The Japanese Journal of SURGICAL METABOLISM and NUTRITION
Online ISSN : 2187-5154
Print ISSN : 0389-5564
ISSN-L : 0389-5564
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Displaying 1-8 of 8 articles from this issue
  • Masaharu Ishida, Masahiro Iseki, Shuichiro Hayashi, Aya Noguchi, Hide ...
    2024 Volume 58 Issue 6 Pages 210-215
    Published: December 15, 2024
    Released on J-STAGE: January 15, 2025
    JOURNAL FREE ACCESS

    [Background] Within the field of gastrointestinal surgery, pancreaticoduodenectomy (PD) is a highly invasive procedure. However, the clinical implications of postoperative tube feeding remain to be elucidated. In this study, we investigated the impact of enteral nutrition (EN) on the nutritional status of patients following PD.
    [Materials and Methods] We conducted a retrospective analysis of 129 patients who underwent PD at our medical facility. Nutritional intake and status, assessed using the Controlling Nutritional Status score, were compared between two groups: an EN group (97 patients) and a non-EN group (32 patients).
    [Results] No significant differences were found between the two groups in age, sex, body mass index, underlying diseases, surgical duration, blood loss, postoperative pancreatic fistula, postoperative complications, delayed gastric emptying, or length of postoperative hospital stay.The EN group had improved nutritional status at discharge; however, this was not significant. Furthermore, the EN group had improved nutritional status post-surgery compared to the pre-surgery; however, there was no significant difference.Oral calorie intake was significantly higher in the non-EN group (p = 0.01). On the other hand, total energy intake was higher in the EN group; however, there was no significant difference (p = 0.07).
    [Discussion] We found that tube feeding after PD does not significantly affect postoperative nutritional status or overall nutritional intake. Our findings suggest that EN does not offer a clear advantage over other approaches; however, further studies are required to support our findings, refine current guidelines, and optimize patient outcomes.

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  • Ryoma Haneda, Yuki Sakai, Kenichi Sekimori, Tomohiro Murakami, Eis ...
    2024 Volume 58 Issue 6 Pages 216-222
    Published: December 15, 2024
    Released on J-STAGE: January 15, 2025
    JOURNAL FREE ACCESS

    Esophageal cancer surgery is an invasive procedure. Perioperative exercise and nutrition therapy are important for preventing postoperative complications and maintaining physical function. We established the Hamamatsu Perioperative Care Team, a perioperative care team comprising staff from various departments. Individualized perioperative rehabilitation programs have been introduced at our institution, utilizing treatment diaries and wearable fitness tracking devices. In this review, we discuss the effectiveness of perioperative rehabilitation and nutrition therapy in the management of esophageal cancer.

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