Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia

ABSTRACT Surgical patients with gastrointestinal cancer often suffer from malnutrition. This study aimed to evaluate the influence of fasting time on the nutritional status of patients hospitalized with preoperative and postoperative gastrointestinal tract neoplasms. Observational, longitudinal, and...

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Autores principales:	Golin,Anieli, Zucchetto-Freitas,Caroline, Pessoa-Alves,Bruna, Schott,Mairin, Ebling-Brondani,Juliane, Cercal-Bender,Silvia, Adatihara-Filho,Frederico Haruo, Timm-Marques,Clandio, Colpo,Elisângela
Lenguaje:	English
Publicado:	Sociedad Chilena de Nutrición, Bromatología y Toxicología 2021
Materias:	Gastrointestinal neoplasms Gastrointestinal surgical procedure Malnutrition Nutritional status Postoperative fasting
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182021000300329
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spelling	oai:scielo:S0717-751820210003003292021-06-25Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasiaGolin,AnieliZucchetto-Freitas,CarolinePessoa-Alves,BrunaSchott,MairinEbling-Brondani,JulianeCercal-Bender,SilviaAdatihara-Filho,Frederico HaruoTimm-Marques,ClandioColpo,Elisângela Gastrointestinal neoplasms Gastrointestinal surgical procedure Malnutrition Nutritional status Postoperative fasting ABSTRACT Surgical patients with gastrointestinal cancer often suffer from malnutrition. This study aimed to evaluate the influence of fasting time on the nutritional status of patients hospitalized with preoperative and postoperative gastrointestinal tract neoplasms. Observational, longitudinal, and prospective study conducted in the surgical unit at a public-school hospital. The patients were divided into groups: upper (UGIT) and lower (LGIT) gastrointestinal tract. Follow-up started within 72 h of hospitalization with reassessment 72 h after surgery. Data collected: sex, age, type and duration of surgery, preoperative (compared with 8 h) and postoperative (compared with 24 h) fasting time, food acceptance, Subjective Global Assessment, anthropometry, and laboratory tests. Analyses: Student t, Wilcoxon, and chi-square tests. Fifty-one patients were followed up, 29 (57%) UGIT and 22 (43%) LGIT. The preoperative fasting time was 8.2±2.8 h in UGIT and 8.1±2.2 h in LGIT groups, respectively; however, postoperative fasting times in UGIT (60.4±40.7 h) and LGIT groups (57.6±38.2 h) were longer than 24 h (P<0.001). Although eutrophic in the preoperative period, in the postoperative most patients in the UGIT and LGIT groups presented, respectively, malnutrition (71%; 59%; P<0.001), severe weight loss (79%; 80%), a significant correlation between triceps skinfold and postoperative fasting time (r= -0.306; P= 0.03), and hemoglobin and albumin values (r= 0.633; P<0.001), additionally low dietary acceptance, especially in the UGIT group. Prolonging postoperative fasting time worsened the nutritional status of surgical patients, especially in the UGIT group.info:eu-repo/semantics/openAccessSociedad Chilena de Nutrición, Bromatología y ToxicologíaRevista chilena de nutrición v.48 n.3 20212021-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182021000300329en10.4067/s0717-75182021000300329
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Gastrointestinal neoplasms Gastrointestinal surgical procedure Malnutrition Nutritional status Postoperative fasting
spellingShingle	Gastrointestinal neoplasms Gastrointestinal surgical procedure Malnutrition Nutritional status Postoperative fasting Golin,Anieli Zucchetto-Freitas,Caroline Pessoa-Alves,Bruna Schott,Mairin Ebling-Brondani,Juliane Cercal-Bender,Silvia Adatihara-Filho,Frederico Haruo Timm-Marques,Clandio Colpo,Elisângela Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia
description	ABSTRACT Surgical patients with gastrointestinal cancer often suffer from malnutrition. This study aimed to evaluate the influence of fasting time on the nutritional status of patients hospitalized with preoperative and postoperative gastrointestinal tract neoplasms. Observational, longitudinal, and prospective study conducted in the surgical unit at a public-school hospital. The patients were divided into groups: upper (UGIT) and lower (LGIT) gastrointestinal tract. Follow-up started within 72 h of hospitalization with reassessment 72 h after surgery. Data collected: sex, age, type and duration of surgery, preoperative (compared with 8 h) and postoperative (compared with 24 h) fasting time, food acceptance, Subjective Global Assessment, anthropometry, and laboratory tests. Analyses: Student t, Wilcoxon, and chi-square tests. Fifty-one patients were followed up, 29 (57%) UGIT and 22 (43%) LGIT. The preoperative fasting time was 8.2±2.8 h in UGIT and 8.1±2.2 h in LGIT groups, respectively; however, postoperative fasting times in UGIT (60.4±40.7 h) and LGIT groups (57.6±38.2 h) were longer than 24 h (P<0.001). Although eutrophic in the preoperative period, in the postoperative most patients in the UGIT and LGIT groups presented, respectively, malnutrition (71%; 59%; P<0.001), severe weight loss (79%; 80%), a significant correlation between triceps skinfold and postoperative fasting time (r= -0.306; P= 0.03), and hemoglobin and albumin values (r= 0.633; P<0.001), additionally low dietary acceptance, especially in the UGIT group. Prolonging postoperative fasting time worsened the nutritional status of surgical patients, especially in the UGIT group.
author	Golin,Anieli Zucchetto-Freitas,Caroline Pessoa-Alves,Bruna Schott,Mairin Ebling-Brondani,Juliane Cercal-Bender,Silvia Adatihara-Filho,Frederico Haruo Timm-Marques,Clandio Colpo,Elisângela
author_facet	Golin,Anieli Zucchetto-Freitas,Caroline Pessoa-Alves,Bruna Schott,Mairin Ebling-Brondani,Juliane Cercal-Bender,Silvia Adatihara-Filho,Frederico Haruo Timm-Marques,Clandio Colpo,Elisângela
author_sort	Golin,Anieli
title	Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia
title_short	Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia
title_full	Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia
title_fullStr	Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia
title_full_unstemmed	Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia
title_sort	increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia
publisher	Sociedad Chilena de Nutrición, Bromatología y Toxicología
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182021000300329
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Increased postoperative fasting time aggravates the nutritional status in patients with gastrointestinal tract neoplasia

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