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Perioperative nutritional status changes in gastrointestinal cancer patients

Authors
 Hongjin Shim  ;  Jae Ho Cheong  ;  Kang Young Lee  ;  Hosun Lee  ;  Jae Gil Lee  ;  Sung Hoon Noh 
Citation
 YONSEI MEDICAL JOURNAL, Vol.54(6) : 1370-1376, 2013 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2013
MeSH
Colorectal Neoplasms/surgery ; Gastrointestinal Neoplasms/surgery* ; Humans ; Malnutrition/diagnosis ; Nutritional Status* ; Postoperative Complications ; Risk Factors ; Stomach Neoplasms/surgery
Keywords
General surgery ; gastrointestinal neoplasm ; nutrition assessment
Abstract
PURPOSE: The presence of gastrointestinal (GI) cancer and its treatment might aggravate patient nutritional status. Malnutrition is one of the major factors affecting the postoperative course. We evaluated changes in perioperative nutritional status and risk factors of postoperative severe malnutrition in the GI cancer patients. MATERIALS AND METHODS: Nutritional status was prospectively evaluated using patient-generated subjective global assessment (PG-SGA) perioperatively between May and September 2011. RESULTS: A total of 435 patients were enrolled. Among them, 279 patients had been diagnosed with gastric cancer and 156 with colorectal cancer. Minimal invasive surgery was performed in 225 patients. PG-SGA score increased from 4.5 preoperatively to 10.6 postoperatively (p<0.001). Ten patients (2.3%) were severely malnourished preoperatively, increasing to 115 patients (26.3%) postoperatively. In gastric cancer patients, postoperative severe malnourishment increased significantly (p<0.006). In univariate analysis, old age (>60, p<0.001), male sex (p=0.020), preoperative weight loss (p=0.008), gastric cancer (p<0.001), and open surgery (p<0.001) were indicated as risk factors of postoperative severe malnutrition. In multivariate analysis, old age, preoperative weight loss, gastric cancer, and open surgery remained significant as risk factors of severe malnutrition. CONCLUSION: The prevalence of severe malnutrition among GI cancer patients in this study increased from 2.3% preoperatively to 26.3% after an operation. Old age, preoperative weight loss, gastric cancer, and open surgery were shown to be risk factors of postoperative severe malnutrition. In patients at high risk of postoperative severe malnutrition, adequate nutritional support should be considered.
Files in This Item:
T201303656.pdf Download
DOI
10.3349/ymj.2013.54.6.1370
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Shim, Hong Jin(심홍진)
Lee, Kang Young(이강영)
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Cheong, Jae Ho(정재호) ORCID logo https://orcid.org/0000-0002-1703-1781
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88262
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