Annals of Clinical Nutrition and Metabolism

Postoperative Nutritional Support for Gastrectomized Patients: Han Hong Lee; Surg Metab Nutr 2016;7(2):25-28. Published online December 30, 2016; DOI: https://doi.org/10.18858/smn.2016.7.2.25

Abstract PDF ePub: Nutritional deficiency after gastrectomy is caused by anatomical and physiologic changes in the stomach. In the case of patients with gastric cancer, nausea and loss of appetite due to cancer cachexia syndrome can affect nutritional status after gastrectomy. Prognostic nutritional index based on preoperative nutritional conditions is used for prediction of postoperative outcomes including long-term survival. Generally, enteral nutrition is more effective for post-gastrectomy conditions than parenteral nutrition. In addition, specialized enteral formulas such as immunonutrition (amino acids, ω-3 fatty acids and nucleotide) seem to have benefits for gastrectomy patients, although there is still insufficient evidence. Ghrelin is a next generation agent to stimulate appetite in patients that underwent gastrectomy.

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Analysis of Compliance with Plan of Nutritional Support Team in Intensive Care Unit: Eunkyoung Kim, Jingyeong Kim, YunJu Park, Soyoung Baek, JinJu Lee, AeHee Lee, Jae Im Lee, Chang Hyeok An, Maru Kim; Surg Metab Nutr 2016;7(2):29-31. Published online December 30, 2016; DOI: https://doi.org/10.18858/smn.2016.7.2.29

Purpose:

To improve the nutritional state of patients, cooperation between medical and nutritional support teams is needed. The present study analyzed compliance with the plan of the nutritional support team.

Materials and Methods:

From September 2015 to February 2016, patients undergoing consultation with the nutritional support team at an intensive care unit was enrolled in the study. Their medical records were retrospectively reviewed.

Results:

A total of 123 patients were analyzed. Overall compliance was 56.9% (70/123). Main reason of the non-compliant group was change in patient’s condition (44/53).

Conclusion:

To improve compliance with the medical team, there is a need to assess patients’ condition more rapidly.

Citations

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Nutritional Status of Intensive Care Unit Patients According to the Referral to the Nutrition Support Team and Compliance with the Recommendations
Yunjin Sohn, Taisun Hyun
Korean Journal of Community Nutrition.2022; 27(2): 121. CrossRef

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Analysis of Current Status and Predisposing Factors for Nutritional Support of Patients in Surgical Intensive Care Unit: Byung Chul Kim, In Kyu Lee, Eun Young Kim; Surg Metab Nutr 2016;7(2):32-38. Published online December 30, 2016; DOI: https://doi.org/10.18858/smn.2016.7.2.32

Abstract PDF ePub

Purpose:

Enteral feeding is strongly recommended for critically ill patients since it can enhance the immunologic function, which serves as a host defense mechanism against inflammation or metabolic response to stress. Herein, we investigated nutritional status and estimated the adequacy of the nutritional supply for acutely ill patients admitted to the surgical intensive care unit (SICU) after a major operation.

Materials and Methods:

From February to October 2016, patients admitted and stayed over 48 hours after major surgical procedures at SICU in Seoul St. Mary’s Hospital were reviewed. The nutritional parameters and surgical outcomes were compared according to the status of nutritional support.

Results:

A total of 220 patients composed of 130 males (59.1%) and 90 females (40.9%) were enrolled, and mean age was 61.4±13.6 years. All patients were classified into two groups according to nutritional status, which was assessed by the ratio of total delivered calories to total required calories (D/R); group A (54 cases, 24.5%, D/R≥0.7) versus group B (166 cases, 75.5%, D/R<0.7). In multivariate analysis, incision in the lower abdomen (Odds Ratio 2.277, P=0.078), absence of NST consultation (Odds Ratio 2.728, P=0.011), and not receive minimal invasive surgery (Odds Ratio 3.518, P=0.001) were independent risk factors associated with poor nutritional status.

Conclusion:

Clinicians should pay more attention to patients who had an incision in the lower abdomen or did not receive minimal invasive surgery or NST consultation, which would be predisposing factors for nutritional insufficiency resulting in postoperative morbidities.

Citations

Citations to this article as recorded by

Provision of Enteral Nutrition in the Surgical Intensive Care Unit: A Multicenter Prospective Observational Study
Chan-Hee Park, Hak-Jae Lee, Suk-Kyung Hong, Yang-Hee Jun, Jeong-Woo Lee, Nak-Jun Choi, Kyu-Hyouck Kyoung
Annals of Clinical Nutrition and Metabolism.2022; 14(2): 66. CrossRef

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