Evaluation of Preoperative Nutritional Status in Gastric Cancer Patients
Bogdan Filip*, Mihaela Buna-Arvinte, IonuÈ Hutanu, Dragos Viorel Scripcariu, Iulian Radu and Viorel Scripcariu
Department of Surgery, University of Medicine and Pharmacy “Gr. T. Popa”, 1st Surgical Unit, Regional Institute of Oncology, IaÈi, Romania
- *Corresponding Author:
- Filip Bogdan MD, PhD
Department of Surgery, University of Medicine and Pharmacy “Gr. T. Popa” IaÈi
1st Surgical Unit, Regional Institute of Oncology IaÈi, Romania
Tel: +400745 25 3149
Fax: +400374 2788 02
E-mail: [email protected]
Received Date: April 18, 2016; Accepted Date: May 04, 2016; Published Date: May 11, 2016
Citation: Bogdan F, Buna-Arvinte M, Hutanu I, Scripcariu DV, Radu I, et al. Evaluation of Preoperative Nutritional Status in Gastric Cancer Patients. Journal of Surgery [Jurnalul de chirurgie]. 2016; 12(3): 111-113 DOI:10.7438/1584-9341-12-3-4
Copyright: © 2016 Bogdan F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Malnutrition is a common feature in gastric cancer patients and it is directly correlated with tumour stage. The goal of our study was the assessment of nutritional status in a large series of gastric cancer patients.
Methods: We performed a retrospective study which included all the patients newly diagnosed with gastric cancer which were submitted in our unit in a 2 year period. We performed a comparative analysis between the patient in which radical resection was performed and the patient in which a palliative procedure was made.
Results: There were 136 gastric cancer patients; radical resections were performed in 81 patients (34 total gastrectomies and 47 subtotal gastrectomies). Palliative procedures included 17 gastroenterostomy, 13 feeding jejunostomy and 25 exploratory laparoscopies. Patients in which radical resection was performed presented higher Karnofsky (P=0.006) and Charlson (P=0.007) indexes, higher BMI (P=0.017), higher albumin (P=0.001), lymphocytes (P=0.03) and Onodera index (P=0.0032).
Conclusion: An accurate clinical and biological nutritional assessment of newly diagnosed gastric cancer patients could identify the subgroup of patients with more advanced or metastatic lesions in which a thorough stadialisation should be performed.