Impact of lipid emulsion containing fish oil on outcomes of surgical patients: Systematic review of randomized controlled trials from Europe and Asia

Nutrition

Volumn 26, Issue 5, 2010, Pages 474-481

  Wei, Chen ^a   Hua, Jiang ^b   Bin, Cai ^b   Klassen, Karen ^c  

^a PEKING UNION MEDICAL COLLEGE HOSPITAL   (China)

^b SICHUAN PROVINCIAL PEOPLE'S HOSPITAL   (China)

^c ST MARY S HOSPITAL   (United Kingdom)

Author keywords

Fish oil; Lipid emulsion; Outcomes; Parenteral nutrition; Postoperative patient; Systematic review

Indexed keywords

FISH OIL; LIPID EMULSION;

ASIA; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; DRUG EFFICACY; ELECTIVE SURGERY; EUROPE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; META ANALYSIS; MORBIDITY; PARENTERAL NUTRITION; POSTOPERATIVE CARE; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; REVIEW; SURGICAL MORTALITY; SURGICAL PATIENT; SYSTEMATIC REVIEW; THERAPY EFFECT; TREND STUDY;

FAT EMULSIONS, INTRAVENOUS; FISH OILS; HUMANS; INFECTION; INTENSIVE CARE UNITS; LENGTH OF STAY; MEDLINE; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 77951258997     PISSN: 08999007     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.nut.2009.09.011     Document Type: Review

References (39)

1. Bang H.O., Dyerberg J. Plasma lipids and lipoprotein in Greenlandic west coast Eskimos. Acta Med Scand 1972, 92:85-95.
2. Kromann N., Green A. Epidemiological studies in Upemavik District, Greenland: incidence of some chronic diseases 1950-1974. Acta Med Scand 1980, 208:401-406.
3. Nestel P.J. Fish oil and cardiovascular disease: lipids and arterial function. Am J Clin Nutr 2000, 71:228s-231s.
4. Kremer J.M. Effects of modulation of inflammatory and immune parameters in patients with rheumatic and inflammatory disease receiving dietary supplementation of n-3 and n-6 fatty acids. Lipids 1996, 31:243s-247s.
5. Gadek J.E., DeMichele S.J., Karlstad M.D., Pacht E.R., Donahoe M., Albertson T.E., et al. Effect of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with acute respiratory distress syndrome. Crit Care Med 1999, 27:1409-1420.
6. Jiang H., Jiang Z.M., Luo B., Shuai X., Li Y.P. Immunonutrition for clinical nutritional support: a systematic review based English and Chinese documents. Acta Acad Med Sin 2002, 24:554-558.
7. Pacht E.R., DeMichele S.J., Nelson J.L., Hart J., Wennberg A.K., Gadek J.E. Enteral nutrition with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants reduces alveolar inflammatory mediators and protein influx in patients with acute respiratory distress syndrome. Crit Care Med 2003, 31:491-500.
8. Urakaze M., Hamazaki T., Pilet M., Ibuki F., Kobayashi S., Yano S., et al. Infusion of fish oil emulsion: effects on platelet aggregation and fatty acid composition in phospholipids of plasma, platelets, and red blood cell membranes in rabbits. Am J Clin Nutr 1987, 46:936-942.
9. Yeh S.L., Chang K.Y., Huang P.C., Chen W.J. Effects of n-3 and n-6 fatty acids on plasma eicosanoids and liver antioxidant enzymes in rats receiving total parenteral nutrition. Nutrition 1997, 13:32-36.
10. Tashiro T., Yamamori H., Takagi K., Hayashi N., Furukawa K., Nakajima N. N-3 versus n-6 polyunsaturated fatty acids in critical illness. Nutrition 1998, 14:551-559.
11. Hayashi N.H., Tashiro T.T., Yamamori H., Takagi K., Morishima Y., Otsubo Y., et al. Effects of intravenous omega-3 and ω-6 fat emulsion on cytokine production and delayed type hypersensitivity in burned rats receiving total parenteral nutrition. JPEN 1998, 22:363-367.
12. Foitzik T., Eibl G., Schneider P., Wenger F.A., Jacobi C.A., Buhr H.J. Omega-3fatty acid supplementation increases anti-inflammatory cytokines and attenuates systemic disease sequelae in experimental pancreatitis. JPEN 2000, 26:351-356.
13. Grimminger F., Führer D., Papavassilis C., Schlotzer E., Mayer K., Heuer K.U., et al. Influence of intravenous n-3 lipid supplementation on fatty acid profiles and lipid mediator generation in a patient with severe ulcerative colitis. Eur J Clin Invest 1993, 23:706-715.
14. Chen W.J., Yeh S.L. Effects of fish oil in parenteral nutrition. Nutrition 2003, 19:275-279.
15. Breil I., Koch T., Heller A., Schlotzer E., Grünert A., van Ackern K., et al. Alteration of n-3 fatty acid composition in lung tissue after short-term infusion of fish oil emulsion attenuates inflammatory vascular reaction. Crit Care Med 1996, 24:1893-1991.
16. Pscheidl E., Schywalsky M., Tschaikowsky K., Böke-Pröls T. Fish oil-supplemented parenteral diets normalize splanchnic blood flow and improve killing of translocated bacteria in a low-dose endotoxin rat model. Crit Care Med 2000, 28:1489-1496.
17. Mancuso P., Whelan J., DeMichele S.J., Snider C.C., Guszcza J.A., Claycombe K.J., et al. Effects of eicosapentaenoic and γ-linolenic acid on lung permeability and alveolar macrophage eicosanoid synthesis in endotoxic rats. Crit Care Med 1997, 25:523-532.
18. Wachtler P., König W., Senkal M., Kemen M., Köller M. Influence of a total parenteral nutrition enriched with omega-3fatty acids on leukotriene synthesis of peripheral leukocytes and systemic cytokine levels in patients with major surgery. J Trauma 1997, 42:191-198.
19. Heller A.R., Fischer S., Rössel T., Geiger S., Siegert G., Ragaller M., et al. Impact of n-3 fatty acid supplemented parenteral nutrition on haemostasis patterns after major abdominal surgery. Br J Nutr 2002, 87:s95-s101.
20. Kelbel I., Wagner F., Wiedeck-Sugeer H., Kebel M., Weiss M., Schneider M., et al. Effects of n-3 fatty acids on immune function: a double-blind, randomized trial of fish oil based infusion in post-operative patients. Clin Nutr 2002, 21:13s-14s.
21. Köller M., Senkal M., Kemen M., König W., Zumtobel V., Muhr G. Impact of omega-3 fatty acid enriched TPN on leukotriene synthesis by leukocytes after major surgery. Clin Nutr 2003, 22:59-64.
22. Schauder P., Röhn U., Schäfer G., Korff G., Schenk H.D. Impact of fish oil enriched total parenteral nutrition on DNA synthesis, cytokine release and receptor expression by lymphocytes in the postoperative period. Br J Nutr 2002, 87:S103-S110.
23. Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions version 5.0.1; updated September 2008. The Cochrane Collaboration; 2008. Available at: Accessed October 15, 2009. http://www.cochrane-handbook.org.
24. Jadad A.R., Moore R.A., Carroll D., Jenkinson C., Reynolds D.J., Gavaghan D.J., et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary. Control Clin Trials 1996, 17:1-12.
25. Review Manager (RevMan) (Computer program). Version 5.0 2008, The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen.
26. Weiss G., Meyer F., Matthies B., Pross M., Koenig W., Lippert H. Immunomodulation by perioperative administration of n-3 fatty acids. Br J Nutr 2002, 87:S89-S94.
27. Antébi H., Mansoor O., Ferrier C., Tétégan M., Morvan C., Rangaraj J., et al. Liver function and plasma antioxidant status in intensive care unit patients requiring total parenteral nutrition: comparison of 2 fat emulsions. JPEN 2004, 28:142-148.
28. Wang X., Li W., Li N., Li J. Omega-3 fatty acids-supplemented parenteral nutrition decreases hyperinflammatory response and attenuates systemic disease sequelae in severe acute pancreatitis: a randomized and controlled study. JPEN 2008, 32:236-241.
29. Xiong J., Zhu S., Zhou Y., Wu H., Wang C. Regulation of omega-3 fish oil emulsion on the SIRS during the initial stage of severe acute pancreatitis. J Huazhong Univ Sci Technol [Med Sci] 2009, 29:35-38.
30. Friesecke S., Lotze C., Köhler J., Heinrich A., Felix S.B., Abel P. Fish oil supplementation in the parenteral nutrition of critically ill medical patients: a randomised controlled trial. Intensive Care Med 2008, 34:1411-1420.
31. Liang B., Wang S., Ye Y.J., Yang X.D., Wang Y.L., Qu J., et al. Impact of postoperative omega-3 fatty acid-supplemented parenteral nutrition on clinical outcomes and immunomodulations in colorectal cancer patients. World J Gastroenterol 2008, 14:2434-2439.
32. Grecu I., Mirea L. Grintescu. Parenteral fish oil supplementation in patients with abdominal sepsis. Clin Nutr 2003, 22:23s.
33. Heller A.R., Rössel T., Gottschlich B., Tiebel O., Menschikowski M., Litz R.J., et al. Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients. Int J Cancer 2004, 111:611-616.
34. Jiang Z.M., Wang X.R., Wei J.M., Wang Y., Li Y., Wang S., et al. The impact of I.V. fish oil emulsion on clinical outcome and immune functions of post-operative cancer patients: a randomized, double blind, controlled, multi-center clinical trial for 203 cases. Clin Nutr 2005, 24:609-610.
35. Wichmann M.W., Thul P., Czarnetzki H.D., Morlion B.J., Kemen M., Jauch K.W. Evaluation of clinical safety and beneficial effects of a lipid emulsion containing fish oil (Lipoplus, MLF541): Data from a prospective, randomized, multicenter trial. Crit Care Med 2007, 35:700-706.
36. Berger M.M., Tappy L., Revelly J.P., Koletzko B.V., Gepert J., Corpataux J.M., et al. Fish oil after abdominal aorta aneurysm surgery. Eur J Clin Nutr 2008, 62:1116-1122.
37. Heller A.R., Rössler S., Litz R.J., Stehr S.N., Heller S.C., Koch R., et al. Omega-3 fatty acids improve the diagnosis-related clinical outcome. Crit Care Med 2006, 34:972-979.
38. Ioannidis J.P. Interpretation of tests of heterogeneity and bias in meta-analysis. J Eval Clin Pract 2008, 14:951-957.
39. Mayer K., Fegbeutel C., Hattar K., Sibelius U., Krämer H.J., Heuer K.U., et al. Omega-3 vs. omega-6 lipid emulsions exert differential influence on neutrophils in septic shock patients: impact on plasma fatty acids and lipid mediator generation. Intensive Care Med 2003, 29:1472-1481.