The importance of providing dietary fiber in medical and surgical critical care
Nutr Clin Pract. 2023 Nov 10. doi: 10.1002/ncp.11092. Online ahead of print.ABSTRACTThe early provision of soluble/insoluble fiber to the patient who is critically ill has been controversial in the past. Especially in the setting of hemodynamic instability, dysmotility, or impaired gastrointestinal transit, fear of inspissation of formula with precipitation of nonocclusive mesenteric ischemia (NOMI)/nonocclusive bowel necrosis (NOBN) limited its utilization by medical and surgical intensivists. The incidence of NOMI/NOBN has been estimated at 0.2%-0.3% for all intensive care unit (ICU) patients receiving enteral nutrition ...
Source: Nutrition in Clinical Practice - November 10, 2023 Category: Nutrition Authors: Stephen A McClave Endashaw Omer Mohamed Eisa Abby Klosterbauer Cynthia C Lowen Robert G Martindale Source Type: research

The importance of providing dietary fiber in medical and surgical critical care
Nutr Clin Pract. 2023 Nov 10. doi: 10.1002/ncp.11092. Online ahead of print.ABSTRACTThe early provision of soluble/insoluble fiber to the patient who is critically ill has been controversial in the past. Especially in the setting of hemodynamic instability, dysmotility, or impaired gastrointestinal transit, fear of inspissation of formula with precipitation of nonocclusive mesenteric ischemia (NOMI)/nonocclusive bowel necrosis (NOBN) limited its utilization by medical and surgical intensivists. The incidence of NOMI/NOBN has been estimated at 0.2%-0.3% for all intensive care unit (ICU) patients receiving enteral nutrition ...
Source: Nutrition in Clinical Practice - November 10, 2023 Category: Nutrition Authors: Stephen A McClave Endashaw Omer Mohamed Eisa Abby Klosterbauer Cynthia C Lowen Robert G Martindale Source Type: research

The importance of providing dietary fiber in medical and surgical critical care
Nutr Clin Pract. 2023 Nov 10. doi: 10.1002/ncp.11092. Online ahead of print.ABSTRACTThe early provision of soluble/insoluble fiber to the patient who is critically ill has been controversial in the past. Especially in the setting of hemodynamic instability, dysmotility, or impaired gastrointestinal transit, fear of inspissation of formula with precipitation of nonocclusive mesenteric ischemia (NOMI)/nonocclusive bowel necrosis (NOBN) limited its utilization by medical and surgical intensivists. The incidence of NOMI/NOBN has been estimated at 0.2%-0.3% for all intensive care unit (ICU) patients receiving enteral nutrition ...
Source: Nutrition in Clinical Practice - November 10, 2023 Category: Nutrition Authors: Stephen A McClave Endashaw Omer Mohamed Eisa Abby Klosterbauer Cynthia C Lowen Robert G Martindale Source Type: research

Optimizing the prelung transplant candidate
Curr Opin Organ Transplant. 2023 Nov 8. doi: 10.1097/MOT.0000000000001116. Online ahead of print.ABSTRACTPURPOSE OF REVIEW: Lung transplant outcomes are impacted by multiple modifiable risk factors. Candidate deterioration on the wait list remains problematic. Innovative technology and strategies to identify and impact pretransplant morbidity have improved short- and long-term outcomes. We focus our review on recent advances in pretransplant recipient assessment and optimization.RECENT FINDINGS: Advancements in recipient management have focused on risk factor identification for adverse outcomes and the development of a lun...
Source: Current Opinion in Organ Transplantation - November 7, 2023 Category: Transplant Surgery Authors: John Pagteilan Scott Atay Source Type: research

Optimizing the prelung transplant candidate
Curr Opin Organ Transplant. 2023 Nov 8. doi: 10.1097/MOT.0000000000001116. Online ahead of print.ABSTRACTPURPOSE OF REVIEW: Lung transplant outcomes are impacted by multiple modifiable risk factors. Candidate deterioration on the wait list remains problematic. Innovative technology and strategies to identify and impact pretransplant morbidity have improved short- and long-term outcomes. We focus our review on recent advances in pretransplant recipient assessment and optimization.RECENT FINDINGS: Advancements in recipient management have focused on risk factor identification for adverse outcomes and the development of a lun...
Source: Current Opinion in Organ Transplantation - November 7, 2023 Category: Transplant Surgery Authors: John Pagteilan Scott Atay Source Type: research

Current insights on chronic intestinal dysmotility: pseudo-obstruction and enteric dysmotility
Rev Esp Enferm Dig. 2023 Nov 6. doi: 10.17235/reed.2023.10038/2023. Online ahead of print.ABSTRACTChronic intestinal dysmotility is a rare and debilitating digestive disorder characterized by symptoms of mechanical obstruction without an organic lesion. It has diverse causes and involves various pathological mechanisms. Small bowel manometry is the preferred diagnostic method, particularly for patients with severe and progressive symptoms. The condition can be categorized as intestinal pseudo-obstruction and enteric dysmotility, both entities share abnormal small bowel motility, but with important differences in prognosis ...
Source: Revista Espanola de Enfermedades Digestivas - November 6, 2023 Category: Gastroenterology Authors: Luis Gerardo Alcal á González Carolina Malagelada Source Type: research