AIM: To describe the dietary recommendations of experienced endoscopists for patients who have undergone endoscopic retrograde cholangiopancreatography (ERCP) and the factors that influence these recommendations. METH...AIM: To describe the dietary recommendations of experienced endoscopists for patients who have undergone endoscopic retrograde cholangiopancreatography (ERCP) and the factors that influence these recommendations. METHODS: Selected U.S. endoscopists with ERCP experience were surveyed by e-mail. A questionnaire with three hypothetical ERCP cases of patients at low, medium and high risk for development of post-ERCP pancreatitis (PEP) was shown. For each scenario, respondents were asked to recommend a post-procedure diet and time to first oral intake. Respondents were also asked about the effect of various clinical factors on their recommendations, including risk of PEP.RESULTS: 97/187 selected ASGE members (51.9%) responded. When risk of PEP was either low, medium or high, 53%, 88% and 96% recommended a diet of clear liquids/NPO respectively, and 2%, 5% and 18% recommended delaying first oral intake until the following day. About 88% of respondents gave the same type of diet to patients at high as those with moderate-risk of PEP (P = 0.04). However, 37% and 43% of respondents gave different types of diet to patients at low vs moderate-risk and low-risk vs high-risk of PEP respectively (P < 0.001). No statistically significant associations were found regarding the effect of other clinical factors or respondent demographics.CONCLUSION: Most experienced endoscopists limit diet to NPO/clear liquids after ERCP for patients at high or moderate risk of post-ERCP pancreatitis. About half allow a low-fat or regular diet in patients at low risk.展开更多
目的 分析糖尿病肾病血液透析患者实施针对性饮食护理对营养状况和生活质量的影响。方法 选取2020年1月—2023年12月南京大学医学院附属盐城第一医院收治的69例行维持性血液透析的糖尿病肾病患者为研究对象,根据不同的饮食护理方法分为...目的 分析糖尿病肾病血液透析患者实施针对性饮食护理对营养状况和生活质量的影响。方法 选取2020年1月—2023年12月南京大学医学院附属盐城第一医院收治的69例行维持性血液透析的糖尿病肾病患者为研究对象,根据不同的饮食护理方法分为两组,对照组(n=34)给予常规饮食护理,观察组(n=35)在对照组基础上给予针对性饮食护理。比较两组改进主观整体评估量表(Modified Quantitative Subjective Global Assesssment, MQSGA)评分、健康调查简表(MOS Item Short From Health Survey, SF-36)评分。结果 观察组MQSGA评分低于对照组,SF-36评分高于对照组,差异有统计学意义(P均<0.05)。结论 对行维持性血液透析的糖尿病肾病患者实施针对性饮食护理,可改善其营养状态和生活质量。展开更多
文摘AIM: To describe the dietary recommendations of experienced endoscopists for patients who have undergone endoscopic retrograde cholangiopancreatography (ERCP) and the factors that influence these recommendations. METHODS: Selected U.S. endoscopists with ERCP experience were surveyed by e-mail. A questionnaire with three hypothetical ERCP cases of patients at low, medium and high risk for development of post-ERCP pancreatitis (PEP) was shown. For each scenario, respondents were asked to recommend a post-procedure diet and time to first oral intake. Respondents were also asked about the effect of various clinical factors on their recommendations, including risk of PEP.RESULTS: 97/187 selected ASGE members (51.9%) responded. When risk of PEP was either low, medium or high, 53%, 88% and 96% recommended a diet of clear liquids/NPO respectively, and 2%, 5% and 18% recommended delaying first oral intake until the following day. About 88% of respondents gave the same type of diet to patients at high as those with moderate-risk of PEP (P = 0.04). However, 37% and 43% of respondents gave different types of diet to patients at low vs moderate-risk and low-risk vs high-risk of PEP respectively (P < 0.001). No statistically significant associations were found regarding the effect of other clinical factors or respondent demographics.CONCLUSION: Most experienced endoscopists limit diet to NPO/clear liquids after ERCP for patients at high or moderate risk of post-ERCP pancreatitis. About half allow a low-fat or regular diet in patients at low risk.
文摘目的 分析糖尿病肾病血液透析患者实施针对性饮食护理对营养状况和生活质量的影响。方法 选取2020年1月—2023年12月南京大学医学院附属盐城第一医院收治的69例行维持性血液透析的糖尿病肾病患者为研究对象,根据不同的饮食护理方法分为两组,对照组(n=34)给予常规饮食护理,观察组(n=35)在对照组基础上给予针对性饮食护理。比较两组改进主观整体评估量表(Modified Quantitative Subjective Global Assesssment, MQSGA)评分、健康调查简表(MOS Item Short From Health Survey, SF-36)评分。结果 观察组MQSGA评分低于对照组,SF-36评分高于对照组,差异有统计学意义(P均<0.05)。结论 对行维持性血液透析的糖尿病肾病患者实施针对性饮食护理,可改善其营养状态和生活质量。
