Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva

Background: Risk of malnutrition is elevated among oncologic patients, and this increases postoperative morbidity and mortality. Aim: To study the association between nutritional status and postoperative outcomes in a group of patients with gastrointestinal cancers. Patients and Methods: We studied...

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Autores principales:	Pañella,Loreto, Jara,Marlene, Cornejo,Morelia, Lastra,Ximena, Contreras,María Gladys, Alfaro,Kattia, De La Maza,María Pía
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Medical Oncology Nutrition assessment Surgery
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014001100006
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spelling	oai:scielo:S0034-988720140011000062015-02-18Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestivaPañella,LoretoJara,MarleneCornejo,MoreliaLastra,XimenaContreras,María GladysAlfaro,KattiaDe La Maza,María Pía Medical Oncology Nutrition assessment Surgery Background: Risk of malnutrition is elevated among oncologic patients, and this increases postoperative morbidity and mortality. Aim: To study the association between nutritional status and postoperative outcomes in a group of patients with gastrointestinal cancers. Patients and Methods: We studied 129 patients with diagnosis of digestive cancer, previous to potentially curative surgery. Nutritional status was evaluated through anthropometric measures, Subjective Global Assessment (SGA), dietary intake recalls and routine biochemical parameters. Functional performance was assessed by the Karnofsky index (KI). Cancer stage was classified according to TNM4. During the postoperative period, complications, length of stay at the critical care ward and duration of hospitalization were registered. Thirty days after discharge, patients were contacted, and the appearance of new complications was listed. Results: According to SGA 14.7% of patients were classified as well nourished (A), 57.3% as moderately undernourished or at risk of malnutrition (B) and 27.9% as severely malnourished (C). The incidence of total complications was 25.5%. Nutritional status was not associated with cancer stage. The frequency of complications among patients classified as A, B and C were 5.5, 25.3 and 37.1% respectively (p = 0.03). Conclusions: We detected a high frequency of malnutrition in this group of patients. Overall the frequency of postoperative complications was low, however malnourished patients exhibited a higher rate of surgical complications.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.11 20142014-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014001100006es10.4067/S0034-98872014001100006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Medical Oncology Nutrition assessment Surgery
spellingShingle	Medical Oncology Nutrition assessment Surgery Pañella,Loreto Jara,Marlene Cornejo,Morelia Lastra,Ximena Contreras,María Gladys Alfaro,Kattia De La Maza,María Pía Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva
description	Background: Risk of malnutrition is elevated among oncologic patients, and this increases postoperative morbidity and mortality. Aim: To study the association between nutritional status and postoperative outcomes in a group of patients with gastrointestinal cancers. Patients and Methods: We studied 129 patients with diagnosis of digestive cancer, previous to potentially curative surgery. Nutritional status was evaluated through anthropometric measures, Subjective Global Assessment (SGA), dietary intake recalls and routine biochemical parameters. Functional performance was assessed by the Karnofsky index (KI). Cancer stage was classified according to TNM4. During the postoperative period, complications, length of stay at the critical care ward and duration of hospitalization were registered. Thirty days after discharge, patients were contacted, and the appearance of new complications was listed. Results: According to SGA 14.7% of patients were classified as well nourished (A), 57.3% as moderately undernourished or at risk of malnutrition (B) and 27.9% as severely malnourished (C). The incidence of total complications was 25.5%. Nutritional status was not associated with cancer stage. The frequency of complications among patients classified as A, B and C were 5.5, 25.3 and 37.1% respectively (p = 0.03). Conclusions: We detected a high frequency of malnutrition in this group of patients. Overall the frequency of postoperative complications was low, however malnourished patients exhibited a higher rate of surgical complications.
author	Pañella,Loreto Jara,Marlene Cornejo,Morelia Lastra,Ximena Contreras,María Gladys Alfaro,Kattia De La Maza,María Pía
author_facet	Pañella,Loreto Jara,Marlene Cornejo,Morelia Lastra,Ximena Contreras,María Gladys Alfaro,Kattia De La Maza,María Pía
author_sort	Pañella,Loreto
title	Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva
title_short	Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva
title_full	Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva
title_fullStr	Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva
title_full_unstemmed	Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva
title_sort	relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014001100006
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Relación entre estado nutricional y evolución postoperatoria, en cirugía oncológica digestiva

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