Morikawa et al. [1] investigated the impact of preoperative nutritional status on postoperative outcomes in patients aged 75 years or older with pancreatic adenocarcinoma. Their analysis revealed that preoperative malnutrition is a significant risk factor for in-hospital mortality, emphasizing the need for appropriate nutritional support and less invasive surgical strategies in this population. Kitagawa et al. [2] demonstrated that, in thoracoscopic esophagectomy, the use of feeding duodenostomy as an enteral nutrition route may prevent bowel obstruction and mitigate early postoperative weight loss without extending operative time, when compared with feeding catheter jejunostomy. Tabe et al. [3] reported that, among post-gastrectomy patients aged 75 years and above, insufficient energy intake during hospitalization can predict weight loss up to 3 months after surgery, highlighting the critical importance of early nutritional intervention. Kaido [4] examined the significance of perioperative nutritional management in liver transplantation. In transplant recipients—who are especially susceptible to protein-energy malnutrition and secondary sarcopenia—low pre-transplant nutritional status and the lack of preoperative branched-chain amino acid supplementation were identified as independent risk factors for post-transplant sepsis. A detailed, individualized nutritional therapy protocol was described, incorporating body composition analysis, serial biochemical monitoring, and targeted supplementation with branched-chain amino acids, zinc acetate, and synbiotics. Miki and Hino [5] evaluated the effects of 8-week liquid diets with varying carbohydrate content on glycemic control and nutritional status in a mouse model of type 2 diabetes mellitus. Their aim was to determine whether reducing carbohydrate intake within the Dietary Reference Intakes for Japanese people could improve glycemic indices. The study demonstrated that reducing carbohydrate intake to 50% of total energy—within recommended dietary guidelines—significantly improved glycemic control in diabetic mice.

In addition to these featured articles, submissions from Japanese researchers continue to grow, illustrating the deepening of academic exchange. We express our sincere gratitude to JSSMN for their valued partnership and look forward to ongoing scholarly collaboration. Such efforts will not only advance the field of clinical nutrition but will also further elevate ACNM’s global academic presence and impact.

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