Skip Navigation
Skip to contents

Ann Clin Nutr Metab : Annals of Clinical Nutrition and Metabolism

OPEN ACCESS

Search

Page Path
HOME > Search
1 "Hyeon-Min Cho"
Filter
Filter
Article category
Keywords
Publication year
Authors
Original Article
Risk of Malnutrition after Gastrointestinal Cancer Surgery: A Propensity Score Matched Retrospective Cohort Study
Sung-Hoon Yoon, Bong-Hyeon Kye, Hyung-Jin Kim, Kyong-Hwa Jun, Hyeon-Min Cho, Hyung-Min Chin
Surg Metab Nutr 2018;9(1):16-25.   Published online June 30, 2018
DOI: https://doi.org/10.18858/smn.2018.9.1.16
AbstractAbstract PDFePub

Purpose:

Patients with cancers arising from the gastrointestinal tract can suffer from nutritional inadequacies caused by various factors. This study investigated the risk of malnutrition after curative surgery in patients with gastric cancer (GC) or colorectal cancer (CRC) using various preoperative and postoperative nutritional screening tools.

Materials and Methods:

In the authors’ hospital, 407 patients (206 patients with GC and 201 patients with CRC) underwent surgery between July 2011 and June 2012. The patients from the two groups were matched using the propensity score and then analyzed the nutritional data from 170 patients (85 patients in each group), retrospectively.

Results:

In both groups, the postoperative nutritional status was impaired significantly compared to the preoperative status. The postoperative risk of undernutrition in CRC patients was significantly lower than that of the GC patients according to the Malnutrition Universal Screening Tool (P=0.007). At the time of hospital discharge after surgery, the incidence of a lower serum albumin level (P=0.002) and more than 5% weight loss (P=0.013) were higher in the GC group than in the CRC group. A comparison of the postoperative nutritional status among the types of surgery in each group, total gastrectomy in the GC group (P=0.015) and proctectomy with diverting stoma in the CRC group (P=0.06), were related to more than 5% weight loss.

Conclusion:

Gastrointestinal cancer surgery might increase the patients’ postoperative risk of malnutrition, particularly in GC surgery. Therefore, consecutive assessments of the nutritional status and appropriate nutritional support are necessary after surgery for GC and CRC.

Citations

Citations to this article as recorded by  
  • Feasibility and Safety of Early Oral Feeding After Radical Gastrectomy in Patients With Gastric Carcinoma: A Systematic Review
    Wahida Ali, Wahidullah Dost, Mohammad Nazir Zaman, Mohammad Qaher Rasully , Jamaluddin Niazi, Farzad Qasemi, Raisa Dost, Wahida Dost, Danyal Bakht, Syed Faqeer Hussain Bokhari
    Cureus.2024;[Epub]     CrossRef
  • Preoperative Body Mass Index, Waist Circumference, and Mortality After Major Cancer Surgery: A Nationwide Cohort Study in Korea
    Tak Kyu Oh, In-Ae Song
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Nutritional Counseling Protocol for Colorectal Cancer Patients after Surgery Improves Outcome
    Isabelle R. Novelli, Bruno A. D. Araújo, Laura F. Grandisoli, Elianete C. G. Furtado, Evelyn K. N. Aguchiku, Marina C. G. Bertocco, Tassiane P. Sudbrak, Isabel C. de Araújo, Ana C. F. Bosko, Nágila R. T. Damasceno
    Nutrition and Cancer.2021; 73(11-12): 2278.     CrossRef
  • 146 View
  • 2 Download
  • 3 Crossref
Close layer

Ann Clin Nutr Metab : Annals of Clinical Nutrition and Metabolism
Close layer
TOP