-expandable metallic stents, endoscopic clips, over the scope clips, endoanal repair and endoanal sponges...
September 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27680060/-strategy-and-prospective-of-enhanced-recovery-after-surgery-for-esophageal-cancer
#9
Yin Li
Enhanced recovery after surgery (ERAS) is a patient-centered, surgeon-led system combining anesthesia, nursing, nutrition and psychology. It aims to minimize surgical stress and maintain physiological function in perioperative care, thereby expediting recovery. ERAS theory has been clinically applied for nearly 20 years and it is firstly used in colorectal surgery, then widely used in other surgical fields. However, ERAS is not used commonly in esophagectomy because of its surgical complexity and high morbidity of postoperative complications, which limits the application of ERAS in the field of esophagectomy...
September 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27669818/a-minor-but-deadly-surgery-of-colonic-polypectomy-in-an-elderly-and-fragile-patient-a-case-report-and-the-review-of-literature
#10
Xiaoming Yuan, Guangrong Zhou, Yan He, Aiwen Feng
BACKGROUND: Epithelial dysplasia and adenomatous polyps of colorectum are precancerous lesions. Surgical removal is still one of the important treatment approaches for colorectal polyps. CASE PRESENTATION: A male patient over 78 years was admitted due to bloody stool and abdominal pain. Colonoscopic biopsy showed a high-grade epithelial dysplasia in an adenomatous polyp of sigmoid colon. Anemia, COPD, ischemic heart disease (IHD), arrhythmias, and hypoproteinemia were comorbidities...
September 26, 2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27637822/clinical-pathway-for-esophagectomy-improves-perioperative-nutrition
#11
Vignesh Raman, Larry R Kaiser, Cherie P Erkmen
BACKGROUND: Clinical pathways reduce hospitalization and costs in colorectal and pancreatic cancer. We describe creating an esophagectomy pathway and analyze its implementation and effects. METHODS: We documented the process of developing an esophagectomy clinical pathway. We performed a retrospective review of prospectively collected data on 12 patients before pathway implementation and 12 patients after. RESULTS: Pathway Implementation: more patients were presented at tumor board (9 pathway vs...
September 2016: Healthcare
https://www.readbyqxmd.com/read/27602223/underweight-status-predicts-a-poor-prognosis-in-elderly-patients-with-colorectal-cancer
#12
Manabu Kaneko, Shin Sasaki, Kosuke Ozaki, Kazuhiro Ishimaru, Emi Terai, Hiroshi Nakayama, Toshiyuki Watanabe
The aim of the present study was to evaluate the effect of underweight status on the survival of elderly patients undergoing surgery for colorectal cancer (CRC). A total of 113 patients aged ≥75 years who underwent curative surgery for CRC were included. In addition to standard perioperative variables, body mass index (BMI) was assessed. The patients were categorized as underweight (BMI<18.5 kg/m(2)) or non-underweight (BMI≥18.5 kg/m(2)). The 3-year overall survival (OS) and cancer-specific survival (CSS) were analyzed...
September 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/27571677/-effects-of-a-nutritional-intervention-in-a-fast-track-program-for-a-colorectal-cancer-surgery-systematic-review
#13
Carmina Wanden-Berghe, Javier Sanz-Valero, Antonio Arroyo-Sebastián, Kamila Cheikh-Moussa, Pedro Moya-Forcen
UNLABELLED: Introducción: Preoperative nutritional status (NS) has consequences on postoperative (POSTOP) recovery. Our aim was to systematically review the nutritional interventions (NI) in Fast-Track protocols for colorectal cancer surgery and assess morbidity-mortality and patient´s recovery. METHOD: Systematic review of scientific literature after consulting bibliographic databases: Medline, The Cochrane Library, Scopus, Embase, Web of Science, Institute for Scientific Information, Latin American and Caribbean Health Sciences Literature, The Cumulative Index to Nursing and Allied Health Literature...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27564435/the-effect-of-preoperative-subcutaneous-fat-thickness-on-surgical-site-infection-risk-in-patients-undergoing-colorectal-surgery-results-of-a-multisite-prospective-cohort-study
#14
Hiromi Nakagawa, Kaori Ohno, Shunya Ikeda, Masaki Muto
Surgical site infection (SSI) is one of the most frequent postoperative complications among patients undergoing elective colorectal surgery. A multisite, prospective cohort study was conducted to investigate whether the thickness of subcutaneous fat (TSF) influences the occurrence of SSI in patients undergoing colorectal surgery. Participants included patients scheduled to receive colorectal laparotomy for colorectal cancer and who were under the care of a wound ostomy continence nurse at 17 participating general hospitals in Japan...
August 2016: Ostomy/wound Management
https://www.readbyqxmd.com/read/27539131/four-week-prehabilitation-program-is-sufficient-to-modify-exercise-behaviors-and-improve-preoperative-functional-walking-capacity-in-patients-with-colorectal-cancer
#15
Brian P Chen, Rashami Awasthi, Shane N Sweet, Enrico M Minnella, Andreas Bergdahl, Daniel Santa Mina, Francesco Carli, Celena Scheede-Bergdahl
PURPOSE: High complication rates following colorectal surgery render many patients unable to fully regain functional capacity, thus seriously compromising quality of life. The aim of this study was to assess whether a 4-week trimodal prehabilitation program (exercise, nutritional supplementation, and counseling on relaxation techniques), implemented during the preoperative period, is sufficient to modify exercise behaviors and improve functional capacity of elderly patients scheduled for colorectal cancer surgery...
January 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27488952/postoperative-ileus-in-search-of-an-international-consensus-on-definition-diagnosis-and-treatment
#16
Daniel Gero, Olivier Gié, Martin Hübner, Nicolas Demartines, Dieter Hahnloser
PURPOSE: Postoperative ileus (POI) is a frequent complication after abdominal surgery; nonetheless, it remains poorly defined. Our aim was to achieve an international consensus among leading colorectal surgeons on definition, prevention, and treatment of POI. METHODS: Thirty-five experts from five continents participated in a three-round Delphi process. Round 1 contained open-ended questions on POI and postoperative nausea and vomiting (PONV). Round 2 included closed-ended questions...
August 3, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27399098/preoperative-prognostic-nutritional-index-predicts-postoperative-surgical-site-infections-in-gastrointestinal-fistula-patients-undergoing-bowel-resections
#17
Qiongyuan Hu, Gefei Wang, Jianan Ren, Huajian Ren, Guanwei Li, Xiuwen Wu, Guosheng Gu, Ranran Li, Kun Guo, Youming Deng, Yuan Li, Zhiwu Hong, Lei Wu, Jieshou Li
Recent studies have implied a prognostic value of the prognostic nutritional index (PNI) in postoperative septic complications of elective colorectal surgeries. However, the evaluation of PNI in contaminated surgeries for gastrointestinal (GI) fistula patients is lack of investigation. The purpose of this study was to explore the predictive value of PNI in surgical site infections (SSIs) for GI fistula patients undergoing bowel resections.A retrospective review of 290 GI patients who underwent intestinal resections between November 2012 and October 2015 was performed...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27381693/complication-of-endoscopic-tattooing-a-case-report-of-covered-perforation
#18
N Falco, T Fontana, R Tutino, C Raspanti, A Mascolino, I Melfa, G Scerrino, G Salamone, G Gulotta
AIM: Laparoscopy is considered a good approach in treatment of colorectal neoplastic diseases; the endoscopic tattooing is then recommended (Evidence Level III and grade of recommendation A) to mark a lesion or a polypectomy site for intraoperative identification. We describe the case of perforation after tattoing treated conservatively. CASE REPORT: 63 years old woman, underwent colonoscopy for lipoma tattooing with India ink SPOT® solution kit and saline test...
March 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27324526/immediate-postoperative-oral-nutrition-following-esophagectomy-a-multicenter-clinical-trial
#19
Teus J Weijs, Gijs H K Berkelmans, Grard A P Nieuwenhuijzen, Annemarie C P Dolmans, Ewout A Kouwenhoven, Camiel Rosman, Jelle P Ruurda, Frans van Workum, Marc J van Det, Luis C Silva Corten, Richard van Hillegersberg, Misha D P Luyer
BACKGROUND: Immediate start of oral intake is beneficial following colorectal surgery. However, following esophagectomy the safety and feasibility of immediate oral intake is unclear, thus these patients are still kept nil by mouth. This study therefore aimed to determine the feasibility and safety of oral nutrition immediately after esophagectomy. METHODS: A multicenter, prospective trial was conducted in 3 referral centers between August 2013 and May 2014, including 50 patients undergoing a minimally invasive esophagectomy...
October 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27321791/aggregation-of-marginal-gains-in-cardiac-surgery-feasibility-of-a-perioperative-care-bundle-for-enhanced-recovery-in-cardiac-surgical-patients
#20
Ian O Fleming, Claire Garratt, Ranj Guha, Jatin Desai, Sanjay Chaubey, Yanzhong Wang, Sara Leonard, Gudrun Kunst
OBJECTIVES: The aim of this pilot study was to assess the feasibility of a perioperative care bundle for enhanced recovery after cardiac surgery (ERACS). DESIGN: A prospective, observational study. SETTING: A major urban teaching and university hospital and tertiary referral center. PARTICIPANTS: The study included 53 patients undergoing cardiac surgery before implementation of an ERACS protocol (pre-ERACS group) and 52 patients undergoing cardiac surgery after implementation of an ERACS protocol (ERACS group)...
June 2016: Journal of Cardiothoracic and Vascular Anesthesia
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