Relationship between nutritional status and immediate complications in patients undergoing colorectal surgery

Abstract

Introduction several complications may occur during colorectal surgical procedures and factors, such as nutritional status, substantially contribute to this problem. Objective evaluate the relationship between nutritional status (determined by different tools) and the emergence of early postoperative complications, as well as analyze social parameters, lifestyle, food intake, and time to diet reintroduction. Methods case series study conducted in the surgical proctologic ward of the Hospital Barão de Lucena, Recife, Pernambuco, with individuals of both sexes diagnosed with colorectal cancer who underwent a surgical procedure involving at least one anastomosis. Social, demographic and clinical data, life style, dietary intake, nutritional status, and the immediate postsurgical complications were evaluated. Results among the 31 patients studied, there was a higher prevalence of females (74.2%), mean age of 61.9 ± 12.4 years old, and the rectum was the primary site of cancer in 54.8%. Most patients came from the countryside, were retirees, had lower education, consumed too much red meat, processed meats, and fats, with low consumption of fruits and vegetables, and were sedentary. Regarding nutritional status, nutritional risk was found in 58.1%, mean BMI of 25.7 ± 6.8 kg/m2, and 54.8% had significant weight loss. Additionally, 38.7% had some of the immediate complications, particularly paralytic ileus and abdominal distension. There was a delay in the onset of renourishment, and there was no association between nutritional status and immediate complications. Conclusion colorectal cancer is closely related to eating habits and lifestyle. Patients with this malignancy have a marked weight loss; however, in this study, we found no association between nutritional status and the incidence of postoperative complications.

Conhecimento dos acadêmicos de medicina acerca do câncer colorretal em relação aos fatores de risco e rastreamento

“…Sendo que, os exercícios físicos representam uma forma importante de prevenção primária. Além disso, há uma maior incidência de câncer colorretal em mulheres, provavelmente relacionada ao fato de o sexo feminino apresenta maior porcentagem de gordura, o que se relaciona com a maior quantidade de fatores pró-inflamatórios, como fator de necrose tumoral, interleucina 6, proteína C reativa e leptina (SOUZA VC, et al, 2013). Outra causa elencada pelos acadêmicos foi a alta ingesta calórica (gordura), obesidade como fatores importantes da patogênese do CCR, principalmente devido ao padrão de inflamação aguda que é característico do tecido adiposo e seu potencial carcinogênico (SIMÕES ML e BARBOSA LE, 2017).…”

Assessment of Nutrition Status in Preoperative Surgical Patient Undergoing Major Abdominal Surgeries and Its Relation to Postoperative Outcome

“…Sci. 2018;7 (12):1447-1453, DOI: 10.14260/jemds/2018/329 BACKGROUND Malnutrition is prevalent in hospitalised patients with estimated prevalence of 20% -60% according to studies. 1,2,3 Malnutrition is complex interplay between underlying diseases, disease related metabolic alterations and reduced availability and absorption of energy requirements.…”