30 results on '"Matysiak, Konrad"'
Search Results
2. COVID-19 infection in patients on long-term home parenteral nutrition for chronic intestinal failure
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Pironi, Loris, Jezerski, Denise, Sobocki, Jacek, Lal, Simon, Vanuytsel, Tim, Theilla, Miriam, Sasdelli, Anna S., Chambrier, Cecile, Matysiak, Konrad, Aimasso, Umberto, Rasmussen, Henrik H., Jukes, Amelia, Kunecki, Marek, Seguy, David, Schneider, Stéphane M., Daniels, Joanne, Poullenot, Florian, Mundi, Manpreet S., Matras, Przemysław, Folwarski, Marcin, Crivelli, Adriana, Wyer, Nicola, Ellegard, Lars, Santarpia, Lidia, Arvanitakis, Marianna, Spaggiari, Corrado, Lamprecht, Georg, Guglielmi, Francesco W., Lezo, Antonella, Layec, Sabrina, Boluda, Esther Ramos, Guz-Mark, Anat, Gandullia, Paolo, Cuerda, Cristina, Osland, Emma, Spagnuolo, Maria I., Krznaric, Zeljko, Masconale, Luisa, Chapman, Brooke, Maíz-Jiménez, María, Orlandoni, Paolo, Martins da Rocha, Mariana Hollanda, Virgili-Casas, M. Nuria, Doitchinova-Simeonova, Maryana, Czako, Laszlo, Van Gossum, Andrè, D'Antiga, Lorenzo, Ee, Looi C., Warodomwichit, Daruneewan, Taus, Marina, Kolaček, Sanja, Thibault, Ronan, Verlato, Giovanna, Serralde-Zúñiga, Aurora E., Botella-Carretero, José I., Aguayo, Pilar Serrano, Olveira, Gabriel, Chomtho, Sirinuch, Pisprasert, Veeradej, Moisejevs, Georgijs, Murillo, Ana Zugasti, Jáuregui, M<ce:sup loc='post">a</ce:sup> Estrella Petrina, Díez, Marta Bueno, Jahit, Mohammad Shukri, Densupsoontorn, Narumon, Tamer, Ali, Brillanti, Giorgia, and Joly, Francisca
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- 2023
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3. Complications of tunneled peripherally inserted and tunneled-cuffed central catheters in home parenteral nutrition
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Matysiak, Konrad, Szewczuk, Magdalena, Sobocki, Jacek, Zdziarska, Marta, and Siatkowski, Idzi
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- 2021
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4. Characteristics of adult patients with chronic intestinal failure due to short bowel syndrome: An international multicenter survey
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Crivelli, Adriana N., Muñiz, Hector Solar, Chapman, Brooke R., Jones, Lynn, O'Callaghan, Margie, Osland, Emma, Hodgson, Ruth, Wallin, Siobhan, Lasenby, Kay, Van Gossum, Andre, Won Lee, Andre Dong, Doitchinova-Simeonova, Maryana, Krznaric, Zeljko, Rasmussen, Henrik Højgaard, Brandt, Chrisoffer, Jeppesen, Palle B., Chambrier, Cecile, Joly, Francisca, Boehm, Vanessa, Bataille, Julie, Billiauws, Lore, Poullenot, Florian, Schneider, Stéphane M., Seguy, David, Thibault, Ronan, Arends, Jann, Czako, Laszlo, Molnar, Tomas, Zsilak-Urban, Mihaly, Izbéki, Ferenc, Sahin, Peter, Udvarhelyi, Gábor, Schafer, Eszter, Theilla, Miriam, Sasdelli, Anna Simona, Brillanti, Giorgia, Nardi, Elena, Pironi, Loris, Aimasso, Umberto, Dario, Merlo F., Bertasi, Valentino, Masconale, Luisa, Guglielmi, Francesco W., Regano, Nunzia, Orlandoni, Paolo, Lidia, Santarpia, Alfonsi, Lucia, Spaggiari, Corrado, Taus, Marina, Busni, Debora, Kekstas, Gintautas, Serralde-Zúñiga, Aurora E., Gillanders, Lyn, Kunecki, Marek, Matras, Przemysław, Matysiak, Konrad, Szczepanek, Kinga, Zmarzly, Anna, Kozjek, Nada Rotovnik, Bueno, Marta, Cuerda, Cristina, Garde, Carmen, Virgili, Nuria M., Olveira, Gabriel, Jáuregui, M<ce:sup loc='post">a</ce:sup> Estrella Petrina, Sanz-Paris, Alejandro, Suárez-Llanos, José P., Murillo, Ana Zugasti, Ellegard, Lars, Serlie, Mireille, Jonker, Cora, Wanten, Geert, Cooper, Sheldon C., Daniels, Joanne, Di Caro, Simona, Keane, Niamh, Patel, Pinal, Forbes, Alastair, Nelson Hughes, Sarah-Jane, Jukes, Amelia, Lloyd, Rachel, Lal, Simon, Abraham, Arun, Garside, Gerda, Taylor, Michael, Wu, Jian, Smith, Trevor, Pither, Charlotte, Stroud, Michael, Wyer, Nicola, Parmar, Reena, Burch, Nicola, Zeraschi, Sarah, Compher, Charlene, Mundi, Manpreet, Jezerski, Denise, Steiger, Ezra, Sasdelli, Anna S., Mundi, Manpreet S., Rasmussen, Henrik H., Crivelli, Adriana, Santarpia, Lidia, Van Gossum, Andrè, Chapman, Brooke, Won Lee, Andre D., Díez, Marta Bueno, Jáuregui, Mª Estrella Petrina, and Youssef, Nader N.
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- 2021
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5. Organizational issues of home parenteral nutrition during COVID-19 pandemic: Results from multicenter, nationwide study
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Folwarski, Marcin, Kłęk, Stanisław, Matras, Przemysław, Bartoszewska, Lidia, Bednarz, Sławomir, Jakubczyk, Marlena, Kamocki, Zbigniew, Krasowski, Grzegorz, Kunecki, Marek, Kwella, Bogna, Matysiak-Luśnia, Katarzyna, Matysiak, Konrad, Pierzynowska, Gabriela, Szafrański, Waldemar, Szopiński, Jacek, Urbanowicz, Krystyna, and Sobocki, Jacek
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- 2021
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6. Clinical classification of adult patients with chronic intestinal failure due to benign disease: An international multicenter cross-sectional survey
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Pironi, Loris, Konrad, Denise, Brandt, Chrisoffer, Joly, Francisca, Wanten, Geert, Agostini, Federica, Chambrier, Cecile, Aimasso, Umberto, Zeraschi, Sarah, Kelly, Darlene, Szczepanek, Kinga, Jukes, Amelia, Di Caro, Simona, Theilla, Miriam, Kunecki, Marek, Daniels, Joanne, Serlie, Mireille, Poullenot, Florian, Wu, Jian, Cooper, Sheldon C., Rasmussen, Henrik H., Compher, Charlene, Seguy, David, Crivelli, Adriana, Pagano, Maria C., Hughes, Sarah-Jane, Guglielmi, Francesco W., Kozjek, Nada Rotovnik, Schneider, Stéphane M., Gillanders, Lyn, Ellegard, Lars, Thibault, Ronan, Matras, Przemysław, Zmarzly, Anna, Matysiak, Konrad, Van Gossum, Andrè, Forbes, Alastair, Wyer, Nicola, Taus, Marina, Virgili, Nuria M., O'Callaghan, Margie, Chapman, Brooke, Osland, Emma, Cuerda, Cristina, Sahin, Peter, Jones, Lynn, Lee, Andre D.W., Bertasi, Valentino, Orlandoni, Paolo, Izbéki, Ferenc, Spaggiari, Corrado, Díez, Marta Bueno, Doitchinova-Simeonova, Maryana, Garde, Carmen, Serralde-Zúñiga, Aurora E., Olveira, Gabriel, Krznaric, Zeljko, Czako, Laszlo, Kekstas, Gintautas, Sanz-Paris, Alejandro, Jáuregui, Estrella Petrina, Murillo, Ana Zugasti, Schafer, Eszter, Arends, Jann, Suárez-Llanos, José P., Shaffer, Jon, and Lal, Simon
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- 2018
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7. The Polish Intestinal Failure Centres’ consensus on the use of teduglutide for the treatment of short bowel syndrome
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Klek, Stanisław, Kunecki, Marek, Sobocki, Jacek, Matysiak, Konrad, Karwowska, Katarzyna, and Urbanowicz, Krystyna
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- 2017
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8. Home enteral nutrition reduces complications, length of stay, and health care costs: results from a multicenter study
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Klek, Stanislaw, Hermanowicz, Adam, Dziwiszek, Grzegorz, Matysiak, Konrad, Szczepanek, Kinga, Szybinski, Piotr, and Galas, Aleksander
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- 2014
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9. Author's response to Letter to the Editor re. “Choosing the appropriate vascular access device in adult non-hospitalized patients”
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Matysiak, Konrad, Szewczuk, Magdalena, Sobocki, Jacek, Marta, Zdziarska, and Siatkowski, Idzi
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- 2022
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10. Conservative Measures for Managing Constipation in Patients Living With a Colostomy
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Kuczynska, Barbara, Bobkiewicz, Adam, Studniarek, Adam, Szmyt, Krzsztof, Krokowicz, Łukasz, Matysiak, Konrad, Szmeja, Jacek, Walkowiak, Jarosław, Drews, Michał, and Banasiewicz, Tomasz
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- 2017
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11. Characteristics of adult patients with chronic intestinal failure due to short bowel syndrome: An international multicenter survey
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Pironi, Loris, primary, Steiger, Ezra, additional, Joly, Francisca, additional, Jeppesen, Palle B., additional, Wanten, Geert, additional, Sasdelli, Anna S., additional, Chambrier, Cecile, additional, Aimasso, Umberto, additional, Mundi, Manpreet S., additional, Szczepanek, Kinga, additional, Jukes, Amelia, additional, Theilla, Miriam, additional, Kunecki, Marek, additional, Daniels, Joanne, additional, Serlie, Mireille, additional, Poullenot, Florian, additional, Cooper, Sheldon C., additional, Rasmussen, Henrik H., additional, Compher, Charlene, additional, Seguy, David, additional, Crivelli, Adriana, additional, Santarpia, Lidia, additional, Guglielmi, Francesco W., additional, Kozjek, Nada Rotovnik, additional, Schneider, Stéphane M., additional, Ellegard, Lars, additional, Thibault, Ronan, additional, Matras, Przemysław, additional, Matysiak, Konrad, additional, Van Gossum, Andrè, additional, Forbes, Alastair, additional, Wyer, Nicola, additional, Taus, Marina, additional, Virgili, Nuria M., additional, O'Callaghan, Margie, additional, Chapman, Brooke, additional, Osland, Emma, additional, Cuerda, Cristina, additional, Udvarhelyi, Gábor, additional, Jones, Lynn, additional, Won Lee, Andre D., additional, Masconale, Luisa, additional, Orlandoni, Paolo, additional, Spaggiari, Corrado, additional, Díez, Marta Bueno, additional, Doitchinova-Simeonova, Maryana, additional, Serralde-Zúñiga, Aurora E., additional, Olveira, Gabriel, additional, Krznaric, Zeljko, additional, Czako, Laszlo, additional, Kekstas, Gintautas, additional, Sanz-Paris, Alejandro, additional, Jáuregui, Mª Estrella Petrina, additional, Murillo, Ana Zugasti, additional, Schafer, Eszter, additional, Arends, Jann, additional, Suárez-Llanos, José P., additional, Youssef, Nader N., additional, Brillanti, Giorgia, additional, Nardi, Elena, additional, Lal, Simon, additional, Crivelli, Adriana N., additional, Muñiz, Hector Solar, additional, Chapman, Brooke R., additional, Hodgson, Ruth, additional, Wallin, Siobhan, additional, Lasenby, Kay, additional, Van Gossum, Andre, additional, Won Lee, Andre Dong, additional, Rasmussen, Henrik Højgaard, additional, Brandt, Chrisoffer, additional, Boehm, Vanessa, additional, Bataille, Julie, additional, Billiauws, Lore, additional, Molnar, Tomas, additional, Zsilak-Urban, Mihaly, additional, Izbéki, Ferenc, additional, Sahin, Peter, additional, Sasdelli, Anna Simona, additional, Pironi, Loris, additional, Dario, Merlo F., additional, Bertasi, Valentino, additional, Regano, Nunzia, additional, Lidia, Santarpia, additional, Alfonsi, Lucia, additional, Busni, Debora, additional, Gillanders, Lyn, additional, Zmarzly, Anna, additional, Bueno, Marta, additional, Garde, Carmen, additional, Jáuregui, Ma Estrella Petrina, additional, Jonker, Cora, additional, Di Caro, Simona, additional, Keane, Niamh, additional, Patel, Pinal, additional, Nelson Hughes, Sarah-Jane, additional, Lloyd, Rachel, additional, Abraham, Arun, additional, Garside, Gerda, additional, Taylor, Michael, additional, Wu, Jian, additional, Smith, Trevor, additional, Pither, Charlotte, additional, Stroud, Michael, additional, Parmar, Reena, additional, Burch, Nicola, additional, Zeraschi, Sarah, additional, Mundi, Manpreet, additional, and Jezerski, Denise, additional
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- 2021
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12. Home parenteral nutrition provision modalities for chronic intestinal failure in adult patients: An international survey
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Pironi, Loris, Steiger, Ezra, Brandt, Chrisoffer, Joly, Francisca, Wanten, Geert, Chambrier, Cecile, Aimasso, Umberto, Sasdelli, Anna Simona, Zeraschi, Sarah, Kelly, Darlene, Szczepanek, Kinga, Jukes, Amelia, Di Caro, Simona, Theilla, Miriam, Kunecki, Marek, Daniels, Joanne, Serlie, Mireille, Poullenot, Florian, Wu, Jian, Cooper, Sheldon C, Rasmussen, Henrik H, Compher, Charlene, Seguy, David, Crivelli, Adriana, Pagano, Maria C, Hughes, Sarah-Jane, Guglielmi, Francesco W, Kozjek, Nada Rotovnik, Schneider, Stéphane M, Gillanders, Lyn, Ellegard, Lars, Thibault, Ronan, Matras, Przemysław, Zmarzly, Anna, Matysiak, Konrad, Van Gossum, Andrè, Forbes, Alastair, Wyer, Nicola, Taus, Marina, Virgili, Nuria M, O'Callaghan, Margie, Chapman, Brooke, Osland, Emma, Cuerda, Cristina, Sahin, Peter, Jones, Lynn, Won Lee, Andre Dong, Masconale, Luisa, Orlandoni, Paolo, Izbéki, Ferenc, Spaggiari, Corrado, Bueno, Marta, Doitchinova-Simeonova, Maryana, Garde, Carmen, Serralde-Zúñiga, Aurora E, Olveira, Gabriel, Krznaric, Zeljko, Czako, Laszlo, Kekstas, Gintautas, Sanz-Paris, Alejandro, Jáuregui, Estrella Petrina, Murillo, Ana Zugasti, Schafer, Eszter, Arends, Jann, Suárez-Llanos, José P, Lal, Simon, Home Artificial Nutrition and Chronic Intestinal Failure Special Interest Group of ESPEN, European Society for Clinical Nutrition and Metabolism, Pironi L., Steiger E., Brandt C., Joly F., Wanten G., Chambrier C., Aimasso U., Sasdelli A.S., Zeraschi S., Kelly D., Szczepanek K., Jukes A., Di Caro S., Theilla M., Kunecki M., Daniels J., Serlie M., Poullenot F., Wu J., Cooper S.C., Rasmussen H.H., Compher C., Seguy D., Crivelli A., Pagano M.C., Hughes S.-J., Guglielmi F.W., Kozjek N.R., Schneider S.M., Gillanders L., Ellegard L., Thibault R., Matras P., Zmarzly A., Matysiak K., Van Gossum A., Forbes A., Wyer N., Taus M., Virgili N.M., O'Callaghan M., Chapman B., Osland E., Cuerda C., Sahin P., Jones L., Won Lee A.D., Masconale L., Orlandoni P., Izbeki F., Spaggiari C., Bueno M., Doitchinova-Simeonova M., Garde C., Serralde-Zuniga A.E., Olveira G., Krznaric Z., Czako L., Kekstas G., Sanz-Paris A., Jauregui E.P., Murillo A.Z., Schafer E., Arends J., Suarez-Llanos J.P., Lal S., St. Orsola University Hospital, Cleveland Clinic, Rigshospitalet [Copenhagen], Copenhagen University Hospital, Radboud University Medical Center [Nijmegen], Hospices Civils de Lyon, Departement de Neurologie (HCL), Leeds Teaching Hospitals NHS Trust, University Hospital of Wales, Rabin Medical Center, Nottingham University Hospital NHS Trust, Department of Infectious Diseases [Amsterdam, Netherlands] (Academic Medical Center), University of Amsterdam [Amsterdam] (UvA)-Center for Tropical and Travel Medicine [Amsterdam, Netherlands], University Hospital Southampton NHS Foundation Trust, University Hospitals Birmingham NHS Foundation Trust, 'Federico II' University of Naples Medical School, Sahlgrenska University Hospital [Gothenburg], Nutrition, Métabolismes et Cancer (NuMeCan), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), CHU Pontchaillou [Rennes], University Hospitals Birmingham NHS Foundation Trust Institut National de la Santé et de la Recherche Médicale University of Pennsylvania, PennRoyal Marsden NHS Foundation TrustNottingham University Hospitals NHS TrustCleveland Clinic FoundationUniversity Hospital Southampton NHS Foundation TrustChung Hua University Fondazione Città della SperanzaInstitut National de la Recherche Agronomique Hospices Civils de Lyon European Society for Clinical Nutrition and Metabolism, Endocrinology, AGEM - Endocrinology, metabolism and nutrition, University Hospital of Wales (UHW), Nottingham University Hospitals NHS Trust (NUH), and Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)
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0301 basic medicine ,Male ,medicine.medical_specialty ,Internationality ,[SDV]Life Sciences [q-bio] ,030209 endocrinology & metabolism ,Pharmacy ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,Critical Care and Intensive Care Medicine ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Health care ,Chronic renal failure ,Medicine ,Humans ,Medical prescription ,Cancer ,Home parenteral nutrition ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Modalities ,Adult patients ,Intestinal failure ,Intravenous supplementation ,business.industry ,International survey ,[SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology ,Middle Aged ,Health Surveys ,3. Good health ,Chronic intestinal failure ,Intestinal Diseases ,lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] ,Parenteral nutrition ,Cross-Sectional Studies ,Treatment Outcome ,Alimentació parenteral ,Chronic Disease ,Parenteral feeding ,Insuficiència renal crònica ,Female ,business ,Parenteral Nutrition, Home ,[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition - Abstract
Contains fulltext : 220087.pdf (Publisher’s version ) (Closed access) BACKGROUND & AIMS: The safety and effectiveness of a home parenteral nutrition (HPN) program depends both on the expertise and the management approach of the HPN center. We aimed to evaluate both the approaches of different international HPN-centers in their provision of HPN and the types of intravenous supplementation (IVS)-admixtures prescribed to patients with chronic intestinal failure (CIF). METHODS: In March 2015, 65 centers from 22 countries enrolled 3239 patients (benign disease 90.1%, malignant disease 9.9%), recording the patient, CIF and HPN characteristics in a structured database. The HPN-provider was categorized as health care system local pharmacy (LP) or independent home care company (HCC). The IVS-admixture was categorized as fluids and electrolytes alone (FE) or parenteral nutrition, either commercially premixed (PA) or customized to the individual patient (CA), alone or plus extra FE (PAFE or CAFE). Doctors of HPN centers were responsible for the IVS prescriptions. RESULTS: HCC (66%) was the most common HPN provider, with no difference noted between benign-CIF and malignant-CIF. LP was the main modality in 11 countries; HCC prevailed in 4 European countries: Israel, USA, South America and Oceania (p
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- 2020
13. Intravenous supplementation type and volume are associated with 1-year outcome and major complications in patients with chronic intestinal failure
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Pironi, Loris, primary, Steiger, Ezra, additional, Joly, Francisca, additional, Wanten, Geert J A, additional, Chambrier, Cecile, additional, Aimasso, Umberto, additional, Sasdelli, Anna Simona, additional, Szczepanek, Kinga, additional, Jukes, Amelia, additional, Theilla, Miriam, additional, Kunecki, Marek, additional, Daniels, Joanne, additional, Serlie, Mireille J, additional, Cooper, Sheldon C, additional, Poullenot, Florian, additional, Rasmussen, Henrik Højgaard, additional, Compher, Charlene W, additional, Crivelli, Adriana, additional, Hughes, Sarah-Jane, additional, Santarpia, Lidia, additional, Guglielmi, Francesco William, additional, Rotovnik Kozjek, Nada, additional, Ellegard, Lars, additional, Schneider, Stéphane M, additional, Matras, Przemysław, additional, Forbes, Alastair, additional, Wyer, Nicola, additional, Zmarzly, Anna, additional, Taus, Marina, additional, O'Callaghan, Margie, additional, Osland, Emma, additional, Thibault, Ronan, additional, Cuerda, Cristina, additional, Jones, Lynn, additional, Chapman, Brooke, additional, Sahin, Peter, additional, Virgili, Núria M, additional, Lee, Andre Dong Won, additional, Orlandoni, Paolo, additional, Matysiak, Konrad, additional, Di Caro, Simona, additional, Doitchinova-Simeonova, Maryana, additional, Masconale, Luisa, additional, Spaggiari, Corrado, additional, Garde, Carmen, additional, Serralde-Zúñiga, Aurora E, additional, Olveira, Gabriel, additional, Krznaric, Zeljko, additional, Petrina Jáuregui, Estrella, additional, Zugasti Murillo, Ana, additional, Suárez-Llanos, José P, additional, Nardi, Elena, additional, Van Gossum, André, additional, and Lal, Simon, additional
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- 2020
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14. The role of artificial nutrition in gynecological cancer therapy
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Szewczuk, Magdalena, primary, Gasiorowska, Emilia, additional, Matysiak, Konrad, additional, and Nowak-Markwitz, Ewa, additional
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- 2019
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15. Clinical nutrition in adult palliative care cancer patients – recommendations of the Polish Society for Clinical Nutrition, the Polish Society of Paliative Medicine, the Polish Society of Family Medicine, Polish Society of Palliative Care Nursing in association with the Polish Society of Clinical Oncology and the Polish Society of Gastroenterology
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Zmarzły, Anna, primary, Dzierżanowski, Tomasz, additional, Filipczak-Bryniarska, Iwona, additional, Sobocki, Jacek, additional, Ciałkowska-Rysz, Aleksandra, additional, Krzakowski, Maciej, additional, Rydzewska, Grażyna, additional, Mastalerz-Migas, Agnieszka, additional, Drobnik, Jarosław, additional, Traczyk, Iwona, additional, Urbanowicz, Krystyna, additional, Rudzki, Sławomir, additional, Matras, Przemysław, additional, Kunecki, Marek, additional, Matysiak, Konrad, additional, Majewska, Krystyna, additional, Kaptacz, Izabela, additional, and Konik, Natalia, additional
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- 2018
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16. Ultrasound-guided percutaneous 'push-introducer' gastrostomy is a valuable method for accessing the gastrointestinal tract
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Klek, Stanislaw, Hermanowicz, Adam, Salowka, Jerzy, Cegielny, Tomasz, Matysiak, Konrad, Chourdakis, Michael, and Szybinski, Piotr
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Ultrasound ,Ultrasonido ,Gastrostomía percutánea ,Nutrición enteral ,Percutaneous gastrostomy ,Enteral nutrition ,PEG ,GEP - Abstract
Percutaneous endoscopic gastrostomy (PEG) is the mosteffective and least invasive method for enteral nutrition (EN). The most common system for PEG is the 'pull' technique, which. It is not available in case endoscopy cannot be performed. The 'push' technique may be an option if effective identification of the abdominal structures can be achieved. X-ray or ultrasonography can be used for that purpose. The aim was to assess the clinical value of ultrasound-guided 'push' gastrostomy. A retrospective analysis of eleven patients (6 F, 5 M, mean age 65.1) including the procedure itself, complication rate, and cost was conducted. In all eleven patients the surgery was successful, and EN was introduced 4-6 hours afterwards. Complications included pain requiring removal of a supporting stitch (n = 1) and balloon deflation (n = 1). All patients were successfully fed enterally. Ultrasound-guided 'push' technique gastrostomy should become a method of choice if the 'pull' method is unavailable. La gastrostomía endoscópica percutánea (GEP) es el método más eficaz y menos invasivo para la nutrición enteral (NE). El sistema más frecuente para la GEP es la técnica 'pull', que no está disponible en el caso de que la endoscopia no se pueda realizar. La técnica 'push' puede ser una opción si se consigue una identificación efectiva de las estructuras abdominales. Para este propósito, se pueden usar los rayos X o la ecografía. El objetivo fue evaluar la validez clínica de la gastrostomía 'push' guiada por ecografía. Se realizó un análisis retrospectivo en 11 pacientes (6 M, 5 H, edad media 65,1) que incluía el propio procedimiento, la tasa de complicaciones y el coste. En los 11 pacientes la cirugía fue exitosa y la NE se introdujo a las 4-6 horas. Las complicaciones incluían dolor, que requirió la retirada del punto de soporte (n = 1), y el deshinchado del globo (n = 1). A todos los pacientes se les alimentó con éxito entéricamente. La técnica de gastrostomía 'push' guiada por ecografía debería convertirse en el método de elección cuando la técnica 'pull' no esté disponible.
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- 2014
17. Leczenie żywieniowe u dorosłych pacjentów z nowotworem objętych opieką paliatywną - rekomendacje Polskiego Towarzystwa Żywienia Klinicznego, Polskiego Towarzystwa Medycyny Paliatywnej, Polskiego Towarzystwa Medycyny Rodzinnej, Polskiego Towarzystwa Pielęgniarstwa Opieki Paliatywnej we współpracy z Polskim Towarzystwem Onkologii Klinicznej i Polskim Towarzystwem Gastroenterologicznym
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Zmarzły, Anna, Dzierżanowski, Tomasz, Filipczak-Bryniarska, Iwona, Sobocki, Jacek, Ciałkowska-Rysz, Aleksandra, Krzakowski, Maciej, Rydzewska, Grażyna, Mastalerz-Migas, Agnieszka, Drobnik, Jarosław, Traczyk, Iwona, Urbanowicz, Krystyna, Rudzki, Sławomir, Matras, Przemysław, Kunecki, Marek, Matysiak, Konrad, Majewska, Krystyna, Kaptacz, Izabela, and Konik, Natalia
- Abstract
Copyright of Palliative Medicine / Medycyna Paliatywna is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
18. Current management of anal fistulas in Crohn’s disease
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Hermann, Jacek, primary, Eder, Piotr, additional, Banasiewicz, Tomasz, additional, Matysiak, Konrad, additional, and Łykowska-Szuber, Liliana, additional
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- 2015
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19. The impact of the nutritional state of patients on the results of the surgical treatment of crohn’s disease
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Skowrońska-Piekarska, Urszula, primary, Matysiak, Konrad, additional, and Sowińska, Anna, additional
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- 2013
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20. The Impact of the Nutritional State of Patients on the Results of the Surgical Treatment of Ulcerative Colitis
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Skowrońska-Piekarska, Urszula, primary, Matysiak, Konrad, additional, and Sowińska, Anna, additional
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- 2013
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21. Reviews The role of the dietetary nutrition in the stomach cancer
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Stojcev, Zoran, primary, Matysiak, Konrad, additional, Duszewski, Michal, additional, and Banasiewicz, Tomasz, additional
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- 2013
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22. The role of dietary nutrition in stomach cancer.
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Stojcev, Zoran, Matysiak, Konrad, Duszewski, Michal, and Banasiewicz, Tomasz
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STOMACH cancer , *GASTROINTESTINAL cancer , *WEIGHT loss , *PALLIATIVE treatment , *DIET ,ALIMENTARY canal cancer - Abstract
Stomach cancer mortality still represents a significant proportion of all cancer deaths. The majority of patients with advanced cancer experience cancer anorexia-cachexia syndrome with weight loss, reduced appetite, fatigue, and weakness. Neoplastic cachexia is a very common clinical manifestation of upper gastrointestinal (GI) tract cancer and is generally assumed to be secondary to the mechanical effects of the tumor on the upper digestive tract. The main reasons are obstruction to swallowing, early satiety, nausea and vomiting. Another reason for weight loss is the coexistence of systemic inflammation. Nutritional treatment in the group of patients with gastric cancer is still used too rarely and the knowledge about it is still very limited. Nutritional support should be given for patients both in the pre- and postoperative period. Nutrition should also be used in palliative treatment in patients with unresectable stomach cancer. The main principles of nutritional support and its influence are presented in this publication. [ABSTRACT FROM AUTHOR]
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- 2013
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23. Intravenous supplementation type and volume are associated with 1-year outcome and major complications in patients with chronic intestinal failure
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Nuria Virgili, Konrad Matysiak, Cristina Cuerda, Henrik Højgaard Rasmussen, Florian Poullenot, Ronan Thibault, Umberto Aimasso, Amelia Jukes, Andre Dong Won Lee, Brooke Chapman, Geert J. A. Wanten, Simona Di Caro, Maryana Doitchinova-Simeonova, Alastair Forbes, Corrado Spaggiari, Ezra Steiger, Elena Nardi, Cécile Chambrier, Simon Lal, Paolo Orlandoni, Peter Sahin, Marina Taus, Mireille J. Serlie, Kinga Szczepanek, A. Crivelli, Nicola Wyer, Przemysław Matras, Lynn Jones, Carmen Garde, Gabriel Olveira, Marek Kunecki, José P. Suárez-Llanos, Francisca Joly, Ana Zugasti Murillo, Joanne Daniels, Loris Pironi, Zeljko Krznaric, Emma Osland, Sheldon C. Cooper, Stéphane M. Schneider, Sarah Jane Hughes, Lars Ellegård, Miriam Theilla, Luisa Masconale, Anna Zmarzly, Aurora E. Serralde-Zúñiga, André Van Gossum, Anna Simona Sasdelli, Lidia Santarpia, Nada Rotovnik Kozjek, Francesco William Guglielmi, Margie O'Callaghan, Charlene Compher, Estrella Petrina Jáuregui, Pironi, L., Steiger, E., Joly, F., Wanten, G. J. A., Chambrier, C., Aimasso, U., Sasdelli, A. S., Szczepanek, K., Jukes, A., Theilla, M., Kunecki, M., Daniels, J., Serlie, M. J., Cooper, S. C., Poullenot, F., Rasmussen, H. Ho., Compher, C. W., Crivelli, A., Hughes, S. -J., Santarpia, L., Guglielmi, F. W., Rotovnik Kozjek, N., Ellegard, L., Schneider, S. M., Matras, P., Forbes, A., Wyer, N., Zmarzly, A., Taus, M., O'Callaghan, M., Osland, E., Thibault, R., Cuerda, C., Jones, L., Chapman, B., Sahin, P., Virgili, N. M., Lee, A. D. W., Orlandoni, P., Matysiak, K., Di Caro, S., Doitchinova-Simeonova, M., Masconale, L., Spaggiari, C., Garde, C., Serralde-Zuniga, A. E., Olveira, G., Krznaric, Z., Petrina Jauregui, E., Zugasti Murillo, A., Suarez-Llanos, J. P., Nardi, E., Van Gossum, A., Lal, S., Pironi, Lori, Steiger, Ezra, Joly, Francisca, Wanten, Geert J A, Chambrier, Cecile, Aimasso, Umberto, Sasdelli, Anna Simona, Szczepanek, Kinga, Jukes, Amelia, Theilla, Miriam, Kunecki, Marek, Daniels, Joanne, Serlie, Mireille J, Cooper, Sheldon C, Poullenot, Florian, Rasmussen, Henrik Højgaard, Compher, Charlene W, Crivelli, Adriana, Hughes, Sarah-Jane, Santarpia, Lidia, Guglielmi, Francesco William, Rotovnik Kozjek, Nada, Ellegard, Lar, Schneider, Stéphane M, Matras, Przemysław, Forbes, Alastair, Wyer, Nicola, Zmarzly, Anna, Taus, Marina, O'Callaghan, Margie, Osland, Emma, Thibault, Ronan, Cuerda, Cristina, Jones, Lynn, Chapman, Brooke, Sahin, Peter, Virgili, Núria M, Lee, Andre Dong Won, Orlandoni, Paolo, Matysiak, Konrad, Di Caro, Simona, Doitchinova-Simeonova, Maryana, Masconale, Luisa, Spaggiari, Corrado, Garde, Carmen, Serralde-Zúñiga, Aurora E, Olveira, Gabriel, Krznaric, Zeljko, Petrina Jáuregui, Estrella, Zugasti Murillo, Ana, Suárez-Llanos, José P, Nardi, Elena, Van Gossum, André, Lal, Simon, University of Bologna, Cleveland Clinic, Hôpital Beaujon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Radboud university [Nijmegen], Hospices Civils de Lyon (HCL), Hôpital Haut-Lévêque [CHU Bordeaux], CHU Bordeaux [Bordeaux], Aalborg University [Denmark] (AAU), Sahlgrenska Academy at University of Gothenburg [Göteborg], Centre Hospitalier Universitaire de Nice (CHU Nice), Medical University of Lublin, University of East Anglia [Norwich] (UEA), University Hospital Coventry, CHU Pontchaillou [Rennes], Nutrition, Métabolismes et Cancer (NuMeCan), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), Hospital General Universitario 'Gregorio Marañón' [Madrid], Austin Health, Universidade de São Paulo (USP), Poznan University of Life Sciences (Uniwersytet Przyrodniczy w Poznaniu) (PULS), University College London Hospitals (UCLH), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán - National Institute of Medical Science and Nutrition Salvador Zubiran [Mexico], University of Manchester [Manchester], European Society for Clinical Nutrition and Metabolism (ESPEN)., Endocrinology, AGEM - Endocrinology, metabolism and nutrition, University of Bologna/Università di Bologna, Radboud University [Nijmegen], Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), and Universidade de São Paulo = University of São Paulo (USP)
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Male ,0301 basic medicine ,[SDV]Life Sciences [q-bio] ,Severity of Illness Index ,Liver disease ,0302 clinical medicine ,Drug Dosage Calculations ,motility disorder ,2. Zero hunger ,Gastroenterology ,Short bowel syndrome ,3. Good health ,Chronic intestinal failure ,Intestines ,Pharmaceutical Solutions ,Venous thrombosis ,Intestinal obstruction ,motility disorders ,Administration, Intravenous ,Female ,030211 gastroenterology & hepatology ,Parenteral Nutrition, Home ,Adult ,Fat Emulsions, Intravenous ,medicine.medical_specialty ,parenteral nutrition ,macromolecular substances ,Clinical nutrition ,short bowel syndrome ,03 medical and health sciences ,Cholestasis ,intestinal failure ,Internal medicine ,medicine ,Humans ,030109 nutrition & dietetics ,business.industry ,liver failure ,medicine.disease ,Intestinal Diseases ,lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] ,Parenteral nutrition ,Alimentació parenteral ,Intestinal Absorption ,Catheter-Related Infections ,Parenteral feeding ,Chronic Disease ,Obstrucció intestinal ,Fluid Therapy ,business ,Body mass index - Abstract
Background and aimNo marker to categorise the severity of chronic intestinal failure (CIF) has been developed. A 1-year international survey was carried out to investigate whether the European Society for Clinical Nutrition and Metabolism clinical classification of CIF, based on the type and volume of the intravenous supplementation (IVS), could be an indicator of CIF severity.MethodsAt baseline, participating home parenteral nutrition (HPN) centres enrolled all adults with ongoing CIF due to non-malignant disease; demographic data, body mass index, CIF mechanism, underlying disease, HPN duration and IVS category were recorded for each patient. The type of IVS was classified as fluid and electrolyte alone (FE) or parenteral nutrition admixture (PN). The mean daily IVS volume, calculated on a weekly basis, was categorised as 3 L/day. The severity of CIF was determined by patient outcome (still on HPN, weaned from HPN, deceased) and the occurrence of major HPN/CIF-related complications: intestinal failure-associated liver disease (IFALD), catheter-related venous thrombosis and catheter-related bloodstream infection (CRBSI).ResultsFifty-one HPN centres included 2194 patients. The analysis showed that both IVS type and volume were independently associated with the odds of weaning from HPN (significantly higher for PN 1 L/day), patients’ death (lower for FE, p=0.079), presence of IFALD cholestasis/liver failure and occurrence of CRBSI (significantly higher for PN 2–3 and PN >3 L/day).ConclusionsThe type and volume of IVS required by patients with CIF could be indicators to categorise the severity of CIF in both clinical practice and research protocols.
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- 2020
24. Clinical classification of adult patients with chronic intestinal failure due to benign disease: An international multicenter cross-sectional survey
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Anna Zmarzly, Paolo Orlandoni, Laszlo Czako, Jian Wu, André Van Gossum, Gintautas Kekstas, Marina Taus, Ferenc Izbéki, Geert J. A. Wanten, Lynn Jones, Chrisoffer Brandt, Simona Di Caro, Alastair Forbes, Stéphane M. Schneider, A. Crivelli, Jon Shaffer, Francisca Joly, Ana Zugasti Murillo, Eszter Schafer, Gabriel Olveira, Sheldon C. Cooper, Lyn Gillanders, Henrik Erreboe Schou Rasmussen, Sarah Zeraschi, Peter Sahin, Jann Arends, Marta Bueno Díez, Brooke Chapman, Corrado Spaggiari, Cristina Cuerda, Sarah Jane Hughes, Miriam Theilla, Przemysław Matras, Denise Konrad, Nada Rotovnik Kozjek, Francesco William Guglielmi, Margie O'Callaghan, Charlene Compher, Maria Carmen Pagano, Alejandro Sanz-Paris, Cécile Chambrier, Andre Dong Won Lee, Emma Osland, Simon Lal, Valentino Bertasi, Joanne Daniels, Ronan Thibault, Carmen Garde, Lars Ellegård, Federica Agostini, Zeljko Krznaric, Aurora E. Serralde-Zúñiga, Konrad Matysiak, Umberto Aimasso, Loris Pironi, Florian Poullenot, Amelia Jukes, Marek Kunecki, Maryana Doitchinova-Simeonova, José P. Suárez-Llanos, Kinga Szczepanek, David Seguy, Mireille J. Serlie, Nicola Wyer, Estrella Petrina Jáuregui, Nuria Virgili, Darlene G. Kelly, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, Endocrinology, Pironi, Lori, Konrad, Denise, Brandt, Chrisoffer, Joly, Francisca, Wanten, Geert, Agostini, Federica, Chambrier, Cecile, Aimasso, Umberto, Zeraschi, Sarah, Kelly, Darlene, Szczepanek, Kinga, Jukes, Amelia, Di Caro, Simona, Theilla, Miriam, Kunecki, Marek, Daniels, Joanne, Serlie, Mireille, Poullenot, Florian, Wu, Jian, Cooper, Sheldon C., Rasmussen, Henrik H., Compher, Charlene, Seguy, David, Crivelli, Adriana, Pagano, Maria C., Hughes, Sarah-Jane, Guglielmi, Francesco W., Kozjek, Nada Rotovnik, Schneider, Stéphane M., Gillanders, Lyn, Ellegard, Lar, Thibault, Ronan, Matras, Przemyså aw, Zmarzly, Anna, Matysiak, Konrad, Van Gossum, Andrã, Forbes, Alastair, Wyer, Nicola, Taus, Marina, Virgili, Nuria M., O'Callaghan, Margie, Chapman, Brooke, Osland, Emma, Cuerda, Cristina, Sahin, Peter, Jones, Lynn, Lee, Andre D.W., Bertasi, Valentino, Orlandoni, Paolo, Izbã©ki, Ferenc, Spaggiari, Corrado, Dãez, Marta Bueno, Doitchinova-Simeonova, Maryana, Garde, Carmen, Serralde-Zúñiga, Aurora E., Olveira, Gabriel, Krznaric, Zeljko, Czako, Laszlo, Kekstas, Gintauta, Sanz-Paris, Alejandro, Jã¡uregui, Estrella Petrina, Murillo, Ana Zugasti, Schafer, Eszter, Arends, Jann, Suárez-Llanos, José P., Shaffer, Jon, and Lal, Simon
- Subjects
Male ,0301 basic medicine ,Cross-sectional study ,Critical Care and Intensive Care Medicine ,Chronic intestinal pseudo-obstruction ,0302 clinical medicine ,chronic intestinal pseudo-obstruction ,home parenteral nutrition ,intestinal failure ,intravenous supplementation ,short bowel syndrome ,Intestinal failure ,Nutrition and Dietetic ,Israel ,Aged, 80 and over ,Nutrition and Dietetics ,Benign disease ,Short bowel syndrome ,Middle Aged ,Chronic intestinal failure ,Europe ,Intestines ,Female ,030211 gastroenterology & hepatology ,Parenteral Nutrition, Home ,Adult ,medicine.medical_specialty ,Adolescent ,Energy requirement ,Young Adult ,03 medical and health sciences ,All institutes and research themes of the Radboud University Medical Center ,Internal medicine ,medicine ,Humans ,Intensive care medicine ,Aged ,Home parenteral nutrition ,030109 nutrition & dietetics ,Australasia ,Adult patients ,business.industry ,South America ,medicine.disease ,Intravenous supplementation ,United States ,Intestinal Diseases ,Cross-Sectional Studies ,Parenteral nutrition ,lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] ,Chronic Disease ,business - Abstract
BACKGROUND & AIMS: The aim of the study was to evaluate the applicability of the ESPEN 16-category clinical classification of chronic intestinal failure, based on patients' intravenous supplementation (IVS) requirements for energy and fluids, and to evaluate factors associated with those requirements.METHODS: ESPEN members were invited to participate through ESPEN Council representatives. Participating centers enrolled adult patients requiring home parenteral nutrition for chronic intestinal failure on March 1st 2015. The following patient data were recorded though a structured database: sex, age, body weight and height, intestinal failure mechanism, underlying disease, IVS volume and energy need.RESULTS: Sixty-five centers from 22 countries enrolled 2919 patients with benign disease. One half of the patients were distributed in 3 categories of the ESPEN clinical classification. 9% of patients required only fluid and electrolyte supplementation. IVS requirement varied considerably according to the pathophysiological mechanism of intestinal failure. Notably, IVS volume requirement represented loss of intestinal function better than IVS energy requirement. A simplified 8 category classification of chronic intestinal failure was devised, based on two types of IVS (either fluid and electrolyte alone or parenteral nutrition admixture containing energy) and four categories of volume.CONCLUSIONS: Patients' IVS requirements varied widely, supporting the need for a tool to homogenize patient categorization. This study has devised a novel, simplified eight category IVS classification for chronic intestinal failure that will prove useful in both the clinical and research setting when applied together with the underlying pathophysiological mechanism of the patient's intestinal failure.
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- 2018
25. Home parenteral nutrition provision modalities for chronic intestinal failure in adult patients: An international survey.
- Author
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Pironi L, Steiger E, Brandt C, Joly F, Wanten G, Chambrier C, Aimasso U, Sasdelli AS, Zeraschi S, Kelly D, Szczepanek K, Jukes A, Di Caro S, Theilla M, Kunecki M, Daniels J, Serlie M, Poullenot F, Wu J, Cooper SC, Rasmussen HH, Compher C, Seguy D, Crivelli A, Pagano MC, Hughes SJ, Guglielmi FW, Kozjek NR, Schneider SM, Gillanders L, Ellegard L, Thibault R, Matras P, Zmarzly A, Matysiak K, Van Gossum A, Forbes A, Wyer N, Taus M, Virgili NM, O'Callaghan M, Chapman B, Osland E, Cuerda C, Sahin P, Jones L, Won Lee AD, Masconale L, Orlandoni P, Izbéki F, Spaggiari C, Bueno M, Doitchinova-Simeonova M, Garde C, Serralde-Zúñiga AE, Olveira G, Krznaric Z, Czako L, Kekstas G, Sanz-Paris A, Jáuregui EP, Murillo AZ, Schafer E, Arends J, Suárez-Llanos JP, and Lal S
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- Chronic Disease, Cross-Sectional Studies, Female, Health Surveys statistics & numerical data, Humans, Male, Middle Aged, Treatment Outcome, Health Surveys methods, Internationality, Intestinal Diseases diet therapy, Intestinal Diseases epidemiology, Parenteral Nutrition, Home methods, Parenteral Nutrition, Home statistics & numerical data
- Abstract
Background & Aims: The safety and effectiveness of a home parenteral nutrition (HPN) program depends both on the expertise and the management approach of the HPN center. We aimed to evaluate both the approaches of different international HPN-centers in their provision of HPN and the types of intravenous supplementation (IVS)-admixtures prescribed to patients with chronic intestinal failure (CIF)., Methods: In March 2015, 65 centers from 22 countries enrolled 3239 patients (benign disease 90.1%, malignant disease 9.9%), recording the patient, CIF and HPN characteristics in a structured database. The HPN-provider was categorized as health care system local pharmacy (LP) or independent home care company (HCC). The IVS-admixture was categorized as fluids and electrolytes alone (FE) or parenteral nutrition, either commercially premixed (PA) or customized to the individual patient (CA), alone or plus extra FE (PAFE or CAFE). Doctors of HPN centers were responsible for the IVS prescriptions., Results: HCC (66%) was the most common HPN provider, with no difference noted between benign-CIF and malignant-CIF. LP was the main modality in 11 countries; HCC prevailed in 4 European countries: Israel, USA, South America and Oceania (p < 0.001). IVS-admixture comprised: FE 10%, PA 17%, PAFE 17%, CA 38%, CAFE 18%. PA and PAFE prevailed in malignant-CIF while CA and CAFE use was greater in benign-CIF (p < 0.001). PA + PAFE prevailed in those countries where LP was the main HPN-provider and CA + CAFE prevailed where the main HPN-provider was HCC (p < 0.001)., Conclusions: This is the first study to demonstrate that HPN provision and the IVS-admixture differ greatly among countries, among HPN centers and between benign-CIF and cancer-CIF. As both HPN provider and IVS-admixture types may play a role in the safety and effectiveness of HPN therapy, criteria to homogenize HPN programs are needed so that patients can have equal access to optimal CIF care., (Copyright © 2019 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.)
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- 2020
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26. Current management of anal fistulas in Crohn's disease.
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Hermann J, Eder P, Banasiewicz T, Matysiak K, and Łykowska-Szuber L
- Abstract
Anal fistulas occurring in Crohn's disease (CD) comprise a risk factor of severe course of inflammation. They are frequently intractable due to various factors such as penetration of the anal canal or rectal wall, impaired wound healing, and immunosuppression, among others. Anal fistulas typical to CD develop from fissures or ulcers of the anal canal or rectum. Accurate identification of the type of fistula, such as low and simple or high and complex, is crucial for prognosis as well as for the choice of treatment. If fistulotomy remains the gold standard in the surgical treatment of the former, it is contraindicated in high and complex fistulas due to possible risk of damage to the anal sphincter with subsequent faecal incontinence. Therefore, the latter require a conservative and palliative approach, such as an incision and drainage of abscesses accompanying fistulas or prolonged non-cutting seton placement. Currently, conservative, sphincter-preserving, and definitive procedures such as mucosal advancement or dermal island flaps, the use of plugs or glue, video assisted anal fistula treatment, ligation of the intersphincteric track, and vacuum assisted closure are gaining a great deal of interest. Attempting to close the internal opening without injuring the sphincter is a major advantage of those methods. However, both the palliative and the definitive procedures require adjuvant therapy with medical measures.
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- 2015
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27. Ultrasound-guided percutaneous 'push-introducer' gastrostomy is a valuable method for accessing the gastrointestinal tract.
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Klek S, Hermanowicz A, Salowka J, Cegielny T, Matysiak K, Chourdakis M, and Szybinski P
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- Aged, Enteral Nutrition methods, Female, Humans, Male, Middle Aged, Retrospective Studies, Ultrasonography, Interventional methods, Gastrostomy methods, Surgery, Computer-Assisted methods
- Abstract
Percutaneous endoscopic gastrostomy (PEG) is the most effective and least invasive method for enteral nutrition (EN). The most common system for PEG is the 'pull' technique, which . It is not available in case endoscopy cannot be performed. The 'push' technique may be an option if effective identification of the abdominal structures can be achieved. X-ray or ultrasonography can be used for that purpose. The aim was to assess the clinical value of ultrasound-guided 'push' gastrostomy. A retrospective analysis of eleven patients (6 F, 5 M, mean age 65.1) including the procedure itself, complication rate, and cost was conducted. In all eleven patients the surgery was successful, and EN was introduced 4-6 hours afterwards. Complications included pain requiring removal of a supporting stitch (n = 1) and balloon deflation (n = 1). All patients were successfully fed enterally. Ultrasound-guided 'push' technique gastrostomy should become a method of choice if the 'pull' method is unavailable., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
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- 2014
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28. Laparoscopy-assisted percutaneous endoscopic gastrostomy enables enteral nutrition even in patients with distorted anatomy.
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Hermanowicz A, Matuszczak E, Komarowska M, Jarocka-Cyrta E, Wojnar J, Debek W, Matysiak K, and Klek S
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- Adolescent, Adult, Child, Child, Preschool, Female, Humans, Male, Nutritional Status, Retrospective Studies, Starvation etiology, Starvation physiopathology, Time Factors, Treatment Outcome, Young Adult, Enteral Nutrition, Gastroscopy, Gastrostomy methods, Laparoscopy, Starvation therapy
- Abstract
Aim: To analyzed whether laparoscopy-assisted percutaneous endoscopic gastrostomy (PEG) could be a valuable option for patients with complicated anatomy., Methods: A retrospective analysis of twelve patients (seven females, five males; six children, six young adults; mean age 19.2 years) with cerebral palsy, spastic quadriparesis, severe kyphoscoliosis and interposed organs and who required enteral nutrition (EN) due to starvation was performed. For all patients, standard PEG placement was impossible due to distorted anatomy. All the patients qualified for the laparoscopy-assisted PEG procedure., Results: In all twelve patients, the laparoscopy-assisted PEG was successful, and EN was introduced four to six hours after the PEG placement. There were no complications in the perioperative period, either technical or metabolic. All the patients were discharged from the hospital and were then effectively fed using bolus methods., Conclusion: Laparoscopy-assisted PEG should become the method of choice for gastrostomy tube placement and subsequent EN if PEG placement cannot be performed safely.
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- 2013
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29. The impact of the nutritional state of patients on the results of the surgical treatment of ulcerative colitis.
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Skowrońska-Piekarska U, Matysiak K, and Sowińska A
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- Adolescent, Adult, Aged, Comorbidity, Female, Humans, Length of Stay, Lymphocyte Count, Male, Memory, Episodic, Middle Aged, Treatment Outcome, Weight Loss, Young Adult, Colitis, Ulcerative epidemiology, Colitis, Ulcerative surgery, Malnutrition epidemiology, Nutritional Status
- Abstract
Unlabelled: A variety of mechanisms have been proposed to explain the malnutrition and body mass loss in UC patients. The aim of the study trial was a nutritional state assessment of 347 UC patients, admitted for surgical treatment, and the evaluation of the impact of this state on the postoperative course in this group of patients., Material and Methods: We referred the results of nutritional state assessment to the length of time of postoperative hospitalization of patients., Results: Through application of the Kruskal-Wallis test we found statistically significant, but weakly expressed, differences between the values of nutritional state parameters and period of hospitalization of patients. The applied U Mann-Whitney test, with statistically significant results with p <0.05, showed statistically significant differences between cured and dead subgroups in: 1) loss of body mass in 6 months before hospitalization (p = 0.000033), 2) hemoglobin level (p = 0.006676), 3) total lymphocyte count (TLC) (p = 0.025242), 4) total serum protein level (p = 0.003485), 5) serum albumin level (p =0.00165). Differences in BMI values were statistically negligible (p = 0.969397)., Conclusions: The body mass loss in 6 months before admission, total lymphocyte count and serum albumin level are the reference parameters of the nutritional state of UC patients on admission to surgery.
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- 2013
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30. The impact of the nutritional state of patients on the results of the surgical treatment of Crohn's disease.
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Skowrońska-Piekarska U, Matysiak K, and Sowińska A
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- Adult, Colitis, Ulcerative psychology, Colitis, Ulcerative surgery, Comorbidity, Female, Humans, Male, Malnutrition psychology, Poland, Prognosis, Treatment Outcome, Young Adult, Colitis, Ulcerative epidemiology, Malnutrition epidemiology, Nutritional Status, Weight Loss
- Abstract
Unlabelled: Crohn's disease (CD) patients are qualified for surgery in the acute phase of the disease or after ineffective medical therapy. The course of the disease and the medical treatment received to that point weaken the general state of patients, with that they also cause undernutrition., The Aim of the Study: The assessment of the nutritional state of 168 CD patients, admitted for surgery and the evaluation of the influence of this state on the postoperative course., Material and Methods: We referred the results of the nutritional state assessment to the time of the postoperative hospitalization of patients., Results: Applying the Kruskal-Wallis test we found statistically significant, but weakly expressed, differences between the values of nutritional state parameters and period of hospitalization of patients. The applied U Mann-Whitney test, with statistically significant results with p <0.05, showed that no one parameter of the nutritional state of patients expressed a statistically significant difference between dead and recovered groups., Conclusions: We propose the body mass loss in the 6 months period before admission, TLC and serum albumin level as parameters which well detect undernutrition in CD patients presenting for surgery.
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- 2013
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