Postoperative Changes in Nutritional and Functional Status of Gastroesophageal Cancer Patients
| Autor: | Theodoros Liakakos, Dimitrios Schizas, Irene Lidoriki, Lysandros Karydakis, Konstantinos S. Mylonas, Chrysovalantis Vergadis, Andreas Alexandrou, Ioannis Karavokyros |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Esophageal Neoplasms 030209 endocrinology & metabolism Muscle mass Gastroenterology 03 medical and health sciences 0302 clinical medicine Gastroesophageal cancer Gastrectomy Stomach Neoplasms Internal medicine Weight Loss medicine Humans In patient skin and connective tissue diseases Aged 030109 nutrition & dietetics business.industry Malnutrition Cancer Esophageal cancer Middle Aged medicine.disease Functional Status Functional status Female sense organs business |
| Zdroj: | Journal of the American Nutrition Association. 41(3) |
| ISSN: | 2769-707X |
| Popis: | Disease-related malnutrition is a debilitating condition frequently observed in patients with cancer. The aim of the current study was to prospectively examine postoperative changes in nutritional and functional status of patients undergoing surgery for gastric, esophageal, and gastroesophageal junction cancer.Participants were prospectively recruited from September 2015 to September 2019. The assessment of malnutrition was based on the Patient-Generated Subjective Global Assessment tool. The functional assessment included the evaluation of muscle strength and physical performance, while muscle mass assessment was based on Skeletal Muscle Mass Index (SMI) derived from the analysis of computed tomography scans. The follow up of patients was scheduled at six months postoperatively.A total of 98 patients were analyzed. Mean patient age was 60.79 ± 10.19 years and 80.6% were males. The mean unintentional weight loss at 6 months was 11.7 ± 8.0%. Patients who underwent McKeown esophagectomy reported the greatest weight loss postoperatively (16.2 ± 9.6%), whereas the lowest rate of weight loss was observed in patients who underwent partial gastrectomy (5.6 ± 6.7%). The rate of severe malnutrition declined at six months postoperatively (39.7% vs 27%). Muscle strength and physical performance were significantly deteriorated at 6 months postoperatively, except for the group of partial gastrectomy, while SMI significantly decreased in all groups of patients except for McKewon esophagectomy group. Finally, the prevalence of low muscle mass increased significantly from 43.5% in the preoperative period to 66.7% at the follow-up.Our study revealed a significant deterioration in gastroesophageal cancer patient nutritional and functional status at six months postoperatively. The high prevalence of malnutrition and low muscle mass requires systematic follow-up and multidirectional monitoring in order to ensure the successful rehabilitation of these patients. |
| Databáze: | OpenAIRE |
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