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Nutrition surgery

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https://www.readbyqxmd.com/read/29917207/impact-of-patients-nutritional-status-on-major-surgery-outcome
#1
E V Mignini, E Scarpellini, E Rinninella, E Lattanzi, M V Valeri, N Clementi, L Abenavoli, A Gasbarrini, C Rasetti, P Santori
OBJECTIVE: Surgery is a major stress factor that activates several inflammatory and catabolic pathways in man. An appropriate nutritional status allows the body to react properly to this stressor and recover in a faster and more efficient manner. On the other hand, malnutrition is related to a worse surgery outcome and to a higher prevalence of comorbidities and mortality. The aims of this study were to evaluate the nutritional status of patients undergoing major surgery and investigate the potential correlation between malnutrition and surgical outcomes...
June 2018: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29913945/prevention-and-treatment-of-trismus-in-head-and-neck-cancer-a-case-report-and-a-systematic-review-of-the-literature
#2
Piotr Wranicz, Bente Brokstad Herlofson, Jan F Evensen, Ulf E Kongsgaard
Introduction Trismus, or limited mouth opening, is a well-known complication of head and neck cancer and its treatment. It may be caused by tumour infiltration into the masticatory muscles or by treatment like surgery and radiotherapy. A limited mouth opening may have a negative effect on nutrition, phonation, dental hygiene and treatment, and quality of life. The severity of this complication depends on the location of the tumour, the type of reconstruction, the total radiation dose, fractionation, and treatment techniques...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29909514/mid-term-4-year-outcomes-with-single-anastomosis-duodenal-ileal-bypass-with-sleeve-gastrectomy-surgery-at-a-single-us-center
#3
Hinali Zaveri, Amit Surve, Daniel Cottam, Austin Cottam, Walter Medlin, Christina Richards, LeGrand Belnap, Samuel Cottam, Benjamin Horsley
BACKGROUND: Single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) is a modification of Roux-en-Y duodenal switch (RYDS). Long-term data on this operation is lacking in the literature. We reviewed our mid-term data of this RYDS modification. PURPOSE: To analyze the outcomes with SADI-S at 4 years. METHODS: Data from patients who underwent a primary SADI-S procedure performed by three surgeons at a single institution from June 2013 through February 2018 were retrospectively reviewed...
June 16, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29907941/the-clinical-outcome-of-postoperative-invasive-fungal-infections-complicating-laparoscopic-sleeve-gastrectomy
#4
Yoav Bichovsky, Leonid Koyfman, Michael Friger, Boris Kirshtein, Abraham Borer, Gilbert Sebbag, Dmitry Frank, Amit Frenkel, Jochanan G Peiser, Moti Klein, Evgeni Brotfain
PURPOSE: Peritonitis is a major complication of bariatric surgery due to direct damage to the natural barriers to infection. Most such secondary peritoneal infections are caused by Gram-negative microorganisms; however, under certain conditions, Candida species can infect the peritoneal cavity following bariatric surgery. MATERIALS AND METHODS: We retrospectively analyzed the clinical and microbiological data of morbidly obese patients who suffered infectious complications following laparoscopic sleeve gastrectomy (LSG) at the Soroka Medical Center between January 2010 and June 2015...
June 15, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29906810/endoscopic-gastric-reduction-with-an-endoluminal-suturing-device-a-multicenter-prospective-trial-with-1-year-follow-up
#5
Vincent Huberty, Evzen Machytka, Ivo Boškoski, Marie Barea, Guido Costamagna, Jacques Deviere
BACKGROUND:  Obesity is the pandemic disease of this century. Surgery is the only effective treatment but cannot be offered to every patient. Endoscopic sutured gastroplasty is a minimally invasive technique that may potentially fill the gap between surgery and behavioral therapy. In this study, we prospectively investigated the efficacy and safety of a novel suturing device. METHODS:  After a pre-bariatric multidisciplinary work-up, class 1 and 2 obese patients were included...
June 15, 2018: Endoscopy
https://www.readbyqxmd.com/read/29905537/surgical-treatment-of-bening-esophageal-strictures-after-corrosive-injuries
#6
V Boyko, S Savvi, A Korolevska, V Zhydetskyy, Y Novikov, S Bytiak, D Shuba
The research is based on the results of the examination and treatment of 156 patients who received treatment for extended benign esophageal strictures after corrosive injuries in the department of diseases of the esophagus and the gastrointestinal tract of the State Institution "V. T. Zaitsev Institute of General and Urgent Surgery of NAMS of Ukraine" for the period from 2000 to 2016. Surgical treatment by the developed in our hospital technique performed in the patients of the main group and the classical methods of surgery were used in the patients of comparison group...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29896573/oncologic-outcomes-after-radical-surgery-for-periampullary-cancer-in-octogenarians
#7
Sung Hyun Kim, Jae Uk Chong, Jin Hong Lim, Moon Jae Chung, Jeong Youp Park, Seung Min Bang, Seung Woo Park, Ho Kyung Hwang, Chang Moo Kang, Woo Jung Lee, Kyung Sik Kim
Backgrounds/Aims: Interest in treatments for elderly patients has increased with life expectancy, and various studies have reported on the safety and feasibility of radical surgery in elderly patients with cancer. Here, we investigated oncologic outcomes of periampullary cancer in octogenarians. Methods: We retrospectively reviewed medical records of 68 patients over 80 years of age who were diagnosed with periampullary cancer and were eligible for surgery; we analyzed overall survival (OS) and immediate postoperative complications and mortality...
May 2018: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/29895848/vitamin-a-and-micronutrient-deficiencies-post-bariatric-surgery-aetiology-complications-and-management-in-a-complex-multiparous-pregnancy
#8
Fiona L Mackie, Nicola S Cooper, Louise J Whitticase, Amanda Smith, William L Martin, Sheldon C Cooper
Adequate vitamin A is essential for healthy pregnancy, but high levels may be teratogenic. We present a patient who underwent bariatric surgery, prior to child bearing, and suffered maternal and foetal complications during eleven pregnancies, possibly associated with vitamin A deficiency, amongst multiple micronutrient deficiencies and risk factors including smoking and obesity. Maternal complications included visual disturbance, night blindness and recurrent infections. Recurrent foetal pulmonary hypoplasia and microphthalmia led to foetal and neonatal loss, not previously described in the medical literature...
June 12, 2018: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29893038/patient-information-needs-in-upper-gastrointestinal-cancer-what-patients-and-their-families-want-to-know
#9
REVIEW
Bacil Otutaha, Sanket Srinivasa, Jonathan Koea
BACKGROUND: The treatment of upper gastrointestinal cancer (UGIC) patients is complex. Patients are often elderly, comorbid as well as nutritionally depleted and treatment involves multimodality therapy incorporating chemotherapy, radiation therapy and surgery. The pre-treatment information requirements of UGIC patients are not clear but crucially important in ensuring they complete treatment successfully. METHODS: A systematic review of the English language literature was performed to determine the specific information needs of patients with UGIC...
June 11, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29892933/the-effects-of-the-herbal-medicine-daikenchuto-tj-100-after-esophageal-cancer-resection-open-label-randomized-controlled-trial
#10
Takeshi Nishino, Takahiro Yoshida, Masakazu Goto, Seiya Inoue, Takuya Minato, Satoshi Fujiwara, Yota Yamamoto, Yoshihito Furukita, Yasuhiro Yuasa, Hiromichi Yamai, Hirokazu Takechi, Hiroaki Toba, Hiromitsu Takizawa, Mitsuteru Yoshida, Junichi Seike, Takanori Miyoshi, Akira Tangoku
BACKGROUND: Daikenchuto (TJ-100), a traditional Japanese herbal medicine, is widely used in Japan. Its effects on gastrointestinal motility and microcirculation and its anti-inflammatory effect are known. The purpose of this prospective randomized controlled trial was to investigate the effect of TJ-100 after esophagectomy in esophageal cancer patients. METHODS: Forty patients for whom subtotal esophageal resection for esophageal cancer was planned at our institute from March 2011 to August 2013 were enrolled and divided into two groups at the point of determination of the operation schedule after informed consent was obtained: a TJ-100 (15 g/day)-treated group (n = 20) and a control group (n = 20)...
April 2018: Esophagus: Official Journal of the Japan Esophageal Society
https://www.readbyqxmd.com/read/29892179/circulating-fibroblast-growth-factor-19-in-portal-and-systemic-blood
#11
Helene Johansson, Lisa-Mari Mörk, Meng Li, Anita L Sandblom, Ingemar Björkhem, Jonas Höijer, Bo-Göran Ericzon, Carl Jorns, Stefan Gilg, Ernesto Sparrelid, Bengt Isaksson, Greg Nowak, Ewa Ellis
Background: Bile acid homeostasis is essential and imbalance may lead to liver damage and liver failure. The bile acid induced intestinal factor fibroblast growth factor 19 (FGF19) has been identified as a key protein for mediating negative feedback inhibition of bile acid synthesis. The aim of the study was to define FGF19 and bile acid concentrations in portal and systemic blood in the fasted and postprandial state. We also addressed the question if physiological portal levels of FGF19 can be extrapolated from the concentration in systemic blood...
June 2018: Journal of Clinical and Experimental Hepatology
https://www.readbyqxmd.com/read/29891159/late-onset-refractive-shift-after-small-aperture-corneal-inlay-implantation
#12
Alfredo Amigó, Paula Martinez-Sorribes, Margarita Recuerda
We present a series of 5 consecutive cases in which a small-aperture corneal inlay (Kamra ACI7000PDT) was uneventfully implanted in a corneal pocket created at a depth between 200 μm and 250 μm. Three months after surgery, all patients had good visual results, normal corneal surfaces, and adequate stromal healing. Between 6 months and 19 months after surgery, visually significant refractive changes appeared in the form of a hyperopic shift in 4 cases and a myopic shift in 1 case. Topical steroids were ineffective...
May 2018: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/29890458/local-muscle-flaps-minimize-post-operative-wound-morbidity-in-patients-with-neoplastic-disease-of-the-spine
#13
Philipp Franck, Jaime L Bernstein, Leslie E Cohen, Roger Härtl, Ali A Baaj, Jason A Spector
OBJECTIVES: Patients with neoplastic disease involving the spine either from primary or metastatic disease present a unique challenge given these patients' frequent poor nutritional status at the time of surgery, the delivery of early post-operative chemotherapy or radiation, and placement of large amounts of hardware and avascular bone graft into a wound bed that is atrophic, previously operated or irradiated. As a result, wound morbidity has traditionally been high in this cohort of patients...
May 29, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29889230/sarcopenia-and-inflammatory-bowel-disease-a-systematic-review
#14
Eanna Ryan, Daniel McNicholas, Ben Creavin, Michael Eamon Kelly, Tom Walsh, David Beddy
Background: Sarcopenia is associated with increased morbidity and mortality in oncologic and transplant surgery. It has a high incidence in chronic inflammatory states including inflammatory bowel disease (IBD). The validity of existing data in IBD and of sarcopenia's correlation with surgical outcomes is limited. Methods: We performed a systematic review to assess the correlation of sarcopenia with the requirement for surgery and surgical outcomes in patients with IBD...
June 7, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29889111/diagnosis-and-treatment-of-pancreatic-exocrine-insufficiency
#15
J Enrique Dominguez-Muñoz
PURPOSE OF REVIEW: Pancreatic exocrine insufficiency (PEI), defined as a secretion of pancreatic enzymes and bicarbonate insufficient to maintain a normal digestion, is a frequent but frequently underdiagnosed and undertreated condition. PEI may be secondary to different pancreatic diseases and extrapancreatic conditions. Recent data support the high clinical relevance of PEI and its treatment. RECENT FINDINGS: Together with symptoms of maldigestion, PEI is associated with nutritional deficiencies leading to osteoporosis, low-trauma fractures, sarcopenia and increased mortality...
June 7, 2018: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/29887259/influence-of-preoperative-nutritional-status-on-clinical-outcomes-after-pancreatoduodenectomy
#16
Eunjung Kim, Jae Seung Kang, Youngmin Han, Hongbeom Kim, Wooil Kwon, Jae Ri Kim, Sun-Whe Kim, Jin-Young Jang
BACKGROUND: This study investigated the clinical outcomes according to the preoperative nutritional status and to identify factors influencing long-term unrecovered nutritional status. METHODS: Data were prospectively collected from 355 patients who underwent PD between 2008 and 2014. Nutritional status was evaluated by Mini Nutrition Assessment (MNA) and patients were classified into group A (malnourished), group B (risk-of-malnutrition), or group C (well-nourished)...
June 7, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29886883/a-nationwide-study-of-the-quality-of-surgical-guidelines-and-written-patient-information
#17
Lotte Linnemann Rønfeldt, Dorthe Hjort Jakobsen, Henrik Kehlet, Henriette Lipczak, Kasper Wennerwaldt
INTRODUCTION: Clinical practice guidelines (CPGs) support enhanced post-operative recovery and decrease morbidity. In addition, patient information leaflets (PILs) are associated with enhanced overall outcomes and improved patient satisfaction. The aim of this study was to provide an overview of the quality of CPGs and PILs in cancer surgery departments undertaking pulmonary lobectomy, nephrectomy, cystectomy, whipples, colorectal and ovarian surgery. METHODS: We conducted a cross-sectional descriptive study within 44 surgical departments in six cancer subspecialties: lung (n = 4), kidney (n = 9), bladder (n = 5), pancreas (n = 4), colorectal (n = 18) and ovarian (n = 4)...
June 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29886499/the-impact-of-preoperative-enteral-nutrition-enriched-with-eicosapentaenoic-acid-on-postoperative-hypercytokinemia-after-pancreatoduodenectomy-the-results-of-a-double-blinded-randomized-controlled-trial
#18
Ryo Ashida, Yukiyasu Okamura, Kanako Wakabayashi-Nakao, Takashi Mizuno, Shuichi Aoki, Katsuhiko Uesaka
AIMS: To investigate whether preoperative enteral diets -enriched in eicosapentaenoic acid (EPA) supplements could reduce the incidence of hypercytokinemia after pancreatoduodenectomy (PD) in a double-blinded randomized -controlled trial. METHODS: Patients with resectable periampullary cancer were randomized into either the control group or the treatment group. Patients in the treatment group received oral supplementation (600 kcal/day) containing EPA for 7 days before surgery...
June 8, 2018: Digestive Surgery
https://www.readbyqxmd.com/read/29884971/boerhaave-syndrome-due-to-hypopharyngeal-stenosis-associated-with-chemoradiotherapy-for-hypopharyngeal-cancer-a-case-report
#19
Hideharu Tanaka, Norihisa Uemura, Daisuke Nishikawa, Keisuke Oguri, Tetsuya Abe, Eiji Higaki, Takahiro Hosoi, Byonggu An, Yasuhisa Hasegawa, Yasuhiro Shimizu
BACKGROUND: Spontaneous esophageal rupture, also known as Boerhaave syndrome, is a very serious life-threatening benign disease of the gastrointestinal tract. It is typically caused by vomiting after heavy eating and drinking. However, in our patient, because of a combination of hypopharyngeal cancer with stenosis and chemoradiotherapy (CRT), which caused chemotherapy-induced vomiting, radiotherapy-induced edema, relaxation failure, and delayed reflexes; resistance to the release of increased pressure due to vomiting was exacerbated, thus leading to Boerhaave syndrome...
June 8, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29880053/indications-and-complications-of-inpatient-parenteral-nutrition-prescribed-to-children-in-a-large-tertiary-referral-hospital
#20
C Mantegazza, N Landy, G V Zuccotti, J Köglmeier
BACKGROUND: Parenteral Nutrition (PN) is prescribed to children with intestinal failure. Although life saving, complications are common. Recommendations for indications and constituents of PN are made in the 2005 guidelines by the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). The aim of this study was to establish if the indications for prescribing PN in a tertiary children's hospital were appropriate, and to identify complications encountered. Data were compared to those published by the National Confidential Enquiry into patient outcome and death (NCEPOD) carried out in the United Kingdom in 2010...
June 8, 2018: Italian Journal of Pediatrics
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