Annals of Clinical Nutrition and Metabolism

Nutritional Therapy in Upper Gastrointestinal Surgery: Ki Young Yoon; Surg Metab Nutr 2012;3(2):29-33. Published online December 30, 2012

Abstract PDF: (SMN 2012;3:29-33)

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Nutritional Therapy in Lower Gastrointestinal Surgery: Yoon-Suk Lee; Surg Metab Nutr 2012;3(2):34-37. Published online December 30, 2012

Abstract PDF: (SMN 2012;3:34-37)

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Clinical Significance of the Enhanced Recovery after Surgery (ERAS) Program in Laparoscopic Colon Cancer Surgery: Kyung Uk Jung, Yong Beom Cho, Hye Young Koo, Kang Jae Kim, Jung-A Yun, Yoon Ah Park, Seong Hyeon Yun, Hee Cheol Kim, Woo Yong Lee, Ho-Kyung Chun; Surg Metab Nutr 2012;3(2):38-44. Published online December 30, 2012

Abstract PDF: Purpose: The Enhanced Recovery After Surgery (ERAS) program has been shown to benefit recovery following major surgery in variable patient groups, especially in open procedures. However, benefits of the ERAS programs were not well investigated in laparoscopic colorectal resection. The aim of this study was to evaluate the outcomes of major elective laparoscopic colon cancer surgery when the ERAS program was used.
Materials and Methods: Between June 1, 2011 and December 31, 2011, a total of 378 patients who underwent major elective laparoscopic colon cancer surgery were treated within the ERAS program (ERAS group). The demographic features, operative details, postoperative clinical recovery, and complications of these patients were compared with those of 334 patients in the pre-ERAS group who underwent major elective laparoscopic colon cancer surgery between June 1, 2010 and December 31, 2010.
Results: No significant differences in sex, BMI, ASA, cancer site, and staging were observed between the ERAS and pre-ERAS groups. Patients in the ERAS group were older than those in the pre-ERAS group (P=0.05). Regarding postoperative recovery, the time to first bowel movement and the time to resume a full diet were significantly shorter in the ERAS group (P=0.02 and P<0.01, respectively). However, the length of time for postoperative hospitalization did not differ significantly between the two groups. The readmission rates were similar in the two groups (2.4% vs. 3.3%). Fewer overall postoperative complications were observed in the ERAS group than in the pre-ERAS group (12.2% vs. 19.2%, P=0.01).
Conclusion: The results of this study suggest that the ERAS program may provide better short-term clinical outcomes for patients undergoing laparoscopic colon cancer surgery. (SMN 2012;3:38-44)

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Current Status of Nutritional Supports on Surgical Patients in Korea: A Nationwide Survey: Kyung Won Seo, Gil Ho Kang, Seong-Ho Kong, Seung Wan Ryu, Jun Seok Park, Ji Won Park, In Kyu Lee, Mi Ran Jeong, Dae Wook Hwang, Hoon Hur, Hyuk-Joon Lee, Guideline and Clinical Trial Committee of the Korean Society of Surgical Metabolism and Nutrition; Surg Metab Nutr 2012;3(2):45-52. Published online December 30, 2012

Abstract PDF: This nationwide survey was conducted in order to evaluate the current status of nutritional supports on surgical patients in Korea. Guideline and Clinical Trial Committee of the Korean Society of Surgical Metabolism and Nutrition (KSSMN) sent questionnaires to 101 KSSMN members (hospital-based) regarding the current activity of the nutritional support team (NST) in each hospital. We also asked them about their needs regarding development of clinical guidelines for nutritional support for surgical patients. Response rates were 39.6% (40/101). The majority of hospitals (35/40, 87.5%) have NST and the surgeon is a leader of the NST in 30 hospitals (85.7%). Round visits of the multidisciplinary team were held in 23 hospitals (23/35, 65.7%), however, it was executed irregularly at intervals of one week over in 23 hospitals (23/25, 92.0%). Screening tools for newly admitted patients were used in 26 hospitals (26/35, 74.3%). Almost all hospitals (27/30, 90.0%) screened all newly admitted patients using an electronic searching program. However, proportion referring to NST was extremely low. The cause of the low consult rate was indicated as a manpower shortage due to low reference fee. Most surgeons agreed on the need for development of clinical guidelines. The Authors hope that after this survey, comprehension of current circumstance of nutritional support is enhanced among surgeons, and that this will result in more positive activities in usual medical treatment condition. (SMN 2012;3:45-52)

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