Malnutrition after oesophageal cancer surgery in Sweden

Background: Oesophageal cancer resection carries a risk of nutritional disorders. The aim of this study was to estimate weight change after surgery in a population‐based setting and to identify nutritional problems that might correlate with weight loss. Methods: Data were collected through the Swedi...

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Veröffentlicht in:British journal of surgery 2007-12, Vol.94 (12), p.1496-1500
Hauptverfasser: Martin, L., Lagergren, J., Lindblad, M., Rouvelas, I., Lagergren, P.
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container_end_page 1500
container_issue 12
container_start_page 1496
container_title British journal of surgery
container_volume 94
creator Martin, L.
Lagergren, J.
Lindblad, M.
Rouvelas, I.
Lagergren, P.
description Background: Oesophageal cancer resection carries a risk of nutritional disorders. The aim of this study was to estimate weight change after surgery in a population‐based setting and to identify nutritional problems that might correlate with weight loss. Methods: Data were collected through the Swedish Esophageal and Cardia Cancer Register, a nationwide registry of oesophageal cancer surgery. Patients who underwent oesophageal cancer surgery between 2001 and 2004 were followed up until April 2005, and data on patient and tumour characteristics and surgical treatment were collected. Six months after surgery the patients were asked to complete a questionnaire about weight and a health‐related quality of life questionnaire (European Organization for Research and Treatment of Cancer (EORTC QLQ‐C30) with an oesophageal‐specific module (EORTC QLQ‐OES18)). Results: The response rate to the questionnaire was 76·9 per cent and weight change in 226 patients was analysed. Six months after operation 63·7 per cent had lost more than 10 per cent of their preoperative BMI, and 20·4 per cent had lost more than 20 per cent. Appetite loss, eating difficulties and odynophagia were significantly linked to postoperative weight loss, whereas dysphagia or reflux did not correlate with malnutrition. Conclusion: Malnutrition is a considerable problem after oesophagectomy, and is linked to appetite loss, eating difficulties and odynophagia. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. May require clinical intervention
doi_str_mv 10.1002/bjs.5881
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The aim of this study was to estimate weight change after surgery in a population‐based setting and to identify nutritional problems that might correlate with weight loss. Methods: Data were collected through the Swedish Esophageal and Cardia Cancer Register, a nationwide registry of oesophageal cancer surgery. Patients who underwent oesophageal cancer surgery between 2001 and 2004 were followed up until April 2005, and data on patient and tumour characteristics and surgical treatment were collected. Six months after surgery the patients were asked to complete a questionnaire about weight and a health‐related quality of life questionnaire (European Organization for Research and Treatment of Cancer (EORTC QLQ‐C30) with an oesophageal‐specific module (EORTC QLQ‐OES18)). Results: The response rate to the questionnaire was 76·9 per cent and weight change in 226 patients was analysed. Six months after operation 63·7 per cent had lost more than 10 per cent of their preoperative BMI, and 20·4 per cent had lost more than 20 per cent. Appetite loss, eating difficulties and odynophagia were significantly linked to postoperative weight loss, whereas dysphagia or reflux did not correlate with malnutrition. Conclusion: Malnutrition is a considerable problem after oesophagectomy, and is linked to appetite loss, eating difficulties and odynophagia. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley &amp; Sons, Ltd. May require clinical intervention</description><identifier>ISSN: 0007-1323</identifier><identifier>ISSN: 1365-2168</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.5881</identifier><identifier>PMID: 17668914</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Body Mass Index ; Deglutition Disorders - epidemiology ; Deglutition Disorders - etiology ; Esophageal Neoplasms - epidemiology ; Esophageal Neoplasms - surgery ; Feeding and Eating Disorders - epidemiology ; Feeding and Eating Disorders - etiology ; Female ; General aspects ; Humans ; Male ; Malnutrition - epidemiology ; Malnutrition - etiology ; Medical sciences ; Medicin och hälsovetenskap ; Metabolic diseases ; Middle Aged ; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prognosis ; Sweden - epidemiology ; Weight Gain</subject><ispartof>British journal of surgery, 2007-12, Vol.94 (12), p.1496-1500</ispartof><rights>Copyright © 2007 British Journal of Surgery Society Ltd. 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The aim of this study was to estimate weight change after surgery in a population‐based setting and to identify nutritional problems that might correlate with weight loss. Methods: Data were collected through the Swedish Esophageal and Cardia Cancer Register, a nationwide registry of oesophageal cancer surgery. Patients who underwent oesophageal cancer surgery between 2001 and 2004 were followed up until April 2005, and data on patient and tumour characteristics and surgical treatment were collected. Six months after surgery the patients were asked to complete a questionnaire about weight and a health‐related quality of life questionnaire (European Organization for Research and Treatment of Cancer (EORTC QLQ‐C30) with an oesophageal‐specific module (EORTC QLQ‐OES18)). Results: The response rate to the questionnaire was 76·9 per cent and weight change in 226 patients was analysed. Six months after operation 63·7 per cent had lost more than 10 per cent of their preoperative BMI, and 20·4 per cent had lost more than 20 per cent. Appetite loss, eating difficulties and odynophagia were significantly linked to postoperative weight loss, whereas dysphagia or reflux did not correlate with malnutrition. Conclusion: Malnutrition is a considerable problem after oesophagectomy, and is linked to appetite loss, eating difficulties and odynophagia. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley &amp; Sons, Ltd. May require clinical intervention</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Deglutition Disorders - epidemiology</subject><subject>Deglutition Disorders - etiology</subject><subject>Esophageal Neoplasms - epidemiology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Feeding and Eating Disorders - epidemiology</subject><subject>Feeding and Eating Disorders - etiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Malnutrition - epidemiology</subject><subject>Malnutrition - etiology</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prognosis</subject><subject>Sweden - epidemiology</subject><subject>Weight Gain</subject><issn>0007-1323</issn><issn>1365-2168</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1P3DAQhq0KVJalUn9BlQu9Bfxt51iWlhbxURUKEhdrnDjUkE22dqJl_z1esZATF481ft7xzLwIfSb4gGBMD-1DPBBakw9oQpgUOSVSb6EJxljlhFG2g3ZjfMCYMCzoR7RDlJS6IHyC1Dk07dAH3_uuzaDuXcg6F7vFP7h30GQltGVKxSHcu7DKfJtdLV3l2j20XUMT3adNnKK_P75fz37mZ5cnv2bfzvJSYE1yrrkgHAqCFQdrBbXaWVWR0moqtcW4ogVlBQfFJVOpu6LkUEFNy1pLq4BNUf5SNy7dYrBmEfwcwsp04M0m9Zhuzog0EGeJL97lF6GrRtGrkBDJmFDpnKKvL9oE_h9c7M3cx9I1DbSuG6KRWqRWuUjglw042Lmr3j55XWsC9jcAxBKaOqQt-jhyhZaF5HicbukbtxrfsVnbapKtZm2rOTq9WseR97F3T288hEcjFVPC3F6cmOtb_PuG3v0xx-wZR0ijTg</recordid><startdate>200712</startdate><enddate>200712</enddate><creator>Martin, L.</creator><creator>Lagergren, J.</creator><creator>Lindblad, M.</creator><creator>Rouvelas, I.</creator><creator>Lagergren, P.</creator><general>John Wiley &amp; 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The aim of this study was to estimate weight change after surgery in a population‐based setting and to identify nutritional problems that might correlate with weight loss. Methods: Data were collected through the Swedish Esophageal and Cardia Cancer Register, a nationwide registry of oesophageal cancer surgery. Patients who underwent oesophageal cancer surgery between 2001 and 2004 were followed up until April 2005, and data on patient and tumour characteristics and surgical treatment were collected. Six months after surgery the patients were asked to complete a questionnaire about weight and a health‐related quality of life questionnaire (European Organization for Research and Treatment of Cancer (EORTC QLQ‐C30) with an oesophageal‐specific module (EORTC QLQ‐OES18)). Results: The response rate to the questionnaire was 76·9 per cent and weight change in 226 patients was analysed. Six months after operation 63·7 per cent had lost more than 10 per cent of their preoperative BMI, and 20·4 per cent had lost more than 20 per cent. Appetite loss, eating difficulties and odynophagia were significantly linked to postoperative weight loss, whereas dysphagia or reflux did not correlate with malnutrition. Conclusion: Malnutrition is a considerable problem after oesophagectomy, and is linked to appetite loss, eating difficulties and odynophagia. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley &amp; Sons, Ltd. May require clinical intervention</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>17668914</pmid><doi>10.1002/bjs.5881</doi><tpages>5</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Body Mass Index
Deglutition Disorders - epidemiology
Deglutition Disorders - etiology
Esophageal Neoplasms - epidemiology
Esophageal Neoplasms - surgery
Feeding and Eating Disorders - epidemiology
Feeding and Eating Disorders - etiology
Female
General aspects
Humans
Male
Malnutrition - epidemiology
Malnutrition - etiology
Medical sciences
Medicin och hälsovetenskap
Metabolic diseases
Middle Aged
Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Prognosis
Sweden - epidemiology
Weight Gain
title Malnutrition after oesophageal cancer surgery in Sweden
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