Jomyaku Keicho Eiyo
Online ISSN : 1881-3623
Print ISSN : 1344-4980
ISSN-L : 1344-4980
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Volume 28, Issue 4
Displaying 1-27 of 27 articles from this issue
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  • Usefulness of nutritional therapy in autologous peripheral blood stem cell transplantation.
    Takashi AOYAMA, Yoko KATO, Junko AKAGAWA, Yuri ENDO, Ikue OKAMURA, Kaz ...
    2013 Volume 28 Issue 4 Pages 973-980
    Published: 2013
    Released on J-STAGE: August 23, 2013
    DOIhttps://doi.org/10.11244/jjspen.28.973
    JOURNAL FREE ACCESS
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    Objective: We examined the usefulness of nutritional therapy in autologous stem cell transplantation (auto-PBSCT).
    Method: We investigated 25 patients who received auto-PBSCT in our hospital from 2006 to 2010 in terms of quantity of nutritional supply.
    Result: Weight, skeletal muscle mass, and fat mass during the nutritional intervention period did not show any significant differences (Student’ st-test). A deviation in %LBW (loss of body weight) over the course of 3 months (%LBW ≧ 7.5%) was seen in 3 of 25 cases during the intervention period. Associations were evident between weight and c hange in skeletal muscle mass (linear regression analysis: r=0.77, p<0.001), supply heat capacity (r=0.41,p<0.05), and skeletal muscle change and protein supply (r=0.40, p<0.05) during the nutritional intervention period. The 22 cases without %LBW deviation (mean, 2.4±1.7%) were 26 ± 5 kcal/kg (IBW: ideal body weight) /day, protein 0.9 ± 0.2 g/kg (IBW) /day.
    Discussion: Decreases in skeletal muscle advance with weight loss in auto-PBSCT. Nutritional therapy in consideration of adverse events is useful to maintain quality of life.
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  • Examination of Long-turn prognostic predictor after Percutaneous Endoscopic Gastrostomy (PEG).
    Norio KANZAKI, Satoshi AIZAWA, Yumiko YAMADA, Yuki SUGANAMI, Noriko SA ...
    2013 Volume 28 Issue 4 Pages 981-986
    Published: 2013
    Released on J-STAGE: August 23, 2013
    DOIhttps://doi.org/10.11244/jjspen.28.981
    JOURNAL FREE ACCESS
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    Aim: The primary aim of this study was to consider the suitable patients and time for percutaneous endoscopic gastrostomy (PEG) based on outcome predictors.
    Subjects and Methods: The subjects were 183 patients who had undergone PEG at our hospital between January 2004 and December 2010. PEG was performed by Ponsky’s Pull method.
    Results: The most frequent causes of death were pneumonia and respiratory disorder. Four factors (male sex, malignant tumor, serum cholinesterase activity, and ability to take food orally after PEG) were significant outcome predictors on multivariate analysis.
    Conclusions: Patients who were able to take even a little food orally after PEG were the best candidates for PEG, because patients who were unable to take food orally had a risk of subclinical aspiration and pneumonia. PEG should be performed early, before the patient’s nutritional condition deteriorates as indicated by serum cholinesterase activity.
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