Preoperative Nutritional Assessment to Predict Postoperative Complication in Gastric Cancer Patients
The correlation between preoperative nutritional parameters and postoperative complications in 440 patients with gastric cancer were analyzed. All the nutritional parameters reflected a significant deterioration as the stages of cancer progressed, and the frequency of postoperative complications was...
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Veröffentlicht in: | JPEN. Journal of parenteral and enteral nutrition 1989-05, Vol.13 (3), p.286-291 |
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creator | Yamanaka, Hideharu Nishi, Masaharu Kanemaki, Toshiki Hosoda, Nobumichi Hioki, Koshiro Yamamoto, Masakatsu |
description | The correlation between preoperative nutritional parameters and postoperative complications in 440 patients with gastric cancer were analyzed. All the nutritional parameters reflected a significant deterioration as the stages of cancer progressed, and the frequency of postoperative complications was highest in patients with stage IV gastric cancer. The incidence of anastomotic leaks was increased in patients undergoing total gastrectomy with no relation to the clinical stage or nutritional status. However, there was a close relationship between nutritional status and immunocompetence, lung complications, and infection. The nutritional indices which reliably predicted preoperatively the nutritional status of cancer patients were the serum protein concentrations including the serum albumin (Alb) and prealbumin (PA). The indices predicting postoperative complications were the Alb, PA, and total lymphocyte count. These results suggest that preoperative nutritional assessment can be beneficial for the prediction of postoperative complications. (Journal of Parenteral and Enteral Nutrition
13:286-291, 1989) |
doi_str_mv | 10.1177/0148607189013003286 |
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13:286-291, 1989)</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Nutritional Status</subject><subject>Parenteral Nutrition, Total</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - therapy</subject><subject>Prealbumin - analysis</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Serum Albumin - analysis</subject><subject>Stomach Neoplasms - surgery</subject><issn>0148-6071</issn><issn>1941-2444</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtLxDAUhYMo4zj6C0TIwm315tGmXQ5lHBUZu9B1SdNUMvRF0lHm35vSYdyIuErgfOfm3BOErgncESLEPRAeRyBInABhAIzG0Qmak4STgHLOT9F8JIIROUcXzm3BQxHADM1o6G8smaMys7rrtZWD-dR4sxusGUzXyhovndPONbod8NBhj5VGDTjr3PDDp13T10bJ0YJNi9fS-QEKp7JV2uLMC97vLtFZJWunrw7nAr0_rN7Sx-Dldf2ULl8CxcMwCmLGmIygkBEPQQClxRi4VKrUiiREKJ4wCQUTJdGcK0ITIYuKVjyUsowhZgvEprnKds5ZXeW9NY20-5xAPlaW_1KZd91Mrn5XNLo8eg4def32oEunZF1Zv5xxR0xQCmHIPZZM2Jep9f4_L-fP2WoDUwSYvE5-6Hzb7az_Afdn6m9QI5HN</recordid><startdate>198905</startdate><enddate>198905</enddate><creator>Yamanaka, Hideharu</creator><creator>Nishi, Masaharu</creator><creator>Kanemaki, Toshiki</creator><creator>Hosoda, Nobumichi</creator><creator>Hioki, Koshiro</creator><creator>Yamamoto, Masakatsu</creator><general>Sage Publications</general><general>SAGE Publications</general><general>ASPEN</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>198905</creationdate><title>Preoperative Nutritional Assessment to Predict Postoperative Complication in Gastric Cancer Patients</title><author>Yamanaka, Hideharu ; Nishi, Masaharu ; Kanemaki, Toshiki ; Hosoda, Nobumichi ; Hioki, Koshiro ; Yamamoto, Masakatsu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4556-8333a60ba64507022b0003dccdec1917c493a0b37d1e44c1297abf2f45aad8083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>Nutritional Status</topic><topic>Parenteral Nutrition, Total</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - therapy</topic><topic>Prealbumin - analysis</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Serum Albumin - analysis</topic><topic>Stomach Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamanaka, Hideharu</creatorcontrib><creatorcontrib>Nishi, Masaharu</creatorcontrib><creatorcontrib>Kanemaki, Toshiki</creatorcontrib><creatorcontrib>Hosoda, Nobumichi</creatorcontrib><creatorcontrib>Hioki, Koshiro</creatorcontrib><creatorcontrib>Yamamoto, Masakatsu</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>JPEN. 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All the nutritional parameters reflected a significant deterioration as the stages of cancer progressed, and the frequency of postoperative complications was highest in patients with stage IV gastric cancer. The incidence of anastomotic leaks was increased in patients undergoing total gastrectomy with no relation to the clinical stage or nutritional status. However, there was a close relationship between nutritional status and immunocompetence, lung complications, and infection. The nutritional indices which reliably predicted preoperatively the nutritional status of cancer patients were the serum protein concentrations including the serum albumin (Alb) and prealbumin (PA). The indices predicting postoperative complications were the Alb, PA, and total lymphocyte count. These results suggest that preoperative nutritional assessment can be beneficial for the prediction of postoperative complications. (Journal of Parenteral and Enteral Nutrition
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subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Humans Intensive care medicine Medical sciences Nutritional Status Parenteral Nutrition, Total Postoperative Complications - etiology Postoperative Complications - therapy Prealbumin - analysis Predictive Value of Tests Prognosis Prospective Studies Risk Factors Serum Albumin - analysis Stomach Neoplasms - surgery |
title | Preoperative Nutritional Assessment to Predict Postoperative Complication in Gastric Cancer Patients |
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