Luiza Regina L S Barbosa1, Antonio Lacerda-Filho2, Livia Cristina L S Barbosa3. 1. Departamento de Nutrição, Hospital Felicio Rocho, Belo Horizonte, MG, Brasil. 2. Departamento de Cirurgia Colorretal, Hospital Felicio Rocho, Belo Horizonte, MG, Brasil. 3. Universidade Vale do Rio Verde - UNINCOR, Belo Horizonte, MG, Brasil.
Abstract
CONTEXT: Weight loss and malnutrition are disorders observed in colorectal cancer patients. OBJECTIVES: We sought to evaluate the immediate preoperative nutritional status of patients with colorectal cancer. METHODS: This is a cross-sectional clinical study conducted at a single center. Sixty-six consecutive patients in preoperative for elective surgical treatment were studied. The clinical history, socio-demographic data and nutritional status of the patients were evaluated using Subjective Global Assessment and objective (anthropometry) methods. The primary outcome measures were nutritional status classification as nourished or malnourished and the relationship between nutritional status and socio-demographic and clinical features. RESULTS: Most of patients exhibited left colon tumors and disease stage II. According to the Subjective Global Assessment, 36.4% of patients were malnourished. Malnutrition ranged from 7.6% to 53% depending on the evaluation method used, with poor correlation to Subjective Global Assessment. The prevalence of malnutrition was significantly greater in females and non-married patients and in those with two or more symptoms of colorectal cancer. CONCLUSIONS: More than a third of patients in the immediate preoperative period for colorectal cancer exhibited malnutrition. Therefore, routine nutritional assessment is highly advisable so that appropriate measures may be taken to minimize the potential postoperative complications.
CONTEXT: Weight loss and malnutrition are disorders observed in colorectal cancerpatients. OBJECTIVES: We sought to evaluate the immediate preoperative nutritional status of patients with colorectal cancer. METHODS: This is a cross-sectional clinical study conducted at a single center. Sixty-six consecutive patients in preoperative for elective surgical treatment were studied. The clinical history, socio-demographic data and nutritional status of the patients were evaluated using Subjective Global Assessment and objective (anthropometry) methods. The primary outcome measures were nutritional status classification as nourished or malnourished and the relationship between nutritional status and socio-demographic and clinical features. RESULTS: Most of patients exhibited left colon tumors and disease stage II. According to the Subjective Global Assessment, 36.4% of patients were malnourished. Malnutrition ranged from 7.6% to 53% depending on the evaluation method used, with poor correlation to Subjective Global Assessment. The prevalence of malnutrition was significantly greater in females and non-married patients and in those with two or more symptoms of colorectal cancer. CONCLUSIONS: More than a third of patients in the immediate preoperative period for colorectal cancer exhibited malnutrition. Therefore, routine nutritional assessment is highly advisable so that appropriate measures may be taken to minimize the potential postoperative complications.
Authors: Francisco José Sánchez-Torralvo; Iván González-Poveda; María García-Olivares; Nuria Porras; Montserrat Gonzalo-Marín; María José Tapia; Santiago Mera-Velasco; José Antonio Toval-Mata; Manuel Ruiz-López; Joaquín Carrasco-Campos; Julio Santoyo-Santoyo; Gabriel Olveira Journal: Nutrients Date: 2022-04-02 Impact factor: 5.717
Authors: Ashna Gupta; Eisha Gupta; Richard Hilsden; Jeffry D Hawel; Ahmad I Elnahas; Christopher M Schlachta; Nawar A Alkhamesi Journal: Can J Surg Date: 2021-11-25 Impact factor: 2.089