Do patients fed enterally post–gastrointestinal surgery experience more complications when fed a fiber‐enriched feed compared with a standard feed? A systematic review

2021 ◽  
Author(s):  
Konstantinos Eleftheriadis ◽  
Robert Davies
Keyword(s):  
Systematic Review ◽  
Gastrointestinal Surgery

scholarly journals Defining indocyanine green fluorescence to assess anastomotic perfusion during gastrointestinal surgery: systematic review

BJS Open ◽  
2021 ◽  
Vol 5 (2) ◽  
Author(s):  
M D Slooter ◽  
M S E Mansvelders ◽  
P R Bloemen ◽  
S S Gisbertz ◽  
W A Bemelman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Indocyanine Green ◽  
Patient Outcomes ◽  
Gastrointestinal Surgery ◽  
Fluorescence Angiography ◽  
Future Research ◽  
Fluorescence Signal ◽  
Pixel Intensity ◽  
Indocyanine Green Fluorescence ◽  
Quantitative Parameters

Abstract Background The aim of this systematic review was to identify all methods to quantify intraoperative fluorescence angiography (FA) of the gastrointestinal anastomosis, and to find potential thresholds to predict patient outcomes, including anastomotic leakage and necrosis. Methods This systematic review adhered to the PRISMA guidelines. A PubMed and Embase literature search was performed. Articles were included when FA with indocyanine green was performed to assess gastrointestinal perfusion in human or animals, and the fluorescence signal was analysed using quantitative parameters. A parameter was defined as quantitative when a diagnostic numeral threshold for patient outcomes could potentially be produced. Results Some 1317 articles were identified, of which 23 were included. Fourteen studies were done in patients and nine in animals. Eight studies applied FA during upper and 15 during lower gastrointestinal surgery. The quantitative parameters were divided into four categories: time to fluorescence (20 studies); contrast-to-background ratio (3); pixel intensity (2); and numeric classification score (2). The first category was subdivided into manually assessed time (7 studies) and software-derived fluorescence–time curves (13). Cut-off values were derived for manually assessed time (speed in gastric conduit wall) and derivatives of the fluorescence–time curves (Fmax, T1/2, TR and slope) to predict patient outcomes. Conclusion Time to fluorescence seems the most promising category for quantitation of FA. Future research might focus on fluorescence–time curves, as many different parameters can be derived and the fluorescence intensity can be bypassed. However, consensus on study set-up, calibration of fluorescence imaging systems, and validation of software programs is mandatory to allow future data comparison.

A systematic review of laparoscopic port site hernias in gastrointestinal surgery

The Surgeon ◽  
2011 ◽  
Vol 9 (4) ◽  
pp. 218-224 ◽  
Author(s):  
M. Owens ◽  
M. Barry ◽  
A.Z. Janjua ◽  
D.C. Winter
Keyword(s):  
Systematic Review ◽  
Gastrointestinal Surgery ◽  
Port Site ◽  
Laparoscopic Port

Systematic Review of the Impact of Surgical Harm on Quality of Life After General and Gastrointestinal Surgery

2014 ◽  
Vol 260 (6) ◽  
pp. 975-983 ◽  
Author(s):  
George Bouras ◽  
Elaine Marie Burns ◽  
Ann-Marie Howell ◽  
Nigel Mark Bagnall ◽  
Henry Lee ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Gastrointestinal Surgery ◽  
The Impact

scholarly journals Fibrin Glue Does Not Improve Healing of Gastrointestinal Anastomoses: A Systematic Review

2014 ◽  
Vol 54 (1-2) ◽  
pp. 1-13 ◽  
Author(s):  
Tyge Nordentoft ◽  
Hans-Christian Pommergaard ◽  
Jacob Rosenberg ◽  
Michael Patrick Achiam
Keyword(s):  
Systematic Review ◽  
Fibrin Glue ◽  
Healing Process ◽  
Gastrointestinal Surgery ◽  
Experimental Studies ◽  
Positive Influence ◽  
Qualitative Synthesis ◽  
Negative Effect ◽  
The Difference ◽  
Positive Effect

Background/Aim: Anastomotic leakage remains a frequent and serious complication in gastrointestinal surgery. In order to reduce its incidence, several clinical and experimental studies on anastomotic sealing have been performed. In a number of these studies, the sealing material has been fibrin glue (FG), and the results in individual studies have been varying. The positive effect of anastomotic sealing with FG might be due to the mechanical/physical properties, the increased healing of the anastomoses or both. The aim of this systematic review was to evaluate the existing evidence on the healing effects of FG on gastrointestinal anastomoses. Methods: PubMed, EMBASE and the Cochrane databases were searched for studies evaluating the healing process of gastrointestinal anastomoses after any kind of FG application. The search period was from 1953 to December 2013. Results: Twenty-eight studies were included in the qualitative synthesis. These studies were all experimental studies, since no human studies used histological or biochemical evaluation of healing. In 7 of the 28 studies, a positive effect of FG on healing was found, while 8 studies reported a negative effect and 11 studies found no effect. Furthermore, 2 studies reported unclear results. The difference in the study outcome was independent of the study design and the type of FG used. Conclusion: In the available studies, FG did not consistently have a positive influence on the healing of gastrointestinal anastomoses. It is consequently plausible that the positive effect of FG sealing of gastrointestinal anastomoses, if there is any, may be due to a mechanical sealing effect rather than due to improved healing per se.

MON-PO605: The Optimal Perioperative Nutrition Support in Gastrointestinal Surgery: A Systematic Review and Metaanalysis

2019 ◽  
Vol 38 ◽  
pp. S283
Author(s):  
T. Wuensch ◽  
A. Müller ◽  
J. Quint ◽  
M. Biebl ◽  
J. Pratschke ◽  
...  
Keyword(s):  
Systematic Review ◽  
Gastrointestinal Surgery ◽  
Nutrition Support ◽  
Perioperative Nutrition
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