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A special issue of Nutrients (ISSN 2072-6643).

Deadline for manuscript submissions: closed (1 May 2019) | Viewed by 19539

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Prof. Dr. Martin Hübner

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Guest Editor

Department of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, 1011 Lausanne, Switzerland
Interests: colorectal surgery; proctology; minimal invasive surgery; peritoneal carcinoma; HIPEC; PIPAC
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Special Issue Information

Dear Colleagues,

This Special Issue of Nutrients, entitled “Surgical Nutrition”, welcomes the submission of manuscripts describing either original, quantitative or qualitative research or systematic reviews and meta-analyses of nutritional research in the field of surgery. Observational and interventional studies are both of interest, and all aspects of pre- and postoperative nutrition for surgical patients lay in the scope of this Special Issue. Nutritional screening and nutrition-related outcomes including risk management are related topics of high interest. Studies from all surgical fields are welcome and submissions from low-income countries are particularly encouraged.

Potential topics may include, but are not limited to:

Interventions, including randomized, non-randomized and pilot/feasibility controlled trials and pre and post studies, that evaluate nutritional interventions in surgical patients.
Nutritional screening and adherence to guidelines for perioperative nutrition.
Impact of nutritional status and/or nutritional interventions on clinical outcomes.
Economic analysis of nutritional interventions.
Role of nutrition-related items within multimodal patient care, e.g., enhanced recovery pathways.
Process evaluation of perioperative nutrition.
Modes of administration and types of perioperative nutrition.
Qualitative research, including assessment of well-being, physical status, quality of life and acceptance in patients receiving nutritional support prior to or after a surgical procedure.
Tailoring nutritional support to the patient and to the procedure.

Systematic reviews and meta-analyses of nutritional interventions and health outcomes.

Dr. Martin Hubner
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

Perioperative nutrition
Surgery, Surgical intervention, Operation
Nutritional screening
Oral, Enteral, Parenteral nutrition
Nutritional supplements
Complications, hospital stay, costs
Adherence, acceptance, quality of life, well-being

Published Papers (4 papers)

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Research

8 pages, 1431 KiB

Open AccessArticle

Prevalence and Consequences of Preoperative Weight Loss in Gynecologic Surgery

by Basile Pache, Fabian Grass, Martin Hübner, Amaniel Kefleyesus, Patrice Mathevet and Chahin Achtari

Nutrients 2019, 11(5), 1094; https://doi.org/10.3390/nu11051094 - 17 May 2019

Cited by 10 | Viewed by 2954

Abstract

Preoperative malnutrition and weight loss negatively impact postoperative outcomes in various surgical fields. However, for gynecologic surgery, evidence is still scarce, especially if surgery is performed within enhanced recovery after surgery (ERAS) pathways. This study aimed to assess the prevalence and impact of preoperative weight loss in patients undergoing major gynecologic procedures within a standardized ERAS pathway between October 2013 and January 2017. Out of 339 consecutive patients, 33 (10%) presented significant unintentional preoperative weight loss of more than 5% during the 6 months preceding surgery. These patients were less compliant to the ERAS protocol (>70% of all items: 70% vs. 94%, p < 0.001) presented more postoperative overall complications (15/33 (45%) vs. 69/306 (22.5%), p = 0.009), and had an increased length of hospital stay (5 ± 4 days vs. 3 ± 2 days, p = 0.011). While patients experiencing weight loss underwent more extensive surgical procedures, after multivariate analysis, weight loss ≥5% was retained as an independent risk factor for postoperative complications (OR 2.44; 95% CI 1.00–5.95), and after considering several surrogates for extensive surgery including significant blood loss (OR 2.23; 95% CI 1.15–4.31) as confounders. The results of this study suggest that systematic nutritional screening in ERAS pathways should be implemented. Full article

(This article belongs to the Special Issue Surgical Nutrition)

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10 pages, 734 KiB

Open AccessArticle

Additional Vitamin and Mineral Support for Patients with Severe Burns: A Nationwide Experience from a Catastrophic Color-Dust Explosion Event in Taiwan

by Li-Ru Chen, Bing-Shiang Yang, Chih-Ning Chang, Chia-Meng Yu and Kuo-Hu Chen

Nutrients 2018, 10(11), 1782; https://doi.org/10.3390/nu10111782 - 16 Nov 2018

Cited by 14 | Viewed by 8750

Abstract

Major burn injuries, which encompass ≥20% of the total body surface area (TBSA), are the most severe form of trauma because of the stress response they provoke, which includes hypermetabolism, muscle wasting, and stress-induced diabetes. In 2015, a color-dust explosion disaster occurred in the Formosa Fun Coast of Taiwan and injured 499 people, who were transferred via a nationwide emergency delivery system. Some recommendations are currently available regarding vitamin and mineral support for wound healing and recovery in severe burns, but there is a lack of evidence to confirm the benefits. Thus, the current study aimed to investigate the effects of additional vitamin and mineral support for patients with severe burn injuries. Sixty-one hospitalized individuals with major burns (full thickness and ≥20% TBSA) were classified into the supplement (n = 30) and control (n = 31) groups, according to whether they received supplementation with additional vitamins, calcium, and magnesium. There were significant differences between the supplement and control groups in the incidence of wound infection (30.0% vs. 77.4%, p < 0.001), sepsis (13.3% vs. 41.9%, p = 0.021), and hospitalization days (51.80 vs. 76.81, p = 0.025). After adjustment, logistic regression analysis revealed that, compared to those in the control group, patients in the supplement group had a lower risk for wound infection (OR 0.11; 95% CI 0.03–0.43; p = 0.002) and sepsis (OR 0.09; 95% CI 0.01–0.61; p = 0.014). Supplementation of multiple vitamins, calcium, and magnesium reduced the risk of wound infection and sepsis, shortened the time of hospitalization, and can be considered for use in major burns. Full article

(This article belongs to the Special Issue Surgical Nutrition)

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8 pages, 547 KiB

Open AccessFeature PaperArticle

Ordering a Normal Diet at the End of Surgery—Justified or Overhasty?

by Fabian Grass, Martin Hübner, Jenna K. Lovely, Jacopo Crippa, Kellie L. Mathis and David W. Larson

Nutrients 2018, 10(11), 1758; https://doi.org/10.3390/nu10111758 - 14 Nov 2018

Cited by 8 | Viewed by 3644

Abstract

Early re-alimentation is advocated by enhanced recovery pathways (ERP). This study aimed to assess compliance to ERP-set early re-alimentation policy and to compare outcomes of early fed patients and patients in whom early feeding was withhold due to the independent decision making of the surgeon. For this purpose, demographic, surgical and outcome data of all consecutive elective colorectal surgical procedures (2011–2016) were retrieved from a prospectively maintained institutional ERP database. The primary endpoint was postoperative ileus (POI). Surgical 30-day outcome and length of stay were compared between patients undergoing the pathway-intended early re-alimentation pattern and patients in whom early re-alimentation was not compliant. Out of the 7103 patients included, 1241 (17.4%) were not compliant with ERP re-alimentation. Patients with delayed re-alimentation presented with more postoperative complications (37 vs. 21%, p < 0.001) and a prolonged length of hospital stay (8 ± 7 vs. 5 ± 4 days, p < 0.001). While male gender (odds ratio (OR) 1.24; 95% confidence interval (CI) 1.04–1.32), fluid overload (OR 1.38; 95% CI 1.16–1.65) and high American Society of Anaesthesiologists (ASA) score (OR 1.51; 95% CI 1.27–1.8) were independent risk factors for POI, laparoscopy (OR 0.51; 95% CI 0.38–0.68) and ERP compliant diet (OR 0.46; 95% CI 0.36–0.6) were both protective. Hence, this study provides further evidence of the beneficial effect of early oral feeding after colorectal surgery. Full article

(This article belongs to the Special Issue Surgical Nutrition)

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9 pages, 835 KiB

Open AccessArticle

Association of Inadequate Caloric Supplementation with 30-Day Mortality in Critically Ill Postoperative Patients with High Modified NUTRIC Score

by Yun Tae Jung, Jung Yun Park, Jiyeon Jeon, Myung Jun Kim, Seung Hwan Lee and Jae Gil Lee

Nutrients 2018, 10(11), 1589; https://doi.org/10.3390/nu10111589 - 29 Oct 2018

Cited by 29 | Viewed by 3521

Abstract

Modified NUTRIC (mNUTRIC) score is a useful assessment tool to determine the risk of malnutrition in patients on mechanical ventilation (MV). We identified associations between postoperative calorie adequacy, 30-day mortality, and surgical outcomes in patients with high mNUTRIC scores. Medical records of 272 patients in the intensive care unit who required MV support for >24 h after emergency gastro-intestinal (GI) surgery between January 2007 and December 2017 were reviewed. Calorie adequacy in percentage (Calorie intake in 5 days ÷ Calorie requirement for 5 days × 100) was assessed in patients with high (5–9) and low (0–4) mNUTRIC scores. In the high mNUTRIC score group, patients with inadequate calorie supplementation (calorie adequacy <70%) had higher 30-day mortality than those with adequate supplementation (31.5% vs. 11.1%; p = 0.010); this was not observed in patients with low mNUTRIC scores. This result was also confirmed through Kaplan–Meier survival curve (p = 0.022). Inadequate calorie supplementation in the high mNUTRIC score group was not associated with Intra-abdominal infection (p = 1.000), pulmonary complication (p = 0.695), wound complication (p = 0.407), postoperative leakage (p = 1.000), or infections (p = 0.847). Inadequate calorie supplementation after GI surgery was associated with higher 30-day mortality in patients with high mNUTRIC scores. Therefore, adequate calorie supplementation could contribute to improved survival of critically ill postoperative patients with high risk of malnutrition. Full article

(This article belongs to the Special Issue Surgical Nutrition)

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