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Sarcopenia in a patient with most serious complications after highly invasive surgeries treated with nutrition, rehabilitation, and pharmacotherapy: a case report

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Title: Sarcopenia in a patient with most serious complications after highly invasive surgeries treated with nutrition, rehabilitation, and pharmacotherapy: a case report
Authors: Tatsumi, Michiyo Browse this author
Kumagai, Satomi Browse this author
Abe, Takahiro Browse this author
Murakami, Soichi Browse this author →KAKEN DB
Takeda, Hiroshi Browse this author →KAKEN DB
Shichinohe, Toshiaki Browse this author →KAKEN DB
Watanabe, Yuko Browse this author
Katayama, Shinsuke Browse this author
Hirai, Shiaki Browse this author
Honda, Aiko Browse this author
Takekuma, Yoh Browse this author →KAKEN DB
Sugawara, Mitsuru Browse this author →KAKEN DB
Keywords: Sarcopenia
Postoperative
Nutrition therapy
Exercise
Pharmacotherapy
Total parenteral nutrition
Branched-chain amino acids (BCAA)
Rehabilitation
Issue Date: 6-Apr-2021
Publisher: BioMed Central
Journal Title: Journal of pharmaceutical health care and sciences
Volume: 7
Issue: 1
Start Page: 16
Publisher DOI: 10.1186/s40780-021-00197-9
Abstract: Background Several studies have reported the implementation of nutrition therapy and rehabilitation for acute and critical illnesses. However, rehabilitation nutrition for elderly sarcopenia patients with extremely severe postoperative complications during hospitalization has not yet been established. Case presentation We report the case of a 70-year-old man with sarcopenia that developed as a postoperative complication of the surgical resection of perihilar cholangiocarcinoma and left the patient bedridden from prolonged malnutrition and muscle weakness. The patient's general condition improved after a nearly 6-month intervention by our Nutrition Support Team (NST) that combined nutrition, exercise, and pharmacotherapy. Conclusions The appropriate timing and order of pharmacotherapy, nutrient administration, exercise therapy, and team collaboration may enable elderly patients with severe (secondary) sarcopenia and postoperative complications to regain self-sustained walking.
Type: article
URI: http://hdl.handle.net/2115/81768
Appears in Collections:薬学研究院 (Faculty of Pharmaceutical Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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