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Background and Aim: Malnutrition represents a serious health care threat, as it increases morbidity, mortality and health care cost. The effective screening and treatment with enteral (EN) or parenteral (PN) nutrition are the key elements of the policy called Optimal Nutrition Care for All (ONCA). The study tried to analyze the impact of the state's economy on the implementation of EN and PN to define its role in ONCA., Material and Methods: an international survey in twenty two European countries was performed between January and December 2014. An electronic questionnaire was distributed to 22 representatives of clinical nutrition (PEN) societies. The questionnaire comprised questions regarding country economy, reimbursement, education and the use EN and PN. Return rate was 90.1% (n = 20)., Results: EN and PN were used in all countries surveyed (100%), but to different extent. The country's income significantly influenced the reimbursement for EN and PN (p < 0.05). It was also associated with the overall use of tube feeding and PN (p = 0.05), but not with the use of oral nutritional supplements (p = 0.165). The use of both, EN and PN at hospitals was not depended on the economy (p > 0.05). Education was actively carried out in all countries, however the teaching at the pre-graduate level was the least widespread, and also correlated with the country income (p = 0.042)., Conclusions: Results indicated that economic situation influences all aspects of ONCA, including education and treatment. The reimbursement for EN and PN seemed to be the key factor of effective campaign against malnutrition., (Copyright © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.)

The study aim was to assess the relationship between nutritional markers decrease and hemoglobin level in ulcerative colitis (UC) patients., Methods: The cross-sectional retrospective analysis was performed. Data from medical records of 103 ulcerative colitis patients was included to analysis. Demographic characteristics, disease behavior, gut involvement extension, hemoglobin and total serum protein levels were collected. Body mass index (BMi) and fat-free mass index mass were collected retrospec- tively from bloimpedance analysis data. A multiple linear regression analysis was performed to study the relationship be- tween nutrition status parameters and hemoglobin level adjusted for demographic and diseaseTassociated characteristics., Results: Prevalence of anemia in the sample was 37.9%. In adjusted multiple linear regression model total serum protein level and fat-free mass index were directly associated with the hemoglobin level: standardized β 0.369 (p = 0.010) and standardized β = 0.509 (p <0.001) respectively., Conclusions: We assume undernutrition is one of causative agents of anemia in UC patients. It is likely the anemia treat- ment in UC patient with undernutrition must be performed with nutritional support.

Unlabelled: The article is devoted to problems of diagnostic and correction of malnutrition at patients with gastric cancer, undergoing the gastroectomy., Aims: to study losses of body mass and dynamics of boby composition in organism of patients with gastric cancer, undergoing surgery, to estimate the efficiency of nutritional support., Materials and Methods: open prospective cohort case-control study. Inspected 64 patients with cancer of stomach in II-IV phases, undergoing surgery. The duration of observation amounted to 12 months. 34 of these patients were obtained nutritional support (additional enteral nutrition) during 8 weeks. The efficiency of nutritional support estimated on dynamics of body mass, body composition, the content of total protein, albumin, hemoglobin, lymphocytes counts in the blood. When statistical processing of research results the non-parametric criterion of Wilcoxon for dependent samples, as well as the dispersion rank analysis of Kraskel-Walles was used., Conclusion: oncological process is followed by the progression of undernutrition, independently of disease stage. The nutritional support (the additional enteral nutrition) allows to substantially to improve the nutritional status of oncological patients.

Adequate nutrition plays a major role, both in prevention and treatment of gastrointestinal cancer. There are such factors as the cellulose content in food ration, the consumption of fresh fruits and vegetables, vitamins, physical activity. Cancer cachexia are observed at 70% of oncology patients in the terminal stage of cancer. Purposes of nutritional support are improvement of the quality of life, in particular terminally ill, the reduction of the length of hospital stay and costs of treatment, the prevention infectious and postoperative complications. The preference must be given enteral versus parenteral nutrition. In this work was studied possibilities of nutritional support for correction of malnutrition in the patient with gastrointestinal cancer. It is shown that the enteral nutrition contributes to improvement of nutritional status, prevents development of cachexia, improves the quality of life.

The Aim: study on the efficacy of methods of nutritional support in intensive therapy of patients with acute pancreatitis. 70 of a patients was divided into 3 groups: the nutritional support didn't take place (20 patients), the parenteral nutrition (26 patients) has been carried out only, parenteral-enteral nutritional support (24 patients) has been carried out. More faster reduction of total protein and albumin of blood (on 4 days), the time reduction of finding in section of reanimation (on 2 days) and the total duration of hospitalization (on 11 days) in group of a patients, receiving combined parenteral-enteral nutritional support is mounted.

The complete or partial starvation is the state often observed in surgical patients, especially before and after large surgical interventions on the organs of the digestion system. The inadequate nutrition is often thought to be the leading risk factor of postoperative complications and lethality. Of principal significance in prognosis and outcome of the disease in surgical patients is the timely and valuable nutritional maintenance (peroral, enteral, parenteral). At the present time about 100 medicines are used for enteral and parenteral nutrition of the patients.