title: [Successful treatment of chronic empyema by the omentopexy after aggressive nutritional support].
abstract: Since general thoracic surgery requires a short fasting period, the number of cases that require nutrition support after surgery is limited and few reports exist about nutrition in general thoracic surgery and chronic empyema. Here we report 2 cases of chronic empyema treated with nutritional support team (NST) followed by omentopexy. For chronic empyema, a long period is required to sterilize the thoracic cavity by closed or open drainage before radical treatment. During this period, improvement of the nutrition status is important to control local infection, and to increase the volume of the omentum or muscle flaps used for filling the empyema space effectively. In our 2 cases, radical surgeries using omental flap were successfully performed after the improvement of general condition by aggressive nutritional support.
authors.affiliation: Department of Surgery, National Hospital Organization Ehime Medical Center, Toon, Japan.
authors.forename: Shungo
authors.initials: S
authors.lastname: Yukumi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Suzuki
authors.forename: Kei
authors.initials: K
authors.lastname: Ishimaru
authors.forename: Akira
authors.initials: A
authors.lastname: Watanabe
authors.forename: Michiyo
authors.initials: M
authors.lastname: Tanaka
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Tanigawa
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Sano
mesh_terms: D000368:Aged; D002908:Chronic Disease; D004653:Empyema / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D018529:Nutritional Support / Q000379:methods*; D009852:Omentum / Q000601:surgery*; D010532:Peritoneal Diseases / Q000150:complications / Q000601:surgery*; D013290:Streptococcal Infections / Q000150:complications