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Combination of preoperative pulmonary and nutritional preparation for esophagectomy

Overview of attention for article published in Acta cirurgica brasileira, January 2018
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Title
Combination of preoperative pulmonary and nutritional preparation for esophagectomy
Published in
Acta cirurgica brasileira, January 2018
DOI 10.1590/s0102-865020180010000007
Pubmed ID
Authors

Taciana Freitas Agrelli, Marisa de Carvalho Borges, Fernanda Maria Rodrigues da Cunha, Élida Mara Carneiro da Silva, Júverson Alves Terra Júnior, Eduardo Crema

Abstract

To compare pulmonary and nutritional parameters before and after inspiratory muscle training (IMT) and enteral feeding support in patients with esophageal disease undergoing preoperative outpatient follow-up. Thirty patients with a mean age of 55.83 years, 16 men and 14 women, were included. Pulmonary assessment consisted of the measurement of MIP, MEP, and spirometry. Anthropometric measurements and laboratory tests were performed for nutritional assessment. After preoperative evaluation, inspiratory muscle training and enteral nutrition support were started. A p<0.05 was considered statistically significant. After an outpatient follow-up period of 4 weeks, a significant increase in MIP (-62.20 ± 25.78 to -81.53 ± 23.09), MEP (73.4 ± 31.95 to 90.33 ± 28.39), and FVC (94.86 ± 16.77 to 98.56 ± 17.44) was observed. Regarding the anthropometric variables, a significant increase was also observed in BMI (20.18 ± 5.04 to 20.40 ± 4.69), arm circumference (23.38 ± 3.28 to 25.08 ± 4.55), arm muscle circumference (21.48 ± 3.00 to 22.07 ± 3.36), and triceps skinfold thickness (5.62 ± 2.68 to 8.33 ± 6.59). Pulmonary and nutritional preparation can improve respiratory muscle strength, FVC and anthropometric parameters. However, further studies are needed to confirm the effectiveness of this preoperative preparation.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 52 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 13%
Student > Doctoral Student 6 12%
Student > Bachelor 5 10%
Student > Postgraduate 4 8%
Student > Ph. D. Student 4 8%
Other 12 23%
Unknown 14 27%
Readers by discipline Count As %
Medicine and Dentistry 17 33%
Nursing and Health Professions 7 13%
Sports and Recreations 5 10%
Computer Science 2 4%
Psychology 2 4%
Other 4 8%
Unknown 15 29%