Immediate preoperative nutritional status of patients with colorectal cancer: a warning

Weight loss and malnutrition are disorders observed in colorectal cancer patients. We sought to evaluate the immediate preoperative nutritional status of patients with colorectal cancer. This is a cross-sectional clinical study conducted at a single center. Sixty-six consecutive patients in preopera...

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Bibliographic Details
Published in:	Arquivos de gastroenterologia Vol. 51; no. 4; pp. 331 - 336
Main Authors:	Barbosa, Luiza Regina L S, Lacerda-Filho, Antonio, Barbosa, Livia Cristina L S
Format:	Journal Article
Language:	English
Published:	Brazil Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE 01-12-2014 Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
Subjects:	Adult Avaliação nutricional Colorectal Neoplasms - complications Colorectal Neoplasms - surgery Cross-Sectional Studies Desnutrição Female GASTROENTEROLOGY & HEPATOLOGY Humans Male Malnutrition - etiology Middle Aged Neoplasias colorretais Neoplasm Staging Nutrition Assessment Nutritional Status Período pré-operatório Preoperative Period Socioeconomic Factors Preoperative period Avaliação nutricional Neoplasias colorretais Nutrition assessment Colorectal neoplasms Malnutrition Desnutrição Período pré-operatório
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Summary:	Weight loss and malnutrition are disorders observed in colorectal cancer patients. We sought to evaluate the immediate preoperative nutritional status of patients with colorectal cancer. This is a cross-sectional clinical study conducted at a single center. Sixty-six consecutive patients in preoperative for elective surgical treatment were studied. The clinical history, socio-demographic data and nutritional status of the patients were evaluated using Subjective Global Assessment and objective (anthropometry) methods. The primary outcome measures were nutritional status classification as nourished or malnourished and the relationship between nutritional status and socio-demographic and clinical features. Most of patients exhibited left colon tumors and disease stage II. According to the Subjective Global Assessment, 36.4% of patients were malnourished. Malnutrition ranged from 7.6% to 53% depending on the evaluation method used, with poor correlation to Subjective Global Assessment. The prevalence of malnutrition was significantly greater in females and non-married patients and in those with two or more symptoms of colorectal cancer. More than a third of patients in the immediate preoperative period for colorectal cancer exhibited malnutrition. Therefore, routine nutritional assessment is highly advisable so that appropriate measures may be taken to minimize the potential postoperative complications.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0004-2803 1678-4219 1678-4219 0004-2803
DOI:	10.1590/S0004-28032014000400012