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Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series
INTRODUCTION: We retrospectively assessed the efficacy and safety of use of short-term formula diet therapy to achieve preoperative reduction in visceral fat immediately prior to highly invasive endoscopic surgery. PRESENTATION OF CASE: We reviewed 5 cancer patients who underwent thoracoscopic and/o...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8175398/ https://www.ncbi.nlm.nih.gov/pubmed/34058461 http://dx.doi.org/10.1016/j.ijscr.2021.106026 |
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author | Maruyama, Kiyotomi Shimada, Kou Makino, Arano Hisamune, Ryo Shirota, Tomoki Gomi, Kuniyuki |
author_facet | Maruyama, Kiyotomi Shimada, Kou Makino, Arano Hisamune, Ryo Shirota, Tomoki Gomi, Kuniyuki |
author_sort | Maruyama, Kiyotomi |
collection | PubMed |
description | INTRODUCTION: We retrospectively assessed the efficacy and safety of use of short-term formula diet therapy to achieve preoperative reduction in visceral fat immediately prior to highly invasive endoscopic surgery. PRESENTATION OF CASE: We reviewed 5 cancer patients who underwent thoracoscopic and/or laparoscopic-assisted esophagectomy or gastrectomy. The cases were those with a BMI ≥30 kg/m(2) or waist circumference ≥100 cm. Patients replaced one meal out of the three main meals with one or two sachets of formula diet (170–340 kcal). The other two meals were set to 600 kcal. The dietary therapy was implemented approximately 1 month before the operation. Weight loss achieved after dietary therapy ranged from 6.4% to 14.1% (p < 0.01). With the exception of one case, the decrease in visceral fat area ranged from 17.0%–40.7% (p = 0.03). Postoperative complications were anastomotic insufficiency in two cases. DISCUSSION: Although the decreases of the visceral fat were effectively implemented, the adverse effects on postoperative complications must be examined in the farther study. CONCLUSION: It was suggested that use of formula diet to achieve preoperative visceral fat reduction in a short period of time immediately prior to highly invasive endoscopic cancer surgery would be an effective and safe strategy. |
format | Online Article Text |
id | pubmed-8175398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-81753982021-06-11 Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series Maruyama, Kiyotomi Shimada, Kou Makino, Arano Hisamune, Ryo Shirota, Tomoki Gomi, Kuniyuki Int J Surg Case Rep Case Series INTRODUCTION: We retrospectively assessed the efficacy and safety of use of short-term formula diet therapy to achieve preoperative reduction in visceral fat immediately prior to highly invasive endoscopic surgery. PRESENTATION OF CASE: We reviewed 5 cancer patients who underwent thoracoscopic and/or laparoscopic-assisted esophagectomy or gastrectomy. The cases were those with a BMI ≥30 kg/m(2) or waist circumference ≥100 cm. Patients replaced one meal out of the three main meals with one or two sachets of formula diet (170–340 kcal). The other two meals were set to 600 kcal. The dietary therapy was implemented approximately 1 month before the operation. Weight loss achieved after dietary therapy ranged from 6.4% to 14.1% (p < 0.01). With the exception of one case, the decrease in visceral fat area ranged from 17.0%–40.7% (p = 0.03). Postoperative complications were anastomotic insufficiency in two cases. DISCUSSION: Although the decreases of the visceral fat were effectively implemented, the adverse effects on postoperative complications must be examined in the farther study. CONCLUSION: It was suggested that use of formula diet to achieve preoperative visceral fat reduction in a short period of time immediately prior to highly invasive endoscopic cancer surgery would be an effective and safe strategy. Elsevier 2021-05-26 /pmc/articles/PMC8175398/ /pubmed/34058461 http://dx.doi.org/10.1016/j.ijscr.2021.106026 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Series Maruyama, Kiyotomi Shimada, Kou Makino, Arano Hisamune, Ryo Shirota, Tomoki Gomi, Kuniyuki Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series |
title | Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series |
title_full | Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series |
title_fullStr | Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series |
title_full_unstemmed | Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series |
title_short | Effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – Case series |
title_sort | effective and safe reduction in visceral fat using a formula diet in a short period before highly invasive endoscopic surgery – case series |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8175398/ https://www.ncbi.nlm.nih.gov/pubmed/34058461 http://dx.doi.org/10.1016/j.ijscr.2021.106026 |
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