Survey of nutritional practices in total gastrectomy and oesophagectomy procedures

Lahoud, John; Bazzi, Khalil; Yeo, David; Carey, Sharon

doi:10.1111/1747-0080.12447

Cited by 11 publications

(8 citation statements)

References 32 publications

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“…These procedures are significant and not without a high risk of complications, such as anastomotic leak and impacts on morbidity, mortality and quality of life (QOL), which are of significant concern to medical teams. [2][3][4][5] Post major UGI surgery, enteral or parenteral nutrition or the timing or type of oral diet, is a significant consideration known to affect postoperative recovery and the ability to tolerate adjuvant treatment. 5 Despite its importance, there…”

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confidence: 99%

“…is a lack of standardised management with the preference of the treating surgeon being identified as one of the main drivers of practice. 5 Historically, the introduction of oral diet has been delayed to day 7 or later postoperatively, with enteral nutrition being provided usually via a jejunostomy tube, which aims to meet nutrition requirements and prevent malnutrition. [6][7][8] Jejunostomy insertion enables feeding while allowing rest and recovery in the immediate postoperative period to manage potential postoperative complications, namely anastomotic leak, requiring a period of nil by mouth.…”

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confidence: 99%

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Early postoperative feeding following surgery for upper gastrointestinal cancer: A systematic review

Carmichael

Rocca

Laing

et al. 2021

J Human Nutrition Diet

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I N TRODUC TIONUpper gastrointestinal (UGI) cancers, specifically oesophageal and gastric cancers, account for almost 10% of new cancer cases globally and approximately 13% of cancer mortality. 1 Surgical resection, with or without neoadjuvant and adjuvant therapies, remains the basis of curative intent treatment for this cancer group. These procedures are significant and not without a high risk of complications, such as anastomotic leak and impacts on morbidity, mortality and quality of life (QOL), which are of significant concern to medical teams. [2][3][4][5] Post major UGI surgery, enteral or parenteral nutrition or the timing or type of oral diet, is a significant consideration known to affect postoperative recovery and the ability to tolerate adjuvant treatment. 5 Despite its importance, there

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confidence: 99%

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confidence: 99%

Early postoperative feeding following surgery for upper gastrointestinal cancer: A systematic review

Carmichael

Rocca

Laing

et al. 2021

J Human Nutrition Diet

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“…However, some studies have confirmed that intestinal absorption and peristalsis can be restored 6 h after operation, and suggested that EN should be actively carried out when the intestinal tract is functional and safe (6,26). EN is an important part of ERAS, and influences the complete implementation of the ERAS process (27).…”

Section: Discussionmentioning

confidence: 99%

Effects of enteral nutrition support combined with enhanced recovery after surgery on the nutritional status, immune function, and prognosis of patients with esophageal cancer after Ivor-Lewis operation

Ding¹,

Xu²,

You³

et al. 2020

J Thorac Dis

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Background: Esophageal cancer (EC) with a high incidence of malnutrition is a highly malignant digestive tract tumor. We investigated the effect of enteral nutrition (EN) support combined with enhanced recovery after surgery (ERAS) on the nutritional status, immune function, and prognosis of patients with EC after Ivor-Lewis operation.Methods: One hundred patients were randomly divided into the observation group (n=42) and the control group (n=58). The patients in observation group were treated with EN combined with ERAS intervention after Ivor-Lewis operation, and the patients in control group were treated with conventional postoperative EN intervention. The situation of operation, nutritional status, immune function recovery and prognosis between the two groups were compared.Results: There was no statistically significant difference in operation time or intraoperative blood loss between the two groups (P>0.05). The chest tube removal time and oral feeding time of the observation group after operation were shorter than those of the control group (P<0.05). After intervention, serum albumin (ALB), transferrin (TF), pre-albumin (PA) and hemoglobin (Hb) levels in both groups were significantly decreased. These indexes were significantly higher in the observation group than in the control group (P<0.05). There were no significant changes in the levels of immunoglobulin (Ig) A, IgG, and IgM, or the numbers of CD3 + , CD4 + and CD4 + /CD8 + T cells in the observation group before and after intervention (P>0.05); however those indexes were significantly decreased in the control group after the intervention (P<0.05). Interestingly, the levels of IgA, IgM, IgG, CD3 + T cells, CD4 + T cells and CD4 + /CD8 + T cells in the observation group were significantly higher than those in the control group after intervention (P<0.05).The incidence of pulmonary infection in the observation group was significantly lower than that in the control group. The postoperative exhaust time, postoperative defecation time and postoperative hospital stay were shorter in the observation group than in the control group (P<0.05). There was no significant difference in hospitalization cost between the two groups (P>0.05).Conclusions: EN combined with ERAS was more beneficial to the improvement of nutritional status and immune function recovery of patients with EC after Ivor-Lewis operation. It also shortened the length of hospital stay.

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“…10 Robust evidence to support perioperative nutritional interventions specific to this patient group is not available in the current literature. Subsequently, significant variation in the self-reported nutritional practices of dietitians and surgeons have been previously demonstrated, 11 12 and strengths and limitations of this study ► This is the largest study to prospectively conduct nutritional assessment of patients with upper gastrointestinal cancer at the time of surgery, using validated assessment methods. ► The unique dataset will provide a detailed snapshot of nutritional status and associated clinical and service delivery outcomes.…”

Section: Introductionmentioning

confidence: 99%

Nutritional Outcomes of patients Undergoing Resection for upper gastroIntestinal cancer in AuStralian Hospitals (NOURISH): protocol for a multicentre point prevalence study

et al. 2020

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IntroductionNutritional intervention and prevention of malnutrition is significantly important for patients with upper gastrointestinal oesophageal, pancreatic and gastric cancer. However, there is limited information regarding nutritional status, and perioperative nutritional interventions that patients receive when undergoing curative surgery.Methods and analysisPatients diagnosed with upper gastrointestinal cancer, planned for curative intent resection across 27 Australian hospitals will be eligible to participate in this point prevalence study. The primary aim is to determine the prevalence of malnutrition in patients with upper gastrointestinal cancer at the time of surgery using subjective global assessment. Secondary aims are to determine the type and frequency of perioperative nutritional intervention received, the prevalence of clinically important weight loss and low muscle strength, and to investigate associations between the use of an evidence-based nutrition care pathway or protocol for the nutritional management of upper gastrointestinal surgical oncology patients and malnutrition prevalence. Data collection will be completed using a purpose-built data collection tool.Ethics and disseminationEthical approval was granted in May 2019 (LNR/51107/PMCC-2019). The design and reporting of this study comply with the Strengthening the Reporting of Observational Studies in Epidemiology checklist for reporting of observational cohort studies. Findings will be published in peer-reviewed scholarly journals and presented at relevant conferences. Results will assist in defining priority areas for research to improve patient outcomes.

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Survey of nutritional practices in total gastrectomy and oesophagectomy procedures

Cited by 11 publications

References 32 publications

Early postoperative feeding following surgery for upper gastrointestinal cancer: A systematic review

Early postoperative feeding following surgery for upper gastrointestinal cancer: A systematic review

Effects of enteral nutrition support combined with enhanced recovery after surgery on the nutritional status, immune function, and prognosis of patients with esophageal cancer after Ivor-Lewis operation

Nutritional Outcomes of patients Undergoing Resection for upper gastroIntestinal cancer in AuStralian Hospitals (NOURISH): protocol for a multicentre point prevalence study

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