Seung-Jin Kwag1, Jun-Gi Kim2, Won-Kyung Kang2, Jin-Kwon Lee2, Seong-Taek Oh2. 1. Department of Surgery, Gyeongsang National University, Postgraduate School of Medicine, Jinju, Korea. 2. Department of Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Abstract
PURPOSE: The authors evaluate the prevalence of malnutrition and its effect on the postoperative morbidity of patients after surgery for colorectal cancer. METHODS: Three hundred fifty-two patients were enrolled prospectively. Nutritional risk screening 2002 (NRS 2002) score was calculated through interview with patient on admission. Clinical characteristics, tumor status and surgical procedure were recorded. RESULTS: The prevalence of patients at nutritional risk was 28.1 per cent according to the NRS 2002. The rate of postoperative complication was 27%. There was a significant difference in postoperative complication rates between patients at nutritional risk and those not at risk (37.4% vs. 22.9%, P = 0.006). Nutritional risk was identified as an independent predictor of postoperative complications (odds ratio, 3.05; P = 0.045). Nutritional risk increased the rate of anastomotic leakage (P = 0.027) and wound infection (P = 0.01). CONCLUSION: NRS may be a prognostic factor for postoperative complication after surgery for colorectal cancer. A large scaled prospective study is needed to confirm whether supplementing nutritional deficits reduces postoperative complication rates.
PURPOSE: The authors evaluate the prevalence of malnutrition and its effect on the postoperative morbidity of patients after surgery for colorectal cancer. METHODS: Three hundred fifty-two patients were enrolled prospectively. Nutritional risk screening 2002 (NRS 2002) score was calculated through interview with patient on admission. Clinical characteristics, tumor status and surgical procedure were recorded. RESULTS: The prevalence of patients at nutritional risk was 28.1 per cent according to the NRS 2002. The rate of postoperative complication was 27%. There was a significant difference in postoperative complication rates between patients at nutritional risk and those not at risk (37.4% vs. 22.9%, P = 0.006). Nutritional risk was identified as an independent predictor of postoperative complications (odds ratio, 3.05; P = 0.045). Nutritional risk increased the rate of anastomotic leakage (P = 0.027) and wound infection (P = 0.01). CONCLUSION:NRS may be a prognostic factor for postoperative complication after surgery for colorectal cancer. A large scaled prospective study is needed to confirm whether supplementing nutritional deficits reduces postoperative complication rates.
Authors: F Bozzetti; C Gavazzi; R Miceli; N Rossi; L Mariani; L Cozzaglio; G Bonfanti; S Piacenza Journal: JPEN J Parenter Enteral Nutr Date: 2000 Jan-Feb Impact factor: 4.016
Authors: Marie Grønkjær; Marie Eliasen; Lise Skrubbeltrang Skov-Ettrup; Janne Schurmann Tolstrup; Anne Hjøllund Christiansen; Stine Schou Mikkelsen; Ulrik Becker; Trine Flensborg-Madsen Journal: Ann Surg Date: 2014-01 Impact factor: 12.969
Authors: Marco La Torre; Vincenzo Ziparo; Giuseppe Nigri; Marco Cavallini; Genoveffa Balducci; Giovanni Ramacciato Journal: J Surg Oncol Date: 2012-12-27 Impact factor: 3.454
Authors: Marc Schiesser; Philipp Kirchhoff; Markus K Müller; Markus Schäfer; Pierre-Alain Clavien Journal: Surgery Date: 2009-03-27 Impact factor: 3.982
Authors: Mercè Planas; Julia Álvarez-Hernández; Miguel León-Sanz; Sebastián Celaya-Pérez; Krysmarú Araujo; Abelardo García de Lorenzo Journal: Support Care Cancer Date: 2015-06-23 Impact factor: 3.603
Authors: Gyoung Tae Noh; Jeonghee Han; Min Soo Cho; Hyuk Hur; Byung Soh Min; Kang Young Lee; Nam Kyu Kim Journal: J Cancer Res Clin Oncol Date: 2017-02-27 Impact factor: 4.553