The Influence of Nutritional Status on Complications after Major Intraabdominal Surgery

Sungurtekin, Hülya; Sungurtekin, Uğur; Balcı, Canan; Zencir, Mehmet; Erdem, Ergün

doi:10.1080/07315724.2004.10719365

Cited by 283 publications

(209 citation statements)

References 20 publications

Supporting

Mentioning

171

Contrasting

Unclassified

Order By: Relevance

“…According to the recent data, there are approximately 30 million individuals with malnutrition or nutritional risk in Europe, and it is estimated that €170 billion is spent annually for this purpose (5). The effects of malnutrition on various organ systems and wound healing have been evaluated in experimental and clinical studies; particularly, its effects on the gastrointestinal system have been emphasized (3,(6)(7)(8). Some clinical studies have indicated lower general complication rates by preoperative nutritional support in patients with malnutrition undergoing major gastrointestinal surgery (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“…It has been shown that malnutrition increases postoperative morbidity and mortality and prolongs the length of hospital stay in patients undergoing surgical interventions (1)(2)(3)(4). According to the recent data, there are approximately 30 million individuals with malnutrition or nutritional risk in Europe, and it is estimated that €170 billion is spent annually for this purpose (5).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effects of pre-operative nutrition on colon anastomosis healing in malnourished rats

Gündoğdu¹,

Yaşar²,

Ersoy³

et al. 2015

UCD

View full text Add to dashboard Cite

Objective: It has been proven that malnutrition increases postoperative morbidity and mortality, and it may also negatively affect wound healing in the gastrointestinal tract. In the literature, there is only one study evaluating the effects of preoperative nutritional support on colonic anastomotic healing under malnourished conditions. In order to improve the data on this topic, an experimental study was planned to evaluate the effects of preoperative nutritional support on colonic anastomotic healing in malnourished rats. Material and Methods:The study included 18 male Wistar albino rats divided into 3 groups. The control (C) group was fed ad libitum for 21 days. The malnutrition (M) group and preoperative nutrition (P) group were given 50% of the daily food consumed by the rats in Group C for 21 days to induce malnutrition. At the end of 21 days, Group P was fed ad libitum for 7 days (preoperative nutritional support). Colonic transection and end-to-end anastomosis was performed at 21 days in Group C and Group M and at 28 days in Group P. The rats were sacrificed at postoperative 4 days, anastomotic bursting pressure was measured, and samples were taken to analyze tissue hydroxyproline levels.Results: Anastomotic bursting pressure was significantly higher in Group C than in Group M and Group P (p<0.05), and it was significantly higher in Group P than in Group M (p<0.05). Tissue hydroxyproline levels in Group P were found to be significantly higher than those in Group M and Group C (p<0.05). Conclusion:One week of preoperative nutritional support increases collagen synthesis in the colon and positively affects anastomotic healing under malnourished conditions.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effects of pre-operative nutrition on colon anastomosis healing in malnourished rats

Gündoğdu¹,

Yaşar²,

Ersoy³

et al. 2015

UCD

View full text Add to dashboard Cite

show abstract

“…Among these factors, malnutrition is the most important due to its high prevalence and negative impact on clinical outcomes such as longer hospital stay 3 and mortality. The latter is much more related to malnutrition than cancer alone and can occur in 20% of cases 4 . Approximately half of the patients with malignancies has malnutrition, and in the case of gastrointestinal tract (GIT) tumors, the mortality rate varies from 30% to 50%, reaching 80% in cases of advanced pancreatic cancer 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…The method choice depends on the purpose of the assessment, prognosis or even on the response to nutritional interventions 2,4 .…”

Section: Introductionmentioning

confidence: 99%

Reliability of nutritional assessment in patients with gastrointestinal tumors

Poziomyck

Fruchtenicht

Kabke

et al. 2016

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

A B S T R A C TPatients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy.In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT. Therefore, in the daily practice of oncology, the definition of an appreciable and simple to apply nutritional assessment tool is necessary to identify nutritional risk patients and thus determine the best approach and appropriate nutritional support 8 . The objective of this review is to present an overview of the methods and tools used to determine nutritional risk, considering the pros and cons when applied to patients with GIT cancer. METHODSWe systematically identified studies on nutritional status of patients with GIT cancer through the PubMed and MEDLINE databases. We researched articles published in the last ten years by combining the terms "nutritional assessment", "GI cancer", "gastrointestinal tract", "gastric cancer", "oesophageal cancer" and "pancreatic cancer". We considered for evaluation only complete articles with those terms in English or Portuguese. We identified additional articles from citations in the articles evaluated. RESULTS AND DISCUSSION General review of nutritional assessmentIt was in the 1950s that authors first published research related to nutritional assessment procedures. Subjective methodsIn 1980, Detsky et al. described the Subjective Global Assessment (SGA) used to assess preoperative patients with GIT tumors (n = 202) undergoing major surgical procedures; They have shown that SGA could be easily applied and considered it a valid and reliable method to estimate the surgical patients' nutritional status 12 .Other authors have published several articles supporting the SGA in determining nutritional status, which differed from other methods in considering not only changes in body composition, but also functional changes. In addition, SGA is a simple, inexpensive, non-invasive method and can be performed at bedside.Correct guidance on the SGA application is essential, since its accuracy depends on the observer's ability to detect subjectively significant nutritional changes 8,13,14 .Subsequently, the SGA has undergone modi- Wu et al. had higher incidence of complications and longer hospital stay the worse the level of SGA in patients undergoing major procedures for GIT cancer (mainly gastric) 18 . These results were also supported by our series o...

show abstract

“…En este sentido, numerosos estudios confirman el impacto negativo de la desnutrición, o la falta de soporte nutricional, en las complicaciones quirúr-gicas [10][11][12][13][14][15] , potencialmente prevenibles a través de intervenciones específicas [16][17][18][19][20] . La evaluación nutricional de los pacientes hospitalizados, y específicamente los pacientes oncológicos, es compleja, debido a múltiples factores que interfieren en las mediciones antropométricas y bioquímicas.…”

unclassified

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

Pañella

Jara

Cornejo³

et al. 2014

Rev. méd. Chile

View full text Add to dashboard Cite

show abstract

The Influence of Nutritional Status on Complications after Major Intraabdominal Surgery

Abstract: Malnutrition is a marker of bad outcomes. Both Subjective Global Assessment and Nutritional Risk Index nutrition tests are predictive for malnutrition and postoperative complications in patients undergoing major abdominal surgery.

Cited by 283 publications

References 20 publications

The effects of pre-operative nutrition on colon anastomosis healing in malnourished rats

The effects of pre-operative nutrition on colon anastomosis healing in malnourished rats

Reliability of nutritional assessment in patients with gastrointestinal tumors

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

Contact Info

Product

Resources

About