Assessment of resting energy demand and body composition in oncological patients undergoing partial resections of the liver

Ukleja, Anna; Andrzejewska, Marta; Skronski, Michal; Ławiński, Michał; Włodarek, Dariusz; Korba, Michał; Nyckowski, P; Słodkowski, Maciej

doi:10.5114/pg.2019.83427

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…More recently, Ukleja et al assessed the metabolic changes following partial liver resection. 15 Patients' REEs were measured on the day prior to surgery and on the seventh day after the procedure. Similar to our data, the authors did not observe any significant change in REE.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative and Postoperative Resting Energy Expenditure of Patients Undergoing Major Abdominal Operations

Silva

Maia

Zocrato

et al. 2020

J Parenter Enteral Nutr

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Background Nutrition therapy plays a major role in the perioperative management of surgical patients. Understanding energy metabolism and correctly establishing the adequate energy needs is a crucial step to provide optimal nutrition care. The aim of this study was to assess the resting energy expenditure (REE) after major abdominal procedures and its associated factors. Methods This was a prospective observational study conducted at a single center. REEs of patients admitted for gastrointestinal surgical procedures were measured by indirect calorimetry 24 hours prior to the procedure and reassessed at least once within the fifth postoperative day. Substrate oxidation was calculated according to the Frayn equation. Nutrition status was evaluated using subjective global assessment. Results There were no significant changes in the REEs throughout the study period; however, there was a decrease in the respiratory quotient during the postoperative period, as well as a decrease in carbohydrate oxidation and an increase in lipid oxidation. Only 33.3% of the patients presented a postoperative increase in REE > 10%. Those patients presented higher blood‐monocyte levels. Conclusion Postoperative REE is not increased in most of the patients. In patients who had increased REE, associated factors included higher levels of monocytes.

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Section: Discussionmentioning

confidence: 99%

“…Fredrix et al observed an increased REE after abdominal operations, 12 whereas other authors observed no postoperative changes in REE. [13][14][15] Therefore, the aim of this study was to assess the REE after major abdominal procedures and its associated factors.…”

Section: Introductionmentioning

confidence: 99%

Preoperative and Postoperative Resting Energy Expenditure of Patients Undergoing Major Abdominal Operations

Silva

Maia

Zocrato

et al. 2020

J Parenter Enteral Nutr

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Energy Expenditure, a New Tool for Monitoring Surgical Stress in Colorectal Oncological Patients: A Prospective, Monocentric Study

Ivascu,

Dutu,

Corneci

et al. 2024

Cureus

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Background: Surgical stress response in colorectal surgery consists of a neurohormonal and an immunological response and influences oncological outcomes. The intensity of surgical trauma influences mortality, morbidity, and metastasis’ occurrence in colorectal neoplasia. Energy expenditure (EE) stands for the body’s energy consumed to keep its homeostasis and can be either calculated or measured by direct or indirect calorimetry. Aim: The present study attempted to evaluate surgical stress response using EE measurement and compare it to the postoperative cortisol dynamic. Methods: A prospective, monocentric study was conducted over a period of one year in the Anesthesiology Department including 21 patients from whom serum cortisol values were collected in the preoperative period and on the first postoperative day, and EE was measured and recorded every 15 minutes throughout surgery using the indirect calorimetry method. The study compared EE values’ dynamic registered 30 minutes after intubation and 30 minutes before extubating (after abdominal closure) to cortisol perioperative dynamic. Results: We enrolled 21 patients and 84 measurements were recorded, 42 probes of serum cortisol and 42 measurements of EE. The mean value of the first measurement of serum cortisol was 13.60±3.6 µg and the second was 16.21±6.52 µg. The average value of the first EE recording was 1273.9±278 kcal and 1463.4±398.2 kcal of the second recording. The bivariate analysis performed showed a good correlation between cortisol variation and EE's variation (Spearman coefficient=0.666, p<0.001, CI=0.285, 0.865). In nine cases (42.85%), cortisol value at 24 hours reached the baseline or below the baselines preoperative value. In eight cases (38.09%), patients’ EE at the end of the surgery was lower than that recorded at the beginning of the surgery. Conclusions: Intraoperative EE variation correlated well with cortisol perioperative dynamic and stood out in this study as a valuable and accessible predictor of surgical stress in colorectal surgery.

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Assessment of resting energy demand and body composition in oncological patients undergoing partial resections of the liver

Cited by 2 publications

References 15 publications

Preoperative and Postoperative Resting Energy Expenditure of Patients Undergoing Major Abdominal Operations

Preoperative and Postoperative Resting Energy Expenditure of Patients Undergoing Major Abdominal Operations

Energy Expenditure, a New Tool for Monitoring Surgical Stress in Colorectal Oncological Patients: A Prospective, Monocentric Study

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