Evidence map›Paper›PMID 42423785›Full record

ArticleSurgery today2026

Effects of early postoperative nutritional support on enhanced recovery after lung transplantation.

Masaki Ikeda, Daisuke Nakajima, Ayako Oshima, Yohei Oshima, Susumu Sato, Satona Tanaka, Yojiro Yutaka, Toyofumi F Chen-Yoshikawa, Hiroshi Date

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Masaki IkedaDepartment of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara‑cho, Sakyo‑ku, Kyoto, 606‑8507, Japan.
Daisuke NakajimaDepartment of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara‑cho, Sakyo‑ku, Kyoto, 606‑8507, Japan. daink@kuhp.kyoto-u.ac.jp.
Ayako OshimaDepartment of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.
Yohei OshimaRehabilitation Unit, Kyoto University Hospital, Kyoto, Japan.
Susumu SatoDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Satona TanakaDepartment of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara‑cho, Sakyo‑ku, Kyoto, 606‑8507, Japan.
Yojiro YutakaDepartment of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara‑cho, Sakyo‑ku, Kyoto, 606‑8507, Japan.
Toyofumi F Chen-YoshikawaDepartment of Thoracic Surgery, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Hiroshi DateDepartment of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara‑cho, Sakyo‑ku, Kyoto, 606‑8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe optimal postoperative nutritional management after lung transplantation (LT) remains unclear. This study evaluated the effectiveness of an early postoperative nutritional protocol on the nutrition-related outcomes.

methodsWe retrospectively analyzed 50 patients who underwent LT between 2019 and 2021 at our institution. From 2020, 22 patients were managed using a nutritional protocol aiming to initiate nutritional support by postoperative day (POD) 3 and achieve the target energy and protein intake by POD 7. Postoperative changes in body weight and muscle mass were compared between the pre- and post-protocol groups over a period of 3 months.

resultsThe perioperative characteristics were comparable between the groups. The initiation of enteral and central parenteral nutrition within 3 days was more frequent in the post-protocol group than in the pre-protocol group (45% vs. 7%, p = 0.002; 82% vs. 29%, p < 0.001). Energy and protein sufficiency on POD 7 was higher in the post-protocol group (84% vs. 69%, p = 0.011; 87% vs. 74%, p = 0.017). Weight loss at 2 weeks after LT was attenuated in the post-protocol group and remained suppressed. Although muscle mass declined at 2 weeks in both groups, recovery within 3 months was greater in the post-protocol group.

conclusionEarly postoperative nutritional support after LT is associated with reduced weight loss and an improved muscle mass recovery.

Indexed as

Body weightLung transplantationMuscle massNutritional supportPostoperative care

Identifiers

PMID42423785

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