Standard clinical practice of perioperative nutritional support in hepatopancreatobiliary surgery

doi:10.3877/cma.j.issn.1674-0793.2020.04.017

Abstract

Abstract:

The concept of perioperative nutritional support has gradually attracted the attention of surgeons in recent decades, and its clinical practice tends to be systematized and standardized. Studies have shown that reasonable nutritional support can reduce the degree of malnutrition in patients, thus reducing postoperative morbidity, enhancing life quality and improving clinical outcomes. Patients undergoing hepatopancreatobiliary surgery are generally in a complicated condition with significant morbidity and mortality, so perioperative nutritional assessment and support are particularly important. This article reviews the recent studies on the standard clinical practice of perioperative nutritional support in hepatopancreatobiliary surgery to provide theoretical guidance for the clinical promotion and standard practice of nutritional support in this field.

Key words: Nutritional support, Hepatopancreatobiliary surgery, Perioperative period, Standard practice

Yanjing Song, Jinghai Song, Junmin Wei. Standard clinical practice of perioperative nutritional support in hepatopancreatobiliary surgery[J]. Chinese Archives of General Surgery(Electronic Edition), 2020, 14(04): 305-310.

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References 35

[33]	Mariette C. Immunonutrition[J]. J Visc Surg, 2015, 152 Suppl 1: S14-S17.
[34]	Tseng DS, Molenaar IQ, Besselink MG, et al. Pancreatic exocrine insufficiency in patients with pancreatic or periampullary cancer: A systematic review[J]. Pancreas, 2016, 45(3): 325-330.
[35]	Powell-Brett S, de Liguori Carino N, Roberts K. Understanding pancreatic exocrine insufficiency and replacement therapy in pancreatic cancer[J]. Eur J Surg Oncol, 2020. PMID: 32178962.
[1]	Harimoto N, Yoshizumi T, Inokuchi S, et al. Prognostic significance of preoperative controlling nutritional status (CONUT) score in patients undergoing hepatic resection for hepatocellular carcinoma: A multi-institutional study[J]. Ann Surg Oncol, 2018, 25(11): 3316-3323.
[2]	Harimoto N, Hoshino H, Muranushi R, et al. Skeletal muscle volume and intramuscular adipose tissue are prognostic predictors of postoperative complications after hepatic resection[J]. Anticancer Res, 2018, 38(8): 4933-4939.
[3]	Masuda T, Shirabe K, Ikegami T, et al. Sarcopenia is a prognostic factor in living donor liver transplantation[J]. Liver Transpl, 2014, 20(4): 401-407.
[4]	Chan AW, Chan SL, Wong GL, et al. Prognostic nutritional index (PNI) predicts tumor recurrence of very early/early stage hepatocellular carcinoma after surgical resection[J]. Ann Surg Oncol, 2015, 22(13): 4138-4148.
[5]	Kim KH, Hwang HK, Kang IC, et al. Oncologic impact of preoperative prognostic nutritional index change in resected pancreatic cancer following neoadjuvant chemotherapy[J]. Pancreatology, 2020, 20(2): 247-253.
[6]	Cederholm T, Jensen GL, Correia M, et al. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community[J]. Clinical nutrition (Edinburgh, Scotland), 2019, 38(1): 1-9.
[7]	da Silva Passos LB, De-Souza DA.Some considerations about the GLIM criteria - A consensus report for the diagnosis of malnutrition[J]. Clin Nutr, 2019, 38(3): 1482.
[8]	La Torre M, Ziparo V, Nigri G, et al. Malnutrition and pancreatic surgery: prevalence and outcomes[J]. J Surg Oncol, 2013, 107(7): 702-708.
[9]	Gianotti L, Besselink MG, Sandini M, et al. Nutritional support and therapy in pancreatic surgery: A position paper of the International Study Group on Pancreatic Surgery (ISGPS)[J]. Surgery, 2018, 164(5): 1035-1048.
[10]	Yao H, Bian X, Mao L, et al. Preoperative enteral nutritional support in patients undergoing hepatectomy for hepatocellular carcinoma: A strengthening the reporting of observational studies in epidemiology article[J]. Medicine (Baltimore), 2015, 94(46): e2006.
[11]	Gillis C, Li C, Lee L, et al. Prehabilitation versus rehabilitation: A randomized control trial in patients undergoing colorectal resection for cancer[J]. Anesthesiology, 2014, 121(5): 937-947.
[12]	Dunne DF, Jack S, Jones RP, et al. Randomized clinical trial of prehabilitation before planned liver resection[J]. Br J Surg, 2016, 103(5): 504-512.
[13]	Nakajima H, Yokoyama Y, Inoue T, et al. Clinical benefit of preoperative exercise and nutritional therapy for patients undergoing hepato-pancreato-biliary surgeries for malignancy[J]. Ann Surg Oncol, 2019, 26(1): 264-272.
[14]	Weimann A, Braga M, Carli F, et al. ESPEN guideline: clinical nutrition in surgery[J]. Clin Nutr, 2017, 36(3): 623-650.
[15]	Melloul E, Lassen K, Roulin D, et al. Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019[J]. World J Surg, 2020, 44(7): 2056-2084.
[16]	Awad S, Varadhan KK, Ljungqvist O, et al. A meta-analysis of randomised controlled trials on preoperative oral carbohydrate treatment in elective surgery[J]. Clin Nutr, 2013, 32(1): 34-44.
[17]	中华医学会外科学分会外科手术学学组，中国医疗保健国际交流促进会，加速康复外科学分会肝脏外科学组. 肝切除术后加速康复中国专家共识(2017版)[J/CD]. 中华肝脏外科手术学电子杂志, 2017, 6(4): 254-260.
[18]	Du L, Wang-Gillam A. Trends in neoadjuvant approaches in pancreatic cancer[J]. J Natl Compr Canc Netw, 2017, 15(8): 1070-1077.
[19]	Tashiro M, Yamada S, Sonohara F, et al. Clinical impact of neoadjuvant therapy on nutritional status in pancreatic cancer[J]. Ann Surg Oncol, 2018, 25(11): 3365-3371.
[20]	Sandini M, Patino M, Ferrone CR, et al. Association between changes in body composition and neoadjuvant treatment for pancreatic cancer[J]. JAMA Surg, 2018, 153(9): 809-815.
[21]	Osland E, Yunus RM, Khan S, et al. Early versus traditional postoperative feeding in patients undergoing resectional gastrointestinal surgery: A Meta-analysis[J]. JPEN J Parenter Enteral Nutr, 2011, 35(4): 473-487.
[22]	Deng X, Cheng X, Huo Z, et al. Modified protocol for enhanced recovery after surgery is beneficial for Chinese cancer patients undergoing pancreaticoduodenectomy[J]. Oncotarget, 2017, 8(29): 47841-47848.
[23]	Park JS, Chung HK, Hwang HK, et al. Postoperative nutritional effects of early enteral feeding compared with total parental nutrition in pancreaticoduodectomy patients: A prosepective, randomized study[J]. J Korean Med Sci, 2012, 27(3): 261-267.
[24]	Ei S, Shinoda M, Itano O, et al. Effects of addition of early enteral nutritional support during the postoperative phase in patients after living-donor liver transplantation[J]. Ann Transplant, 2015, 20: 357-365.
[25]	Kim JM, Joh JW, Kim HJ, et al. Early enteral feeding after living donor liver transplantation prevents infectious complications: A prospective pilot study[J]. Medicine (Baltimore), 2015, 94(44): e1771.
[26]	Okabayashi T, Iyoki M, Sugimoto T, et al. Oral supplementation with carbohydrate- and branched-chain amino acid-enriched nutrients improves postoperative quality of life in patients undergoing hepatic resection[J]. Amino Acids, 2011, 40(4): 1213-1220.
[27]	Ding J, Liao G, Xia Y, et al. The necessity of indwelling gastrointestinal decompression after gastrectomy: A Meta-analysis[J]. J Surg Res, 2013, 179(1): e71-e81.
[28]	Zhu X, Wu Y, Qiu Y, et al. Comparative analysis of the efficacy and complications of nasojejunal and jejunostomy on patients undergoing pancreaticoduodenectomy[J]. JPEN J Parenter Enteral Nutr, 2014, 38(8): 996-1002.
[29]	Ito D, Arita J, Yamamoto M, et al. Effect of home enteral nutrition after pancreaticoduodenectomy[J]. Nutrition, 2019, 60: 206-211.
[30]	Challine A, Rives-Langes C, Danoussou D, et al. Impact of oral immunonutrition on postoperative morbidity in digestive oncologic surgery: A nation-wide cohort study[J]. Ann Surg, 2019 Mar 26.
[31]	Zhang B, Wei G, Li R, et al. n-3 fatty acid-based parenteral nutrition improves postoperative recovery for cirrhotic patients with liver cancer: A randomized controlled clinical trial[J]. Clin Nutr, 2017, 36(5): 1239-1244.
[32]	Guan H, Chen S, Huang Q. Effects of enteral immunonutrition in patients undergoing pancreaticoduodenectomy: A Meta-analysis of randomized controlled trials[J]. Ann Nutr Metab, 2019, 74(1): 53-61.

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