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

Journal of Pharmaceutical Health Care and Sciences

Toshiaki Shichinohe¹  Soichi Murakami¹  Satomi Kumagai²  Yuko Watanabe³  Mitsuru Sugawara³  Shinsuke Katayama³  Yoh Takekuma³  Shiaki Hirai³  Aiko Honda³  Michiyo Tatsumi³  Takahiro Abe⁴  Hiroshi Takeda⁵ 

[1] Department of Gastroenterological Surgery II, Hokkaido University Hospital, Sapporo, Hokkaido, Japan;Department of Nutrition, Hokkaido University Hospital, Sapporo, Hokkaido, Japan;Department of Pharmacy, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-Ku, 060-8648, Sapporo, Hokkaido, Japan;Department of Rehabilitation, Hokkaido University Hospital, Sapporo, Hokkaido, Japan;Pathophysiology and Therapeutics, Faculty of Pharmaceutical Sciences, Hokkaido University, Sapporo, Hokkaido, Japan;

关键词: Sarcopenia;    Postoperative;    Nutrition therapy;    Exercise;    Pharmacotherapy;    Total parenteral nutrition;    Branched-chain amino acids (BCAA);    Rehabilitation;   

DOI  :  10.1186/s40780-021-00197-9

来源: Springer

【 摘 要 】

BackgroundSeveral 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 presentationWe 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.ConclusionsThe 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.

【 授权许可】

CC BY