Evidence map›Paper›PMID 31827206›Full record

ArticleScientific reports2019

Plasma metabolomics of early parenteral nutrition followed with enteral nutrition in pancreatic surgery patients.

Zhengyu Jiang, Cen Wen, Changli Wang, Zhenzhen Zhao, Lulong Bo, Xiaojian Wan, Xiaoming Deng

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Zhengyu JiangFaculty of Anesthesiology, Changhai Hospital, Second Military Medical University/Naval Medical University, 200433, Shanghai, China.
Cen WenFaculty of Anesthesiology, Changhai Hospital, Second Military Medical University/Naval Medical University, 200433, Shanghai, China.
Changli WangFaculty of Anesthesiology, Changhai Hospital, Second Military Medical University/Naval Medical University, 200433, Shanghai, China.
Zhenzhen ZhaoFaculty of Anesthesiology, Changhai Hospital, Second Military Medical University/Naval Medical University, 200433, Shanghai, China.
Lulong BoFaculty of Anesthesiology, Changhai Hospital, Second Military Medical University/Naval Medical University, 200433, Shanghai, China.ORCID http://orcid.org/0000-0001-6787-1837
Xiaojian WanFaculty of Anesthesiology, Changhai Hospital, Second Military Medical University/Naval Medical University, 200433, Shanghai, China. xiaojian.wan@yahoo.com.
Xiaoming DengFaculty of Anesthesiology, Changhai Hospital, Second Military Medical University/Naval Medical University, 200433, Shanghai, China. deng_x@yahoo.com.
Second Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nutrition support is essential for surgical patients. Patients undergoing pancreaticoduodenectomy (PD) require tremendous nutrient support but also faced with risks of infection and gastrointestinal complications. Early parenteral nutrition has recently shown benefits while limited information provided about the influence on metabolism. This prospective single-center cohort study used plasma metabolomics to clarify metabolic alteration after early parenteral nutrition followed with enteral nutrition. Patients undergoing pancreaticoduodenectomy (n = 52) were enrolled. 36 patients received parenteral nutrition within 3 days postoperatively followed with EN (TPN group), 16 patients received standard fluids followed with EN (GIK group). We found that the weight loss is reduced in TPN group while the other clinical outcomes and inflammatory cytokines showed no statistical significance. The TPN group showed significance in amino acids, lipid, and phospholipids metabolism compared with the GIK group. Moreover, integration analysis indicated that early TPN could promote the metabolism of long-chain fatty acids, phospholipids, ketone bodies, and branched-chain amino acids. We conclude that early TPN support followed with EN for patients undergoing PD reduced the perioperative weight loss and promoted the metabolic transition to anabolic metabolism with the recovery of lipid metabolism, suggesting its benefits for the recovery of patients.

Indexed as

Enteral NutritionMetabolomicsPancreaticoduodenectomyParenteral NutritionPostoperative CareAgedFemaleHumansMaleMiddle AgedPancreasPlasmaPostoperative PeriodProspective StudiesWeight Loss

Identifiers

PMID31827206
PMCPMC6906312
OpenAlexW2994642167

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.