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Volume 8 Journal of Nutrition & Food Sciences
ISSN: 2155-9600 Nutrition Congress 2018
June 11-13, 2018
June 11-13, 2018 | Dublin, Ireland
21st European
Nutrition and Dietetics Conference
The Carbohydrate/Protein ratio in daily intakes as outcome indicator in post-operative patients with
oesophageal cancer
Mari Hasegawa
Mukogawa Women's University
Background: It was suggested that the average fluid balance during the 7 days after oesophageal cancer surgery may be a
predictor of outcomes. Although we did not mention the relevance of nutritional intake and outcome after surgery, many
reports state that perioperative nutrition influence outcomes. It has been known that oesophageal cancer resection is a highly
invasive surgical procedure and causes prognostic malnutrition. However, the specific nutrition management method, after
surgery, is not indicated in the guidelines.
Aim: In this study, we hope to clarify the relationship between nutritional intake and clinical outcome of cases entering ICU
post oesophageal cancer resection operation.
Methodology: We conducted a quantitative retrospective chart review and analysis of patients hospitalized for the purpose of
therapy oesophageal cancer in a single facility between 1st January and 31st December 2014. The patients who had day spent
less than 2 days in the ICU, did not radical surgery and missing data were excluded. We calculated the daily average energy,
protein, lipid, intake and Carbohydrate/Protein ratios during their stay in the ICU. We divided the subjects into two groups:
high intake and low intake. We used a median score as the cutoff point. We conducted four investigations for each nutritional
element:
(1) daily average energy intake >= vs. < 14.30 kcal/kg/day,
(2) daily average protein intake >= vs. < 0.48 g/kg/day,
(3) daily average lipid intake >= vs. < 0.07 g/kg/day,
(4) Carbohydrate/Protein ratios >= vs. < 6.01.
Result:
(1), (3) There was no significant difference in the length of stay in the ICU (days).
(2) The group with a daily average of protein intake of < 0.48 g/kg/day showed significantly shorter length of stay in the
ICU (days) than that in another group (4 (3, 5) vs. 5 (4, 6), p=0.009).
(4) The group with Carbohydrate/Protein ratios of >= 6.01 showed significantly shorter length of stay in the ICU (days)
than that in another group (4 (3, 5) vs. 5 (4, 6), p=0.037).
Conclusion: The daily average energy and lipid intake may not be suitable variables as predictors of outcome for post
oesophageal cancer resection. It can be suggested that lower protein intake and higher Carbohydrate/Protein ratio seem to be
associated with better prognosis in post-operative patients with oesophageal cancer.
Biography
Mari Hasegawa has completed her Graduation from Mukogawa Women's University and now working in the same university.
Mari Hasegawa, J Nutr Food Sci 2018, Volume 8
DOI: 10.4172/2155-9600-C3-059