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The nutritional risk is a independent factor for postoperative morbidity in surgery for colorectal cancer.

Authors :
Kwag SJ
Kim JG
Kang WK
Lee JK
Oh ST
Source :
Annals of surgical treatment and research [Ann Surg Treat Res] 2014 Apr; Vol. 86 (4), pp. 206-11. Date of Electronic Publication: 2014 Mar 25.
Publication Year :
2014

Abstract

Purpose: The authors evaluate the prevalence of malnutrition and its effect on the postoperative morbidity of patients after surgery for colorectal cancer.<br />Methods: Three hundred fifty-two patients were enrolled prospectively. Nutritional risk screening 2002 (NRS 2002) score was calculated through interview with patient on admission. Clinical characteristics, tumor status and surgical procedure were recorded.<br />Results: The prevalence of patients at nutritional risk was 28.1 per cent according to the NRS 2002. The rate of postoperative complication was 27%. There was a significant difference in postoperative complication rates between patients at nutritional risk and those not at risk (37.4% vs. 22.9%, P = 0.006). Nutritional risk was identified as an independent predictor of postoperative complications (odds ratio, 3.05; P = 0.045). Nutritional risk increased the rate of anastomotic leakage (P = 0.027) and wound infection (P = 0.01).<br />Conclusion: NRS may be a prognostic factor for postoperative complication after surgery for colorectal cancer. A large scaled prospective study is needed to confirm whether supplementing nutritional deficits reduces postoperative complication rates.

Details

Language :
English
ISSN :
2288-6575
Volume :
86
Issue :
4
Database :
MEDLINE
Journal :
Annals of surgical treatment and research
Publication Type :
Academic Journal
Accession number :
24783180
Full Text :
https://doi.org/10.4174/astr.2014.86.4.206