title: [Perioperative nutritional support with immune-enhancing diet for surgical closure of open thoracic window].
abstract: Immunonutrition, which is a therapeutic approach to modulate acute surgical or medical conditions, has been proven to decrease surgical site complications in patients undergoing major elective surgery for upper gastrointestinal and esophageal malignancy. For immunonutrition to be carried out effectively, specific nutrients called pharmaconutrients are quite important. In our case, to enhance the perioperative nutritional status of the patient, special formulas supplemented with specific pharmaconutrients, which are arginine and omega-3 fatty acids, were orally administered. The open thoracic window for chronic empyema caused by postoperative bronchopleural fistula was successfully closed. Perioperative immunonutrition is likely to have beneficial effect in decreasing postoperative infectious complications in high-risk malnourished thoracic surgical patients.
authors: Nutritional Support Team, Nagara Medical Center, Gifu, Japan.
authors: Mari
authors: M
authors: Inoue
authors: Kahori
authors: K
authors: Kinoshita
authors: Fumiyasu
authors: F
authors: Sano
authors: Mizuho
authors: M
authors: Kobayashi
authors: Shigeo
authors: S
authors: Yasuda
authors: Terumasa
authors: T
authors: Sowa
authors: Teruya
authors: T
authors: Komatsu
authors: Takuji
authors: T
authors: Fujinaga
authors: Tatsuo
authors: T
authors: Kato
mesh_terms: D000276:Adjuvants, Immunologic / Q000008:administration & dosage*; D000284:Administration, Oral; D000368:Aged; D001120:Arginine / Q000008:administration & dosage*; D017558:Elective Surgical Procedures; D016724:Empyema, Pleural / Q000601:surgery*; D004750:Enteral Nutrition / Q000379:methods*; D015525:Fatty Acids, Omega-3 / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D009752:Nutritional Status; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control
chemical_list: D000276:Adjuvants, Immunologic; D015525:Fatty Acids, Omega-3; D001120:Arginine