Annals of Clinical Nutrition and Metabolism

Preoperative consumption of a carbohydrate drink before laparoscopic cholecystectomy is safe and beneficial in Korea: a non-randomized controlled study: Yoo Jin Choi, Yoonhyeong Byun, Seong Mi Yang, Ho-Jin Lee, Hongbeom Kim; Ann Clin Nutr Metab 2023;15(1):15-21. Published online April 1, 2023; DOI: https://doi.org/10.15747/ACNM.2023.15.1.15

Abstract PDF Supplementary Material ePub

Purpose: Overnight fasting prior to elective surgery is the traditional way of avoiding the risk of aspiration during anesthesia induction. However, it causes mental and metabolic stress to patients. Therefore, we investigated the safety and potential benefits of the preoperative consumption of a carbohydrate drink.
Methods: This was a single-center prospective, nonrandomized study with questionnaire. Patients scheduled for elective laparoscopic cholecystectomy were included. There was no restriction on age, underlying diseases, and biliary drainage prior to surgery. They were preoperatively given either a carbohydrate drink or were instructed to fast from midnight before surgery. Perioperative emotional status was measured using the visual analog scale.
Results: The 132 patients completed the questionnaire, with 68 receiving the carbohydrate drink and 64 following nil per oral after-midnight instruction. There were no postoperative complications related to preoperative drink consumption or the cholecystectomy procedure itself in both groups. There were no significant differences in all the assessed feelings postoperatively except that preoperative discomforts, such as hunger and thirst, were significantly more alleviated in the group of preoperative consumption of a carbohydrate drink.
Conclusion: Preoperative consumption of a carbohydrate drink was found to be safe and effective in alleviating preoperative discomfort in elective surgery patients, including older patients and those with underlying comorbidities, who were at greater risk for aspiration. Therefore, we recommend considering preoperative drink consumption as an alternative to traditional overnight fasting in elective surgery patients.

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MODERN CONCEPT OF POSTOPERATIVE ANALGESIA IN PATIENTS UNDERGOING URGENT LAPAROSCOPIC CHOLECYSTECTOMY
O. PYLYPENKO, O. KRAVETS
Pain anesthesia and intensive care.2024; (4(109)): 55. CrossRef

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Development and Internal/External Validation of a Prediction Model for Weight Loss Following Gastric Cancer Surgery: A Multicenter Retrospective Study: Ji-Hyeon Park, Seong-Ho Kong, Do Joong Park, Han-Kwang Yang, Jong Won Kim, Ki Bum Park, In Cho, Sun-Hwi Hwang, Dong-Wook Kim, Su Mi Kim, Seung-Wan Ryu, Seong Chan Gong, Pil Young Jung, Hoon Ryu, Sung Geun Kim, Chang In Choi, Dae-Hwan Kim, Sung-IL Choi, Ji-Ho Park, Dong Jin Park, Gyu-Yeol Kim, Yunhee Choi, Hyuk-Joon Lee; Ann Clin Nutr Metab 2022;14(2):55-65. Published online December 1, 2022; DOI: https://doi.org/10.15747/ACNM.2022.14.2.55

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Purpose: To develop an individualized model for predicting the extent of unintentional weight loss following gastrectomy in patients with gastric cancer based on related risk factors and to externally validate this model using multicenter clinical data in Korea.
Materials and Methods: Among gastric cancer patients who underwent curative gastrectomy at 14 different gastric cancer centers, clinical data from patients with more than one weight measurement during the three-year follow-up period were retrospectively collected. Risk factors associated with weight loss in gastric cancer patients after gastrectomy were analyzed, and a predictive model was developed. Internal and external validation were performed.
Results: The data from 2,649 patients were divided into a derivation set (n=1,420 from Seoul National University Hospital) and validation set (n=1,229 from 13 different gastric cancers). Postoperative duration (six vs. 12, 24, or 36 months), sex (female vs. male), age, preoperative body mass index, type of surgery (pylorus-preserving vs. total, distal or proximal gastrectomy), and cancer stage (I vs. II or III) were included in the final prediction model. The model showed approximately 20% accuracy in predicting weight loss at each period: R2 at six, 12, 24 and 36 months after gastrectomy in internal validation=0.20, 0.21, 0.17, and 0.18, respectively, and in external validation=0.20, 0.22, 0.18, and 0.18, respectively. Calibration slopes of internal and external validation were 0.95 and 1.0, respectively.
Conclusion: Although predictive accuracy of the model did not reach an acceptable level, repeated external validation measurements showed high reliability. The model may serve as a basic reference in clinical practice.

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Development and Feasibility Assessment of Mobile Application-Based Digital Therapeutics for Postoperative Supportive Care in Gastric Cancer Patients Following Gastrectomy
Ji-Hyeon Park, Hyuk-Joon Lee, JeeSun Kim, Yo-Seok Cho, Sunjoo Lee, Seongmin Park, Hwinyeong Choe, Eunhwa Song, Youngran Kim, Seong-Ho Kong, Do Joong Park, Byung-Ho Nam, Han-Kwang Yang
Journal of Gastric Cancer.2024; 24(4): 420. CrossRef

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The Utility of Open Gastrostomy Using Local Anesthesia and a Gastrostomy Tube for Percutaneous Endoscopic Gastrostomy: Jae Kyun Park, Chang In Choi, Dae Hwan Kim; Surg Metab Nutr 2020;11(1):22-26. Published online June 30, 2020; DOI: https://doi.org/10.18858/smn.2020.11.1.22

Abstract PDF ePub: Purpose: The purpose of this study is to introduce the technical details of open gastrostomy using local anesthesia and a gastrostomy tube for percutaneous endoscopic gastrostomy, and to evaluate the safety and utility of the procedure.
Materials and Methods: Between January 2011 and December 2015, a total of 46 patients who underwent open gastrostomy using local anesthesia and a gastrostomy tube for percutaneous endoscopic gastrostomy (open group, n=25) or laparoscopic gastrostomy (laparoscopy group, n=21) were enrolled in this retrospective study. We analyzed the clinical data and the perioperative data.
Results: There were no significant differences in the clinical characteristics of the two groups. However, the patients with a high anesthetic risk (American Society of Anesthesiologists [ASA] grade 3 or more) were significantly more prevalent in the open group than in the laparoscopic group (96.0% vs. 66.7%, respectively, P=0.013). The operation time (31.8±6.6 vs. 67.9±15.7 minutes, respectively, P<0.001) and the time to first tubal feeding (1.3±0.6 vs. 2.7±1.3 days, respectively, P<0.001) was significantly shorter in the open group than that in the laparoscopic group. Postoperative complications were more frequent in the laparoscopic group (4 cases, 19%) than that in the open group (1 case, 4%), but there was no statistically significant difference.
Conclusion: Open gastrostomy using local anesthesia and a gastrostomy tube for PEG is a safe and feasible method for treating patients with a high anesthetic risk.

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Risk of Malnutrition after Gastrointestinal Cancer Surgery: A Propensity Score Matched Retrospective Cohort Study: Sung-Hoon Yoon, Bong-Hyeon Kye, Hyung-Jin Kim, Kyong-Hwa Jun, Hyeon-Min Cho, Hyung-Min Chin; Surg Metab Nutr 2018;9(1):16-25. Published online June 30, 2018; DOI: https://doi.org/10.18858/smn.2018.9.1.16

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Purpose:

Patients with cancers arising from the gastrointestinal tract can suffer from nutritional inadequacies caused by various factors. This study investigated the risk of malnutrition after curative surgery in patients with gastric cancer (GC) or colorectal cancer (CRC) using various preoperative and postoperative nutritional screening tools.

Materials and Methods:

In the authors’ hospital, 407 patients (206 patients with GC and 201 patients with CRC) underwent surgery between July 2011 and June 2012. The patients from the two groups were matched using the propensity score and then analyzed the nutritional data from 170 patients (85 patients in each group), retrospectively.

Results:

In both groups, the postoperative nutritional status was impaired significantly compared to the preoperative status. The postoperative risk of undernutrition in CRC patients was significantly lower than that of the GC patients according to the Malnutrition Universal Screening Tool (P=0.007). At the time of hospital discharge after surgery, the incidence of a lower serum albumin level (P=0.002) and more than 5% weight loss (P=0.013) were higher in the GC group than in the CRC group. A comparison of the postoperative nutritional status among the types of surgery in each group, total gastrectomy in the GC group (P=0.015) and proctectomy with diverting stoma in the CRC group (P=0.06), were related to more than 5% weight loss.

Conclusion:

Gastrointestinal cancer surgery might increase the patients’ postoperative risk of malnutrition, particularly in GC surgery. Therefore, consecutive assessments of the nutritional status and appropriate nutritional support are necessary after surgery for GC and CRC.

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Feasibility and Safety of Early Oral Feeding After Radical Gastrectomy in Patients With Gastric Carcinoma: A Systematic Review
Wahida Ali, Wahidullah Dost, Mohammad Nazir Zaman, Mohammad Qaher Rasully , Jamaluddin Niazi, Farzad Qasemi, Raisa Dost, Wahida Dost, Danyal Bakht, Syed Faqeer Hussain Bokhari
Cureus.2024;[Epub] CrossRef
Preoperative Body Mass Index, Waist Circumference, and Mortality After Major Cancer Surgery: A Nationwide Cohort Study in Korea
Tak Kyu Oh, In-Ae Song
Journal of Korean Medical Science.2023;[Epub] CrossRef
Nutritional Counseling Protocol for Colorectal Cancer Patients after Surgery Improves Outcome
Isabelle R. Novelli, Bruno A. D. Araújo, Laura F. Grandisoli, Elianete C. G. Furtado, Evelyn K. N. Aguchiku, Marina C. G. Bertocco, Tassiane P. Sudbrak, Isabel C. de Araújo, Ana C. F. Bosko, Nágila R. T. Damasceno
Nutrition and Cancer.2021; 73(11-12): 2278. CrossRef

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Current Trend of Nutritional Support Treatment Guidelines for Critically Ill Patients: Yoo Jin Choi, Jae-Myeong Lee; J Clin Nutr 2017;9(2):38-47. Published online December 31, 2017; DOI: https://doi.org/10.15747/jcn.2017.9.2.38

Abstract PDF ePub: Critically ill and injured patients admitted in the intensive care unit have a range of diseases with various severities. Their conditions should be assessed and the patients should receive specialized nutrition therapy depending on their condition. Like general intensive care, nutrition therapy is upgraded every few years with revised information to provide more idealized nutrition support. The main guidelines in this review are from the Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). Their previous 2009 guidelines were revised and published in 2016. This review summarizes the 2016 SCCM/ASPEN guidelines focusing on the changes from the previous 2009 guidelines.

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Review of the 3-Chamber Bag Preparations for Total Parenteral Nutrition: Heejin Choi; J Clin Nutr 2017;9(1):7-15. Published online June 30, 2017; DOI: https://doi.org/10.15747/jcn.2017.9.1.7

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Total parenteral nutrition (TPN) therapy has advanced significantly during the recent half a century, from single bottle therapy to the combined therapy including macronutrients and micronutrients. The purposes of 3-chamber bag development are to reduce the restriction of total nutrient admixture, and increase the accessibility of therapy. This is also based on trial and errors during R&D activities, and the clinical experiences at the hospital compounding centers. The 3-chamber bag started with concerns regarding the mixture of fat and glucose and amino acids, but up to the present, it is used widely with clinical experience of more than 15 years. Therefore, it might be reasonable to ensure that its efficacy and safety is confirmed. The physicians have reported that it contributes to the convenient and efficient nutrition therapy, allowing enhanced patient compliance and convenience at hospital. In addition, depending on the further R&D works, 3-chamber bags are expected to advance further, opening a new landscape for advanced nutrition therapy.

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False positive Aspergillus galactomannan assay results caused by specific parenteral nutrition
Euijin Chang, Sung-Woon Kang, Jin-Won Huh, Mi-Na Kim, Seongman Bae, Jiwon Jung, Min Jae Kim, Sung-Han Kim, Sang-Ho Choi, Sang-Oh Lee, Yang Soo Kim, Heungsup Sung, Yong Pil Chong
Medical Mycology.2023;[Epub] CrossRef

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The Effects of Early Enteral Nutrition in Patients: A Role of Nutrition Support Team: Kye Wol Park, Hee Ryoung Son, Ji Hoon Kim, Myoung Hee Kim, Eun Jin Choi; J Clin Nutr 2016;8(2):66-70. Published online August 31, 2016; DOI: https://doi.org/10.15747/jcn.2016.8.2.66

Abstract PDF ePub

Purpose:

The study examined the effects of early enteral nutrition on the patients’ length of stay in an intensive care unit (ICU), length of stay and mortality rate.

Methods:

A retrospective design was employed with a total of 461 patients (mean age=69.9±15.6 years; 253 males; 208 females). They were divided into two groups according to when they received enteral feeding: an “early enteral nutrition” (EEN) group of 148 patients (32.1%) who received enteral feeding within 48 hours of their arrival at the hospital and a “delayed enteral nutrition” (DEN) group of 313 patients (67.9%) who received enteral feeding at some point after 48 hours of their arrival at the hospital. The EEN group and control group were similar in terms of age, sex, body mass index, and underlying diseases.

Results:

The EEN group’s total length of stay in hospital was shorter (23.29±27.19 days) than that of the control group (36.74±32.24 days); the difference was significant (P<0.001). The EEN group also showed a shorter length of stay in the ICU (13.67±22.77 days) than the DEN group (17.46±21.02 days) and a lower mortality rate (17.6%) than the control group (18.8%), but these differences were not significant.

Conclusion:

The study found that early enteral nutrition treatment reduced total length of stay in hospital significantly. The findings suggest that early enteral nutrition treatment plays an important role in the patients’ recovery and prognosis.

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Nutritional support for critically ill patients by the Korean Society for Parenteral and Enteral Nutrition — part I: a clinical practice guideline
Seung Hwan Lee, Jae Gil Lee, Min Kwan Kwon, Jiyeon Kim, Mina Kim, Jeongyun Park, Jee Young Lee, Ye Won Sung, Bomi Kim, Seong Eun Kim, Ji Yoon Cho, A Young Lim, In Gyu Kwon, Miyoung Choi
Annals of Clinical Nutrition and Metabolism.2024; 16(3): 89. CrossRef
The Status of Enteral Nutrition Formula Use by Dietitians in Hospitals Within Busan and Gyeongnam Area
Haejin Kang, Minji Woo, Eunju Park, Yoo Kyoung Park
Clinical Nutrition Research.2022; 11(1): 9. CrossRef
Physician Compliance with Nutrition Support Team Recommendations: Effects on the Outcome of Treatment for Critically Ill Patients
Hyon-Ju Yon, Eun-Suk Oh, Ji Young Jang, Ji Yun Jang, Hongjin Shim
Journal of Acute Care Surgery.2022; 12(1): 1. CrossRef
Health and Nutrition Status of Elderly People with Multimorbidity: A Korea National Health and Nutrition Examination Survey (2013~2015)
Na-Gyeong Oh, Jung-Sook Seo
Korean Journal of Community Nutrition.2020; 25(6): 502. CrossRef

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Systematic Review of the Evidence for an Association between Korean Sugar Intake and Risk of Obesity: Jaekyung Choi, Ah-Leum Ahn, Kyoung Sik Park, Jae Hoon Cho, Eunyoel Yang, Young Bin Cho, Jong Ryul Kwon, Jaedo Oh, Ik Jin Yun, Wonjung Yun, Eun Yeong Song; Surg Metab Nutr 2015;6(2):23-27. Published online December 30, 2015; DOI: https://doi.org/10.18858/smn.2015.6.2.23

Abstract PDF ePub

Background:

The purpose of this study is to collect research data on sugar intake and obesity of Koreans and through systematic review, present our views on the topic.

Materials and Methods:

An analysis of previously reported research studies was conducted through systematic review and data were collected from databases in Korea and other countries. Out of 1,316 studies collected, 7 were chosen for the purpose of this research study.

Result:

According to a study including female Korean high school students and college students in Seoul as the subjects, those who were overweight had slightly lower sugar intake than those who were normal weight. Another study conducted on a large group of females showed that there was no substantial difference in the level of sugar intake between the “Obese Group” and the “Normal Weight Group.” In the group of Korean adults with a high level of carb consumption, the cross ratio of the overall sugar intake and obesity showed a tendency to increase, but no significant differences were observed. Intake of sugar-sweetened drinks by children and teenagers (age 7 to 12) in Korea resulted in an increase in the odds ratio of obesity.

Conclusion:

This study does not show that the amount of sugar intake and obesity does not show a direct correlation among Koreans. A more developed and thorough study that considers not only the amount of sugar intake, but also other factors such as physical activity or exercise, should be devised.

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Intake-related factors and educational needs regarding energy drinks in female high school students in the Incheon area
So Hyun Park, Seon Hwa Lee, Kyung Ja Chang
Journal of Nutrition and Health.2017; 50(5): 460. CrossRef

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