Body composition, muscle function and biochemical values in patients after pancreatic surgery: An observational study

Petrolo, Martina; Rangelova, Elena; Toilou, M.; Hammarqvist, Folke

doi:10.1016/j.clnesp.2020.09.573

Cited by 1 publication

(3 citation statements)

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“…They observed a significant reduction in phase angle in early postoperative days, suggestive of cell loss or reduced cell integrity. The concurrent decrease in extracellular water was suggestive of an increase in extracellular volume related to a decrease in body cell mass 82 …”

Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

“…Newer studies have explored phase angle in surgical settings. Petrolo et al 82 used bioimpedance spectroscopy to measure phase angle in a small sample of patients after pancreaticoduodenectomy or total pancreatectomy. They observed a significant reduction in phase angle in early postoperative days, suggestive of cell loss or reduced cell integrity.…”

Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

“…The concurrent decrease in extracellular water was suggestive of an increase in extracellular volume related to a decrease in body cell mass. 82 In patients undergoing cardiac surgery, low preoperative phase angle was an indicator of poor nutrition status and was associated with higher rates and risk of postoperative morbidity (odds ratio…”

Section: Bioelectrical Impedance Analysis-phase Anglementioning

confidence: 99%

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Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

Prado

Ford

Gonzalez

et al. 2022

J Parenter Enteral Nutr

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Preoperative nutrition status is an important determinant of surgical outcomes, yet malnutrition assessment is not integrated into all surgical pathways. Given its importance and the high prevalence of malnutrition in patients undergoing surgical procedures, preoperative nutrition screening, assessment, and intervention are needed to improve postoperative outcomes. This narrative review discusses novel methods to assess malnutrition and frailty in the surgical patient. The Global Leadership Initiative for Malnutrition (GLIM) criteria are increasingly used in surgical settings although further spread and implementation are strongly encouraged to help standardize the diagnosis of malnutrition. The use of body composition (ie, reduced muscle mass) as a phenotypic criterion in GLIM may lead to a greater number of patients identified as having malnutrition, which may otherwise be undetected if screened by other diagnostic tools. Skeletal muscle loss is a defining criterion of malnutrition and frailty. Novel direct and indirect approaches to assess muscle mass in clinical settings may facilitate the identification of patients with or at risk for malnutrition. Selected imaging techniques have the additional advantage of identifying myosteatosis (an independent predictor of morbidity and mortality for surgical patients). Feasible pathways for screening and assessing frailty exist and may determine the cost/benefit of surgery, long‐term independence and productivity, and the value of undertaking targeted interventions. Finally, the evaluation of nutrition risk and status is essential to predict and mitigate surgical outcomes. Nascent to novel approaches are the future of objectively identifying patients at perioperative nutrition risk and guiding therapy toward optimal perioperative standards of care.

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Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

Section: Bioelectrical Impedance Analysis-phase Anglementioning

confidence: 99%

See 1 more Smart Citation

Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

Prado

Ford

Gonzalez

et al. 2022

J Parenter Enteral Nutr

View full text Add to dashboard Cite

show abstract

Body composition, muscle function and biochemical values in patients after pancreatic surgery: An observational study

Cited by 1 publication

References 0 publications

Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

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