Review
Nutrition & Dietetics
Antonio Jesus Martinez-Ortega, Ana Pinar-Gutierrez, Pilar Serrano-Aguayo, Irene Gonzalez-Navarro, Pablo Jesus Remon-Ruiz, Jose Luis Pereira-Cunill, Pedro Pablo Garcia-Luna
Summary: Reducing postoperative complications and promoting early recovery have always been important goals in surgical practice. Malnutrition plays a major role in hindering postoperative recovery. Perioperative nutritional support, including preoperative and postoperative interventions, has been shown to significantly improve surgical outcomes.
Review
Nutrition & Dietetics
Eduardo Sanchez-Sanchez, Maria Araceli Ruano-Alvarez, Jara Diaz-Jimenez, Antonio Jesus Diaz, Francisco Javier Ordonez
Summary: Nutritional management of patients under palliative care, especially when using Enteral Nutrition (EN) through nasogastric tubes (NGT), can raise ethical issues. The review aimed to assess the impact of NGT use on wellbeing and quality of life in these patients. Despite improvements in hospital survival with NGT, there is insufficient evidence to support its benefits over other methods in enhancing health status and quality of life in palliative care patients.
Review
Nutrition & Dietetics
He Xueting, Liu li, Yang Meng, Chen Yuqing, Hong Yutong, Qiu Lihong, Zhang June
Summary: Home enteral route nutrition (HERN) can improve the nutritional status and quality of life of upper gastrointestinal malignancy patients after surgery without increasing complications. Subgroup analysis showed that home enteral nutrition (HEN) had more benefits than oral nutritional supplements (ONS).
CLINICAL NUTRITION
(2021)
Review
Multidisciplinary Sciences
Federica Canzan, Arianna Caliaro, Maria Luisa Cavada, Elisabetta Mezzalira, Salvatore Paiella, Elisa Ambrosi
Summary: The effectiveness of early postoperative feeding in reducing the duration of postoperative ileus after gastrointestinal surgery is still debated.
Article
Gastroenterology & Hepatology
Susanna Meade, Kamal V. Patel, Raphael P. Luber, Dearbhaile O'Hanlon, Andra Caracostea, Polychronis Pavlidis, Sailish Honap, Cheran Anandarajah, Nyree Gryffin, Sebastian Zeki, Shuvra Ray, Joel Mawdsley, Mark A. Samaan, Simon H. Anderson, Amir Darakhshan, Katie Adams, Andrew Williams, Jeremy D. Sanderson, Miranda Lomer, Peter M. Irving
Summary: This study found that pre-operative oral enteral nutrition in patients with Crohn's disease undergoing surgery was associated with reduced postoperative complications, particularly non-surgical complications and infectious complications.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2022)
Review
Nursing
Yijing Li, Zhihua Xu, Xu Zhang, Dongfei Ma, Xiangfei Meng, Mengting Zhang, Jiao Sun
Summary: This systematic review aims to synthesise and discuss the predictors of complete oral feeding resumption in stroke patients with dysphagia after feeding tube placement. The review included 15 studies and identified factors such as demographic characteristics, swallowing function, stroke characteristics, functional status, and clinical measures that may predict the recovery. However, the current evidence is insufficient to determine the predictive effect of any single factor, indicating the need for further high-quality research.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Oncology
Ziqiang Hong, Yingjie Lu, Hongchao Li, Tao Cheng, Yannan Sheng, Baiqiang Cui, Xusheng Wu, Dacheng Jin, Yunjiu Gou
Summary: This study evaluated the effect of early oral feeding (EOF) versus late oral feeding (LOF) on postoperative complications and rehabilitation outcomes for patients with esophageal cancer. The results showed that EOF can shorten the time to the first flatus and first defecation postoperatively, reduce hospital stay, and promote patient recovery, without significantly increasing the incidence of postoperative complications.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Nutrition & Dietetics
Omorogieva Ojo, Osarhumwese Osaretin Ojo, Qianqian Feng, Joshua Boateng, Xiaohua Wang, Joanne Brooke, Amanda Rodrigues Amorim Adegboye
Summary: This systematic review and meta-analysis evaluated the effects of enteral nutrition in critically ill patients with COVID-19. The results showed that early enteral nutrition significantly reduced the risk of mortality among these patients, while it did not significantly affect the length of hospital stay, length of ICU stay, and days on mechanical ventilation. Further studies are needed to examine the effect of early enteral nutrition in patients with COVID-19.
Review
Nutrition & Dietetics
Maria Wobith, Arved Weimann
Summary: Patients undergoing gastrointestinal surgery are following enhanced recovery after surgery (ERAS) protocols, where oral feeding is emphasized and malnutrition is common. It is important to identify patients at metabolic risk early and monitor their nutritional status postoperatively, especially after surgery in the upper gastrointestinal tract. The article provides an overview of perioperative enteral nutrition concepts in these patients.
Review
Nutrition & Dietetics
Aileen Hill, Gunnar Elke, Arved Weimann
Summary: Nutritional therapy for critically ill patients should be tailored to individual patients, focusing on the phase of critical illness, metabolic tolerance, leading symptoms, and comorbidities. Personalized and disease-specific nutritional therapy in the ICU requires an interdisciplinary approach and frequent reevaluation for optimal clinical outcomes.
Article
Medicine, General & Internal
Bin Yu, Jiting Wang
Summary: This study conducted a Bayesian network meta-analysis to evaluate the effectiveness of different nutritional interventions for patients with liver cirrhosis, and found that EN + intestinal probiotics appeared to be the most effective strategy.
Review
Oncology
Li-Xiang Mei, Guan-Biao Liang, Lei Dai, Yong-Yong Wang, Ming-Wu Chen, Jun-Xian Mo
Summary: This study evaluates the safety and effectiveness of early oral intake following esophagectomy for esophageal cancer. The results show that early oral intake group had shorter hospital stay, earlier time to first flatus and defecation compared to the nil by mouth group, without increasing mortality or risk of complications.
SUPPORTIVE CARE IN CANCER
(2022)
Review
Oncology
Peter F. Gearing, Justin A. Hawke, Helen Mohan, Alexander G. Heriot, Ayman Khan, Anna Beaumont, Erin Laing, Peadar S. Waters
Summary: This systematic review examines the clinical outcomes related to preoperative nutrition status and nutrition interventions in patients undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy. The study finds that preoperative nutrition assessment tools, such as Subjective Global Assessment and objective sarcopenia measures, play a role in predicting nutritional status and optimizing nutrition is important for preventing complications.
Review
Medicine, General & Internal
Kristy Iglay, Dimitri Bennett, Michael D. Kappelman, Kamika Reynolds, Molly Aldridge, Chitra Karki, Suzanne F. Cook
Summary: The study found that there is a lack of description of the disease burden of CD-related ECF in the literature, with varying clinical responses and high recurrence rates reported. Limited information is available on healthcare resource utilization and patient-reported outcomes for this specific population.
Review
Nursing
Tian Lin, Jiale Hu, Lifeng Zhang, Xiuqun Qin, Xuelian Liu, Yutao Lan, Ken Chen, Tianhui You
Summary: This systematic review identifies nursing practices for promoting feeding safety and performance in preterm infants with enteral tube feeding. Oro-motor stimulation and non-nutritive sucking are effective strategies for improving feeding performance. Further research is needed for other practices.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2022)
Article
Rehabilitation
Julie Leganger, Siv Fonnes, M. L. Kulas Soborg, Jacob Rosenberg, Jakob Burcharth
Summary: This study examined the comorbidity burden in patients with Ehlers-Danlos syndrome (EDS) using Danish register data. The results showed that EDS patients had a significantly higher frequency of comorbidities such as gastrointestinal functional disorders, hernias, asthma, pneumonia, and osteoporosis. Further investigation is needed to establish the causality between these comorbidities and EDS.
DISABILITY AND REHABILITATION
(2022)
Article
Emergency Medicine
Dunja Kokotovic, Thea Helene Degett, Sarah Ekeloef, Jakob Burcharth
Summary: This study validated a risk model for predicting postoperative pulmonary complications in a cohort of patients undergoing major emergency abdominal surgery at a Danish University Hospital. The model showed good calibration, discrimination, and accuracy, indicating its potential usefulness in identifying high-risk patients.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Surgery
Rune Munch Trangbaek, Jakob Burcharth, Ismail Gogenur
Summary: This study evaluated the impact of a perioperative care bundle on major abdominal emergency surgery and found that it can reduce postoperative mortality within 30 days. Although the difference in mortality after one year was not significant, the effect of the care bundle on mortality remained stable. There was no statistically significant change in the Comprehensive Complication Index.
WORLD JOURNAL OF SURGERY
(2023)
Article
Anesthesiology
Johan S. R. Clausen, Jens R. Andersen, Mie Priergaard, Trine Banke, Puk Kristiansen, Hannah F. Hansen, Jakob Burcharth, Ismail Gogenur
Summary: This study aimed to investigate the association between the 30-day glycemic profile and patient-reported recovery in nondiabetic patients after major abdominal surgery. The results showed that high-glycemic variation was associated with poorer patient-reported recovery and could be used as an indicator for postoperative quality improvement.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Emergency Medicine
M. Olausson, M. P. Aerenlund, M. Azzam, T. Bjerke, J. F. H. Burcharth, C. B. Dibbern, T. K. Jensen, J. Q. Jordhoj, I Lolle, L. Ngo-Stuyt, E. O. Nielsen, L. B. J. Nielsen, A. P. Skovsen, M. A. Tolver, H. G. Smith
Summary: This study aimed to describe the current management and outcomes of patients admitted with small bowel obstruction (SBO) in Denmark. The results showed that the management of SBO in Denmark differs markedly to previous international reports, with an almost ubiquitous use of CT for diagnosis and a high proportion of patients undergoing urgent surgery. Despite higher rates of surgery, patient outcomes are broadly similar to reports of more conservative strategies, perhaps due to a reduction in delayed operations.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Review
Emergency Medicine
Anders Peter Skovsen, Jakob Burcharth, Ismail Gogenur, Mai-Britt Tolstrup
Summary: This systematic review aimed to evaluate if an entero-entero/entero-colonic anastomosis is safe in patients with peritonitis undergoing abdominal acute care surgery. The review did not find evidence to support the idea that peritonitis is a risk factor for anastomotic leakage.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Surgery
M. Kvist, N. A. Henriksen, J. Burcharth, Y. W. Nielsen, T. K. Jensen
Summary: This study found a significant association between rectus diastasis and burst abdomen in patients undergoing emergency midline laparotomy. Rectus diastasis was identified as an important risk factor for burst abdomen after emergency midline laparotomy.
Article
Emergency Medicine
Lorenzo Cobianchi, Daniele Piccolo, Francesca Dal Mas, Vanni Agnoletti, Luca Ansaloni, Jeremy Balch, Walter Biff, Giovanni Butturini, Fausto Catena, Federico Coccolini, Stefano Denicolai, Belinda De Simone, Isabella Frigerio, Paola Fugazzola, Gianluigi Marseglia, Giuseppe Roberto Marseglia, Jacopo Martellucci, Mirko Modenese, Pietro Previtali, Federico Ruta, Alessandro Venturi, Haytham M. Kaafarani, Tyler J. Loftus
Summary: This study investigates trauma and emergency surgeons' knowledge and perception of using AI-based tools in clinical decision-making processes. The results show that there are technology enthusiasts and skeptics among surgeons, with a preference towards more classical decision-making aids. Lack of knowledge about AI and mistrust are also observed.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Article
Anesthesiology
Anna K. Hansted, Nicolas Storm, Jakob Burcharth, Pernille D. K. Diasso, Mian Ninh, Morten H. Moller, Morten Vester-Andersen
Summary: In this study, the updated NELA risk prediction model was validated in an external population and compared with three other risk prediction models. The updated NELA model performed well in predicting 30-day mortality in emergency laparotomy patients and can be used in similar settings.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Emergency Medicine
Lorenzo Cobianchi, Francesca Dal Mas, Vanni Agnoletti, Luca Ansaloni, Walter Biffl, Giovanni Butturini, Stefano Campostrini, Fausto Catena, Stefano Denicolai, Paola Fugazzola, Jacopo Martellucci, Maurizio Massaro, Pietro Previtali, Federico Ruta, Alessandro Venturi, Sarah Woltz, Haytham M. Kaafarani, Tyler J. Loftus, Team Dynamics Study Grp
Summary: This study explores the understanding, barriers, and facilitators of shared decision-making (SDM) in trauma and emergency surgery. Findings show that less than half of the surgeons understand SDM and 30% still see value in exclusively engaging multidisciplinary provider teams without involving the patient. The inclusion of SDM practices in clinical guidelines is recommended.
WORLD JOURNAL OF EMERGENCY SURGERY
(2023)
Article
Cell Biology
Kirsten L. Wahlstrom, Hannah F. Hansen, Madeline Kvist, Jakob Burcharth, Jens Lykkesfeldt, Ismail Gogenur, Sarah Ekeloef
Summary: Endothelial dysfunction occurs due to inflammation and excessive reactive oxygen species production during surgical stress. Remote ischemic preconditioning (RIPC) may have anti-oxidative and anti-inflammatory properties, but it did not affect endothelial function or markers of nitric oxide (NO) bioavailability until 24 hours after sub-acute laparoscopic cholecystectomy. Surgical removal of the inflamed gallbladder reduced markers of NO bioavailability and oxidative stress caused by acute cholecystitis.
Article
Medicine, Research & Experimental
Kirsten L. Wahlstrom, Sarah Ekeloef, Ismail Goegenur, Anna-Marie B. Munster
Summary: Myocardial injury after non-cardiac surgery (MINS) is associated with an increased risk of subsequent major cardiovascular events and mortality. This study investigated the alteration of haemostatic balance in patients with MINS following hip fracture surgery. D-dimer levels were significantly higher in patients with MINS, suggesting a potential relationship between coagulative activity and MINS.
SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION
(2023)
Article
Surgery
Marie R. Mortensen, Mohammad Alouda, Zara Bond, Jakob Burcharth, Katrine F. Finne, Thomas K. Jensen, Ida Lolle, Talha Malik, Loan Ngo-Stuyt, Liv B. J. Nielsen, Maria Olausson, Anders P. Skovsen, Mette A. Tolver, Henry G. Smith
Summary: This study aimed to compare recurrence rates and survival in patients with adhesional small bowel obstruction treated operatively or non-operatively. The results showed that patients who underwent operative treatment had significantly better 1-year recurrence-free survival compared with patients managed non-operatively. However, operative treatment was associated with an increased all-cause mortality rate in the first year after admission.
Article
Surgery
L. B. J. Nielsen, M. P. Aerenlund, M. Alouda, M. Azzam, T. Bjerke, J. Burcharth, C. B. Dibbern, T. K. Jensen, J. Q. Jordhoj, I. Lolle, T. Malik, L. Ngo-Stuyt, E. O. Nielsen, M. Olausson, A. P. Skovsen, M. A. Tolver, H. G. Smith
Summary: This study investigated the real-time accuracy of CT reporting in patients with small bowel obstruction (SBO), and found that the sensitivity and specificity of CT scanning were lower than previously reported. Strategies to address this issue could include the development of standardized reporting schemas and increasing the surgeon's familiarity with CT features in SBO patients.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Health Care Sciences & Services
Kirsti Wahlberg, Kristine Pape, Bjarne Austad, Gunnhild Aberge Vie
Summary: This study describes the frequency and content of contacts between youth and young adults with general practitioners (GPs) in Norway, with a focus on mental health, sexual health, and respiratory tract infections. The findings show an increase in GP consultations, particularly for conversation therapy and mental health diagnoses. Consultations related to sexual health decreased. Youth usually meet their regular GP, especially for diagnoses indicating a greater need for continuity.
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
(2023)
