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. 2017 Sep;61(2):153-157.
doi: 10.3164/jcbn.17-16. Epub 2017 Aug 18.

Energy metabolism during the perioperative period of gastric endoscopic submucosal dissection

Daisuke Chinda  1 , Tadashi Shimoyama  1 , Shiro Hayamizu  1 , Kuniaki Miyazawa  1 , Tetsu Arai  1 , Miyuki Yanagimachi  2 , Toshiaki Tsukamoto  3 , Tatsuya Mikami  4 , Shinsaku Fukuda  1
Affiliations

Energy metabolism during the perioperative period of gastric endoscopic submucosal dissection

Daisuke Chinda et al. J Clin Biochem Nutr. 2017 Sep.

Abstract

The aim of this study was to investigate the change in the energy metabolism and invasiveness in the perioperative period of endoscopic submucosal dissection for early gastric cancer. Fifty-two consecutive patients were enrolled into the study between July 2013 and May 2014 and examined resting energy expenditure using an indirect calorimeter, body weight and basal energy expenditure using the Harris-Benedict equation before and after endoscopic submucosal dissection. Resting energy expenditure/body weight and resting energy expenditure/basal energy expenditure were 20.2 ± 3.0 kcal/kg/day and 0.96 ± 0.11 on the day of endoscopic submucosal dissection, whereas one day after the endoscopic submucosal dissection they were 21.7 ± 3.2 kcal/kg/day and 1.03 ± 0.14, showing significant increases (p<0.001, respectively). The stress factor on the postoperative day 1 was computed as 1.07. This increase was low in comparison to that experienced for surgery, suggesting that the degree of perioperative invasiveness in patients receiving endoscopic submucosal dissection is lower in comparison to that during surgery (The study of the resting energy metabolism and stress factor using an indirect calorimeter in the perioperative period of endoscopic operation: UMIN000027135).

Keywords: early gastric cancer; endoscopic submucosal dissection; energy metabolism; indirect calorimeter; perioperative period.

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Conflict of interest statement

No potential conflicts of interest were disclosed.

Figures

Fig. 1
Fig. 1
The actual image of METACINE-N. (a) METAVINE-N VMB-002N. (b) Measurement by METAVINE-N.
Fig. 2
Fig. 2
Flowchart of this study.
Fig. 3
Fig. 3
The change in resting energy expenditure/body weight (REE/BW) during the perioperative period of endoscopic submucosal dissection (ESD). Data are shown as mean ± SD. *p<0.001: compared with the value of the day of ESD.
Fig. 4
Fig. 4
The change in energy expenditure/basal energy expenditure (REE/BEE) during the perioperative period of endoscopic submucosal dissection (ESD). Data are shown as mean ± SD. *p<0.001: compared with the value of the day of ESD.
See this image and copyright information in PMC

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