Optimal Perioperative Nutrition Therapy for Patients Undergoing Pancreaticoduodenectomy: A Systematic Review with a Component Network Meta-Analysis

Wang, Shang‐Yu; Hung, Yu-Liang; Hsu, Cheng Hsing; Hu, Chia‐Hsiang; Huang, Ruo-Yi; Sung, Chang‐Mu; Li, Yanrong; Kou, Hao-Wei; Chen, Mingyang; Chang, Shu‐Chiuan; Lee, Chao‐Wei; Tsai, Chun‐Yi; Liu, Keng-Hao; Yeh, Chun‐Nan; Yeh, Ta‐Sen; Hwang, Tsann‐Long; Jan, Yi-Yin; Chen, Miin-Fu

doi:10.3390/nu13114049

Cited by 16 publications

(8 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Tian et al 67 reported that postoperative administration in patients with esophageal cancer is associated with better control of infectious complications and postoperative pneumonia. In a meta-analysis of patients who underwent pancreaticoduodenectomy, Wang et al 68 reported that combined preoperative and postoperative administration was most effective. Pancreaticoduodenectomy is one of the most invasive surgical procedures, and the effect of timing of administration may vary with surgical invasiveness.…”

Section: Discussionmentioning

confidence: 99%

Impact of Perioperative Immunonutrition on Postoperative Outcomes for Patients Undergoing Head and Neck or Gastrointestinal Cancer Surgeries

Matsui,

Sagawa,

Sano

et al. 2023

Annals of Surgery

View full text Add to dashboard Cite

Objective: To clarify whether perioperative immunonutrition is effective in adult patients with or without malnutrition undergoing elective surgery for head and neck or gastrointestinal (GI) cancers. Background: It is important to avoid postoperative complications in patients with cancer as they can compromise clinical outcomes. There is no consensus on the efficacy of perioperative immunonutrition in patients with or without malnutrition undergoing head and neck or GI cancer surgery. Methods: We searched MEDLINE (PubMed), MEDLINE (OVID), EMBASE, Cochrane Central Register of Controlled Trials, Web of Science Core Selection, and Emcare from 1981–2022 using search terms related to immunonutrition and head and neck or GI cancer. We included randomized controlled trials. Intervention was defined as immunonutritional therapy including arginine, n-3 omega fatty acids, or glutamine during the perioperative period. The control was defined as standard nutritional therapy. The primary outcomes were total postoperative and infectious complications, defined as events with a Clavien–Dindo classification grade ≥ II that occurred within 30 days after surgery. Results: Of the 4825 patients from 48 included studies, 19 had upper GI cancer, nine lower, and eight mixed, while 12 had head and neck cancers. Immunonutrition reduced the total postoperative complications (relative risk ratio:0.78; 95% confidence interval:0.66, 0.93; certainty of evidence: high) and infectious complications (relative risk ratio:0.71; 95% confidence interval:0.61, 0.82; certainty of evidence: high) compared with standard nutritional therapy. Conclusions: Nutritional intervention with perioperative immunonutrition in patients with head and neck and gastrointestinal cancers significantly reduced total postoperative complications and infectious complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of Perioperative Immunonutrition on Postoperative Outcomes for Patients Undergoing Head and Neck or Gastrointestinal Cancer Surgeries

Matsui,

Sagawa,

Sano

et al. 2023

Annals of Surgery

View full text Add to dashboard Cite

show abstract

“…Across the 34 included papers, 26 included a network diagram [3, 11-13, 17-21, 23-27, 29-31, 33-36, 38-40, 42, 43], 17 included a summary forest plot at either the component or intervention level [1,3,9,12,13,20,21,23,27,28,30,32,33,[37][38][39]41] and 16 included other plots [1, 3, 12, 17, 20, 22, 23, 25-28, 34, 37-40] (Table 1). One paper included no plots [8].…”

Section: Review Of Visualisations Identified (With Discussion)mentioning

confidence: 99%

Data visualisation approaches for component network meta-analysis: visualising the data structure

Freeman,

Saeedi,

Ordóñez-Mena

et al. 2023

BMC Med Res Methodol

View full text Add to dashboard Cite

Background Health and social care interventions are often complex and can be decomposed into multiple components. Multicomponent interventions are often evaluated in randomised controlled trials. Across trials, interventions often have components in common which are given alongside other components which differ across trials. Multicomponent interventions can be synthesised using component NMA (CNMA). CNMA is limited by the structure of the available evidence, but it is not always straightforward to visualise such complex evidence networks. The aim of this paper is to develop tools to visualise the structure of complex evidence networks to support CNMA. Methods We performed a citation review of two key CNMA methods papers to identify existing published CNMA analyses and reviewed how they graphically represent intervention complexity and comparisons across trials. Building on identified shortcomings of existing visualisation approaches, we propose three approaches to standardise visualising the data structure and/or availability of data: CNMA-UpSet plot, CNMA heat map, CNMA-circle plot. We use a motivating example to illustrate these plots. Results We identified 34 articles reporting CNMAs. A network diagram was the most common plot type used to visualise the data structure for CNMA (26/34 papers), but was unable to express the complex data structures and large number of components and potential combinations of components associated with CNMA. Therefore, we focused visualisation development around representing the data structure of a CNMA more completely. The CNMA-UpSet plot presents arm-level data and is suitable for networks with large numbers of components or combinations of components. Heat maps can be utilised to inform decisions about which pairwise interactions to consider for inclusion in a CNMA model. The CNMA-circle plot visualises the combinations of components which differ between trial arms and offers flexibility in presenting additional information such as the number of patients experiencing the outcome of interest in each arm. Conclusions As CNMA becomes more widely used for the evaluation of multicomponent interventions, the novel CNMA-specific visualisations presented in this paper, which improve on the limitations of existing visualisations, will be important to aid understanding of the complex data structure and facilitate interpretation of the CNMA results.

show abstract

“…Wang et al провели обзор исследований для оценки различных способов питания пациентов после ПДР. Установлено, что наиболее благоприятный вариант для профилактики инфекционных осложнений и улучшения клинической картины заключается в использовании перорального питания иммунонутриентами [59].…”

Section: питание пациентов в послеоперационном периодеunclassified

Challenges during pancreatoduodenectomy and ways to overcome them

Akhmetzyanov,

Kotelnikov,

Ter-Ovanesov

et al. 2024

Sib. onkol. ž.

View full text Add to dashboard Cite

Background. Pancreaticoduodenal resection (PDR) is the surgical procedure for cancer of the head of the pancreas, distal common bile duct, duodenum and ampulla of Vater. This surgery is associated with a high risk of complications, the development of which can be influenced by various factors. since pancreatic fistula is a key complication of PDR, the choice of the method for pancreatic anastomosis becomes especially important. Material and methods. The search for publications was carried out using the PubMed and Elibrary systems from January 1980 to January 2024. of the 2,300 sources found, 69 were used to write the review. We included data from both retrospective and prospective clinical trials that were devoted to pancreatoduodenectomy for malignant neoplasms, the difficulties encountered in performing this surgery and ways to solve them. Results. Currently, there are more than 60 types of pancreatico-digestive anastomosis, which indirectly indicates the absence of a universal one that ensures the prevention of pancreatic fistula. The treatment outcomes may be influenced by the nature of neoadjuvant treatment, concomitant diseases, anatomical features, presence of obstructive jaundice and methods of its relief. The main mechanisms of influence of negative factors on the development of complications are considered. an individual approach to the patient, taking into account all factors, can significantly reduce the risk of complications.

show abstract

Optimal Perioperative Nutrition Therapy for Patients Undergoing Pancreaticoduodenectomy: A Systematic Review with a Component Network Meta-Analysis

Cited by 16 publications

References 28 publications

Impact of Perioperative Immunonutrition on Postoperative Outcomes for Patients Undergoing Head and Neck or Gastrointestinal Cancer Surgeries

Impact of Perioperative Immunonutrition on Postoperative Outcomes for Patients Undergoing Head and Neck or Gastrointestinal Cancer Surgeries

Data visualisation approaches for component network meta-analysis: visualising the data structure

Challenges during pancreatoduodenectomy and ways to overcome them

Contact Info

Product

Resources

About