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Nutritional support and complications

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https://www.readbyqxmd.com/read/30547664/-comprehensive-approach-for-malnourished-patients-aiming-for-continuity-in-nutritional-support
#1
Francisco Botella Romero
days of hospitalization, a greater number of complementary tests, the need for artificial nutritional support and / or drugs to treat complications, which is a very important economic burden. Most patients who are malnourished, or at risk, can benefit from oral nutritional support, which includes dietary modifications (fortification, extra snacks, etc.), prescription of a personalized diet by a registered dietitian and the use of oral nutritional supplements (ONS). The use of ONS has shown benefits, in several meta-analysis, in weight recovery, reduction in the number of complications or hospital readmissions and functional improvement, without a reduction in the usual food intake...
April 3, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/30545234/-comprehensive-approach-for-malnourished-patients-aiming-for-continuity-in-nutritional-support
#2
Francisco Botella Romero
days of hospitalization, a greater number of complementary tests, the need for artificial nutritional support and / or drugs to treat complications, which is a very important economic burden. Most patients who are malnourished, or at risk, can benefit from oral nutritional support, which includes dietary modifications (fortification, extra snacks, etc.), prescription of a personalized diet by a registered dietitian and the use of oral nutritional supplements (ONS). The use of ONS has shown benefits, in several meta-analysis, in weight recovery, reduction in the number of complications or hospital readmissions and functional improvement, without a reduction in the usual food intake...
April 3, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/30539863/percutaneous-transhepatic-cholangial-drainage-combined-with-percutaneous-endoscopic-jejunostomy-for-maintaining-nutrition-state-in-patients-with-advanced-ampullary-neoplasms
#3
Yanbo Sun, Weiming Li, Dali Sun, Shumin Li, Qingwen Xu, Yijun Li, Yueying Lin, Yuxing Qi, Ting Yang, Kun Su, Yunyun Cen, Xiongzhi Chen, Pengyuan Xu
Purpose: To investigate the role of percutaneous transhepatic cholangial drainage (PTCD) combined with percutaneous endoscopic jejunostomy (PEJ) in maintaining the nutrition state in patients with advanced ampullary neoplasms. Materials and Methods: Sixty patients who suffered from advanced ampullary neoplasms and could not tolerate internal drainage operation or biliary stent placement were enrolled. After PTCD, PEJ was implemented, and then the enteral nutrient solution + bile were instilled through PEJ tube for enteral nutrition support...
December 2018: Journal of Cancer Research and Therapeutics
https://www.readbyqxmd.com/read/30538387/pelvic-exenteration-put-into-therapeutical-and-palliative-perspective-it-is-worth-to-try
#4
Iosifina Karmaniolou, Nikolaos Arkadopoulos, Pantelis Vassiliou, Constantinos Nastos, Dionysios Dellaportas, Argyris Siatelis, Theodosis Theodosopoulos, Antonios Vezakis, Stavros Parasyris, Andreas Polydorou, Vassilios Smyrniotis
Pelvic exenteration (PE) is one of the most drastic operations in surgical oncology, associated with severe morbidity and mortality. The objective of our study was to review our experience of PE in terms of surgical characteristics, complications, and overall survival. All patients who had PE surgery between January 1999 and December 2015 were identified. Patients with verified distant metastatic disease were excluded. Patients with advanced pelvic tumors experiencing incapacitating postradiation severe damages were included...
December 2018: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/30532579/a-case-of-a-patient-with-severe-epidermolysis-bullosa-surviving-to-adulthood
#5
Amal R Hubail, Roza K Belkharoeva, Natalya P Tepluk, Olga V Grabovskaya
Purpose: The aim of this study was to evaluate the progression of a case of a patient with epidermolysis bullosa (EB) since early age who survived to adulthood, presenting with recurrent skin blisters and disfiguring scars and disabling musculoskeletal deformities. Background: EB is a rare group of inherited diseases that affect the skin fragility causing it to blister in response to even minor trauma. Established novel treatments are limited in the literature due to its rarity, and more research is needed to set a global management approach...
2018: International Journal of General Medicine
https://www.readbyqxmd.com/read/30512966/somatic-growth-and-the-risks-of-bronchopulmonary-dysplasia-and-pulmonary-hypertension-connecting-epidemiology-and-physiology
#6
Mark A Underwood, Stephen Wedgwood, Satyan Lakshminrusimha, Robin H Steinhorn
In the premature infant, poor growth in utero (fetal growth restriction) and in the first weeks of life (postnatal growth restriction) are associated with increased risk for bronchopulmonary dysplasia and pulmonary hypertension. In this review, we summarize the epidemiologic data supporting these associations, present a novel rodent model of postnatal growth restriction and review five promising mechanisms by which poor nutrition may affect the developing lung. These observations support the hypothesis that nutritional and/or pharmacologic interventions early in life may be able to decrease risk of the pulmonary complications of extreme prematurity...
December 4, 2018: Canadian Journal of Physiology and Pharmacology
https://www.readbyqxmd.com/read/30511404/pediatric-home-parenteral-nutrition-indications-and-short-term-outcomes-in-a-large-national-sample-of-commercially-insured-children-and-adolescents
#7
Titilola M Afolabi, Kathleen A Fairman
BACKGROUND: To support families managing the complex requirements of home parenteral nutrition (HPN) in pediatric patients, health professionals need information about HPN indications and complications. Nationally representative information is limited. METHODS: A retrospective cohort analysis of the Truven Health Market Scan Commercial Claims and Encounters Database was performed and identified 683 patients aged ≤18 years receiving HPN during dates of service from January 2013 through September 2015...
December 3, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30504009/time-trend-prevalence-of-artificial-nutrition-counselling-in-a-university-hospital
#8
Valeria Amato, Carmela De Caprio, Lidia Santarpia, Annalba De Rosa, Carolina Bongiorno, Giovanna Stella, Eliana De Rosa, Roberto Iacone, Clelia Scanzano, Fabrizio Pasanisi, Franco Contaldo
OBJECTIVES: The negative effects of malnutrition on the prognosis of hospitalized patients are well documented; however, less known is the awareness and knowledge of health care professionals about this complication. The aim of this study was to evaluate the trend of the requests for nutritional consultation in years and the prescription of artificial nutrition (AN), for adult patients at a university hospital in southern Italy in the years 2004, 2008, 2012, and 2016 to assess the progress of medical teams concerning awareness of hospital malnutrition...
August 24, 2018: Nutrition
https://www.readbyqxmd.com/read/30468936/efficacy-of-perioperative-immunonutrition-in-esophageal-cancer-patients-undergoing-esophagectomy
#9
Shinsuke Kanekiyo, Shigeru Takeda, Michihisa Iida, Mitsuo Nishiyama, Masahiro Kitahara, Yoshitaro Shindo, Yukio Tokumitsu, Shinobu Tomochika, Ryoichi Tsunedomi, Nobuaki Suzuki, Toshihiro Abe, Shigefumi Yoshino, Shoichi Hazama, Tomio Ueno, Hiroaki Nagano
OBJECTIVE: Malnutrition is common in patients with esophageal cancer, resulting in increased postoperative complications and mortality. Although preoperative immunonutrition can significantly reduce the incidence of postoperative infectious complications, its effect in patietns with esophageal cancer undergoing esophagectomy remains unclear. The aim of this study was to investigate the effects of perioperative immunonutritional support on the postoperative course and long-term survival of this group of patients...
August 22, 2018: Nutrition
https://www.readbyqxmd.com/read/30463771/evaluation-of-anemia-and-nutritional-status-on-children-undergoing-resection-of-primary-liver-tumors
#10
Katherine D Culbreath, Alejandro V Garcia, Ira L Leeds, Mitchell R Ladd, Todd Crawford, Emily Boss, Daniel S Rhee
INTRODUCTION: Complete tumor resection of primary malignant liver tumors offers the best chance of survival. However, many of these children may experience anemia and failure to thrive. This study analyzes the association of preoperative anemia and nutritional support with outcomes in children undergoing major resection of primary malignant liver tumors. METHODS: Using the National Surgical Quality Improvement Program Pediatric database from 2012 to 2015, children undergoing major liver resections for primary malignant hepatic tumors were selected...
December 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30447773/critical-care-management-of-living-donor-liver-transplants
#11
REVIEW
Kristina Lemon, Ali Al-Khafaji, Abhinav Humar
This article represents a review of the postoperative management of donors and recipients after living donor liver transplant, including monitoring, liberation from mechanical ventilation, nutritional support, and pain control. Vascular complications, such as biliary and sepsis, and bleeding are also discussed. Finally, commonly used immunosuppression and antimicrobial prophylaxes are reviewed.
January 2019: Critical Care Clinics
https://www.readbyqxmd.com/read/30424936/percutaneous-endoscopic-gastrostomy-indications-care-and-complications
#12
REVIEW
Carmen Molina Villalba, Juan Antonio Vázquez Rodríguez, Francisco Gallardo Sánchez
Percutaneous endoscopic gastrostomy (PEG) is an effective and safe method for nutritional support in patients with malnutrition and impossibility of oral intake with an estimated survival higher than the months that require enteral nutrition beyond four weeks. The main indications include neoplasms of the upper air-digestive tract and neurological diseases, with dementia currently considered a controversial indication. Anatomical alterations and infectious diseases are the most frequent contraindications. There are different endoscopic techniques; the most widely used being the "pull" method, with a low mortality...
November 10, 2018: Medicina Clínica
https://www.readbyqxmd.com/read/30417229/transanastomotic-tubes-reduce-the-cost-of-nutritional-support-in-neonates-with-congenital-duodenal-obstruction
#13
Rachel Harwood, Fraser Horwood, Violeta Tafilaj, Ross J Craigie
PURPOSE: To determine the impact of intra-operative Trans-anastomotic Tube (TAT) placement on the cost of post-operative nutrition in infants with congenital duodenal obstruction (CDO). METHODS: A retrospective analysis of patients undergoing corrective surgery for CDO, with birth-weight over 1.5 kg over a 10-year period. Data are presented as median (inter-quartile range) and analysed with Mann-Whitney U test and Fisher's exact test as appropriate. RESULTS: 59 patients were included...
November 11, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/30407510/the-impact-of-periconceptional-maternal-lifestyle-on-clinical-features-and-biomarkers-of-placental-development-and-function-a-systematic-review
#14
Ignatia F Reijnders, Annemarie G M G J Mulders, Melissa van der Windt, Eric A P Steegers, Régine P M Steegers-Theunissen
BACKGROUND: Worldwide, placenta-related complications contribute to adverse pregnancy outcomes, such as pre-eclampsia, fetal growth restriction and preterm birth, with implications for the future health of mothers and offspring. The placenta develops in the periconception period and forms the interface between mother and embryo/fetus. An unhealthy periconceptional maternal lifestyle, such as smoking, alcohol and under- and over-nutrition, can detrimentally influence placental development and function...
November 8, 2018: Human Reproduction Update
https://www.readbyqxmd.com/read/30390898/home-parenteral-support-in-patients-with-incurable-cancer-patient-characteristics-of-importance-for-catheter-related-complications-and-overall-survival
#15
Sine Roelsgaard Obling, Benedicte Vibjerg Wilson, Jens Kjeldsen
PURPOSE: It is uncertain if home parenteral support (HPS) is of advantage in patients with incurable cancer and intestinal failure, functional obstruction or severe malabsorption. From a single centre cohort we present characteristics of patients with incurable cancer treated with HPS. METHODS: Over a ten year period (2005-2015) data were retrospectively collected on patients with incurable cancer discharged on HPS from a Danish tertiary referral centre. Data on socio-demographics, catheters and parenteral nutrition, catheter related complications, re-admissions and mortality were analysed...
December 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/30387050/early-7-day-supplemental-parenteral-nutrition-improves-body-composition-and-muscle-strength-in-hypophagic-cancer-patients-at-nutritional-risk
#16
Riccardo Caccialanza, Emanuele Cereda, Marilisa Caraccia, Catherine Klersy, Mariateresa Nardi, Silvia Cappello, Valeria Borioli, Annalisa Turri, Ilaria Imarisio, Angioletta Lasagna, Jessica Saddi, Luca Arcaini, Marco Benazzo, Silvia Stragliotto, Vittorina Zagonel, Paolo Pedrazzoli
PURPOSE: The international guidelines recommend the use of supplemental parenteral nutrition (SPN) in cancer patients when they are malnourished and hypophagic and where enteral nutrition is not feasible. However, there are limited data on the short-term effects of SPN in this patient population. METHODS: The aim of this bicentric single-arm clinical trial (NCT02828150) was to evaluate the effects of early 7-day SPN on bioimpedance vectorial analysis (BIVA)-derived body composition, handgrip strength (HG), and serum prealbumin (PAB) in 131 hypophagic, hospitalized cancer patients at nutritional risk, with contraindications for enteral nutrition...
November 1, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/30386461/nutritional-support-in-chronic-liver-disease-and-cirrhotics
#17
REVIEW
Ravi Shergill, Wajahat Syed, Syed Ali Rizvi, Ikjot Singh
The liver is a major organ and an essential component in maintaining an appropriate nutritional status in healthy individuals through metabolism of protein, carbohydrates, and fat. In individuals with chronic liver disease (CLD), along with a number of other essential functions that the liver serves, its role in nutrition maintenance is severely impaired. Common causes of CLD include hepatitis C, alcoholic liver disease, and non-alcoholic liver disease. Amongst this population, the most common manifestation of impaired nutritional maintenance is protein-calorie malnutrition...
October 27, 2018: World Journal of Hepatology
https://www.readbyqxmd.com/read/30353455/ghrelin-forms-in-the-modulation-of-energy-balance-and-metabolism
#18
REVIEW
Gianluca Gortan Cappellari, Rocco Barazzoni
Ghrelin is a gastric hormone circulating in acylated (AG) and unacylated (UnAG) forms. This narrative review aims at presenting current emerging knowledge on the impact of ghrelin forms on energy balance and metabolism. AG represents ~ 10% of total plasma ghrelin, has an appetite-stimulating effect and is the only form for which a receptor has been identified. Moreover, other metabolic AG-induced effects have been reported, including the modulation of glucose homeostasis with stimulation of liver gluconeogenesis, the increase of fat mass and the improvement of skeletal muscle mitochondrial function...
October 24, 2018: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/30351390/long-term-weight-development-after-esophagectomy-for-cancer-comparison-between-open-ivor-lewis-and-minimally-invasive-surgical-approaches
#19
J Ericson, L Lundell, F Klevebro, S Kamiya, M Nilsson, I Rouvelas
Esophagectomy is an extensive procedure with severe postoperative effects. It can be assumed that the greater the trauma, the longer the nutritional recovery. This retrospective observational single-center cohort study compared weight development after esophagectomy with open and minimally invasive techniques. Three groups were compared in this study, one representing the first 41 patients who underwent the minimally invasive McKeown esophagectomy (MIMK). The second group included the first 84 consecutive patients operated with the minimally invasive Ivor-Lewis esophagectomy (MIIL)...
October 22, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/30346225/energy-dense-versus-routine-enteral-nutrition-in-the-critically-ill
#20
RANDOMIZED CONTROLLED TRIAL
Marianne Chapman, Sandra L Peake, Rinaldo Bellomo, Andrew Davies, Adam Deane, Michael Horowitz, Sally Hurford, Kylie Lange, Lorraine Little, Diane Mackle, Stephanie O’Connor, Jeffrey Presneill, Emma Ridley, Patricia Williams, Paul Young
BACKGROUND: The effect of delivering nutrition at different calorie levels during critical illness is uncertain, and patients typically receive less than the recommended amount. METHODS: We conducted a multicenter, double-blind, randomized trial, involving adults undergoing mechanical ventilation in 46 Australian and New Zealand intensive care units (ICUs), to evaluate energy-dense (1.5 kcal per milliliter) as compared with routine (1.0 kcal per milliliter) enteral nutrition at a dose of 1 ml per kilogram of ideal body weight per hour, commencing at or within 12 hours of the initiation of nutrition support and continuing for up to 28 days while the patient was in the ICU...
November 8, 2018: New England Journal of Medicine
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