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Nutrition management in acute pancreatitis: Clinical practice consideration

World Journal of Clinical Cases 2020年第9期8卷 1561-1573页

作者： narisorn lakananurak Leah Gramlich Leah Gramlich Department of MedicineUniversity of AlbertaEdmonton T6G 2R3AlbertaCanada Department of Medicine Faculty of MedicineChulalongkorn UniversityBangkok 10330Thailand

Acute pancreatitis(AP)is a common gastrointestinal disease and the leading cause of hospital admission and healthcare burden among gastrointestinal disorders in many *** can present with varying degrees of inflammation and disease severity,ranging from self-limiting mild AP to devastating and fatal severe *** factors contribute to malnutrition in AP,especially abnormal metabolism and catabolism related to *** concept of“pancreatic rest”is not *** is however,emerging evidence that supports the use of oral or enteral nutrition to improve nutrition status and to reduce local and systemic inflammation,complications,and *** mild disease,patients are generally able to initiate solid oral diet and do not require specialized nutrition care such as enteral or parenteral *** contrast,nutrition interventions are imperative in moderately severe and severe *** current article aims to review the latest evidence and suggest practical nutrition interventions in patients with AP,including nutrition requirements,routes of nutrition treatment,types of formula,and the role of nutritional supplements,such as glutamine,probiotics,omega-3 fatty acids,and antioxidants.

关键词： Acute pancreatitis Nutrition management Enteral nutrition Parenteral nutrition Nutritional supplement Nutrition assessment

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Optimal hang time of enteral formula at standard room temperature and high temperature

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World Journal of Clinical Cases 2020年第19期8卷 4410-4415页

作者： narisorn lakananurak Nutbordee Nalinthassa nai Wanlapa Suansawang Palakorn Panarat Department of Medicine Faculty of MedicineChulalongkorn UniversityBangkok 10330Thailand Department of Dietetic and Diet Therapy King Chulalongkorn Memorial HospitalBangkok 10330Thailand Department of Medicine Queen Savang Vadhana Memorial HospitalChonBuri 20110Thailand

BACKGROUND Despite high risk of bacterial contamination,yet there are no studies that have evaluated the optimal hang time of blenderized and reconstituted powdered formulas at standard room temperature and high *** To investigate the optimal hang time of both types of formulas at standard room temperature and high *** Ten specimens of blenderized formula and 10 specimens of reconstituted powdered formula were prepared using aseptic *** specimens of each formula were administered at 25℃and 32℃.Simulated administration was done in an *** samples were collected at 0,2,4,6 h and aerobic culture was *** and drug administration criteria were used to determine the unacceptable levels of bacterial *** Unacceptable contamination for blenderized formula began at 4 h at 25℃and at 2 h at 32℃.As for the reconstituted powdered formula,there was no bacterial growth in all specimens up to 6 h at both *** The optimal hang time to avoid significant bacterial contamination of the blenderized formula should be limited to 2 h at standard room temperature and be administered by bolus method at high temperature,while a reconstituted powdered formula may hang up to 6 h at both temperatures.

关键词： Enteral nutrition Blenderized diet Powdered diet Contamination Hang time Infectious diarrhea

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Forward-viewing radial-array echoendoscope for staging of colon cancer beyond the rectum

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World Journal of Gastroenterology 2014年第10期20卷 2681-2687页

作者： Pradermchai Kongkam Sittikorn Linlawan Satimai Aniwan narisorn lakananurak Suparat Khemnark Chucheep Sahakitrungruang Jirawat Pattanaarun Supakij Khomvilai Naruemon Wisedopas Wiriyaporn Ridtitid Manoop S Bhutani Pinit Kullavanijaya Rungsun Rerknimitr Gastrointestinal Endoscopy Excellent Center Department of Medicine King Chulalongkorn Memorial Hospital Chulalongkorn University Bangkok 10330 Thailand Department of Surgery King Chulalongkorn Memorial Hospital Chulalongkorn University Bangkok 10330Thailand Department of Pathology King Chulalongkorn Memorial Hospital Chulalongkorn UniversityBangkok 10330 Thailand Department of Gastroenterology Hepatology and Nutrition-Unit UT MD Anderson Cancer Center Houston TX 77030 United States

AIM: To evaluate feasibility of the novel forward-viewing radial-array echoendoscope for staging of colon cancer beyond rectum as the first series.

关键词： Colon cancer Neoplasm Colon Endoscopic ultrasound Neoadjuvan therapy Staging Forward-viewing Colonoscopy

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