Immunonutrition in elective colorectal surgery and early inflammatory response

Velkoski, Jaqueline; Grimaldi, Franco; Meo, L.; Mion, Francesca; Pravisani, Riccardo; Marino, Marco; Calandra, Sergio; Cherchi, Vittorio; Terrosu, Giovanni

doi:10.23736/s2724-5691.21.08619-3

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…Although these scoring systems reflect inflammatory biomarkers or nutritional status, they have disadvantages that cannot reflect the changes in the immune system as well as systemic inflammation, which may change after surgeries and the individual patient's nutritional status. As the enhanced recovery after surgery pathway in CRC patients is based on reflecting the patient's condition and reducing postoperative complications, it is important to reflect these nutritional statuses to improve the assessment [36][37][38]. Thus, postoperative NPS, reflecting the patient's postoperative condition, was more useful in predicting the patient's prognosis than preoperative inflammatory scoring systems in our study.…”

Section: Discussionmentioning

confidence: 79%

Impact of Postoperative Naples Prognostic Score to Predict Survival in Patients with Stage II–III Colorectal Cancer

Park,

Woo,

Hong

et al. 2023

Cancers

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Background: The Naples prognostic score (NPS) is a scoring system that reflects a patient’s systemic inflammatory and nutritional status. This study aimed to evaluate whether postoperative NPS is effective in assessing the prognosis of stage II–III colorectal cancer (CRC) patients compared with preoperative NPS. Methods: Between 2005 and 2012, a total of 164 patients diagnosed with stage II–III CRC, who underwent curative resection followed by adjuvant chemotherapy, were divided into two groups: Group 0–1 (NPS = 0–2) and Group 2 (NPS = 3 or 4). Preoperative NPS was calculated based on the results before surgeries, and postoperative NPS was assessed using the results obtained before adjuvant chemotherapy. Results: The overall survival of Group 0–1 was higher than that of Group 2 in both pre- and postoperative NPS assessments. According to the ROC curve analysis, the Area Under the Curve (AUC) ratio for postoperative NPS was 0.64, compared with 0.57 for preoperative NPS, 0.52 for the preoperative neutrophil–lymphocyte ratio (p = 0.032), and 0.51 for the preoperative platelet–lymphocyte ratio (p = 0.027). Conclusions: Postoperative NPS is effective in predicting the prognosis of stage II–III CRC patients who underwent curative resection followed by adjuvant chemotherapy. The use of NPS could be beneficial in evaluating the prognosis of CRC patients after surgeries.

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Section: Discussionmentioning

confidence: 79%

Impact of Postoperative Naples Prognostic Score to Predict Survival in Patients with Stage II–III Colorectal Cancer

Park,

Woo,

Hong

et al. 2023

Cancers

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“…Immunonutrition (IM) has attracted considerable interest; its use is associated with decreased length of stay and reduced inflammation [ 22 ]. A systematic review suggested that IM provision reduced the incidence of infectious complications; however, the recommendation grade was weak [ 23 ].…”

Section: Components Of Erpsmentioning

confidence: 99%

Framework, component, and implementation of enhanced recovery pathways

2022

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The introduction of enhanced recovery pathways (ERPs) has led to a considerable paradigm shift towards evidence-based, multidisciplinary perioperative care. Such pathways are now widely implemented in a variety of surgical specialties, with largely positive results. In this narrative review, we summarize the principles, components and implementation of ERPs, focusing on recent developments in the field. We also discuss ‘special cases’ in ERPs, including: surgery in frail patients; emergency procedures; and patients with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2/COVID-19). Supplementary Information The online version contains supplementary material available at 10.1007/s00540-022-03088-x.

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Preoperative fasting and carbohydrate loading

Kalogera

2022

The ERAS® Society Handbook for Obstetrics &Amp; Gynecology

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Immunonutrition in elective colorectal surgery and early inflammatory response

Cited by 6 publications

References 23 publications

Impact of Postoperative Naples Prognostic Score to Predict Survival in Patients with Stage II–III Colorectal Cancer

Impact of Postoperative Naples Prognostic Score to Predict Survival in Patients with Stage II–III Colorectal Cancer

Framework, component, and implementation of enhanced recovery pathways

Preoperative fasting and carbohydrate loading

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