Nutritional Assessment and Perioperative Nutritional Support in Gastric Cancer Patients

Kyung Won Seo; Ki Young Yoon

doi:10.4166/kjg.2013.61.4.186

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Seo and Yoon: Nutritional Assessment and Perioperative Nutritional Support in Gastric Cancer Patients

Review Article

Korean J Gastroenterol 2013;61(4):186-190.

Published online: 4 October 2013

DOI: https://doi.org/10.4166/kjg.2013.61.4.186

Nutritional Assessment and Perioperative Nutritional Support in Gastric Cancer Patients

Kyung Won Seo, Ki Young Yoon

Department of Surgery, Kosin University College of Medicine, Busan, Korea

Correspondence to: Ki Young Yoon, Department of Surgery, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 602-702, Korea. Tel: +82-51-990-6462, Fax: +82-51-246-6093, E-mail: yoonkiyoung@naver.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Weight loss and malnutrition are common in cancer patients. Although weight loss is predominantly due to loss of fat mass, the morbidity risk is given by the decrease in muscle mass. The assessment of nutritional status is essential for a diagnosis of nutritional compromise and required for the multidisciplinary approach. Subjective global assessment (SGA) is made by the patients nutritional symptoms and weight loss. The objective assessment, a significant weight loss (>10%) for 6 months is considered an indicator of nutritional deficiency. The mean body index, body fat mass and body protein mass are decreased as cancer stage increases. The biochemical data of albumin, cholesterol, triglyceride, Zn, transferrin, total lymphocyte count are decreased in advanced cancer stage. Daily energy intake, cabohyderate and Vit B1 intake is decreased according to cancer stage. The patients are divided into three groups according to SGA. The three groups showed a significant difference in body weight, 1 month weight loss%, 6 month weight loss%, body mass index, mid arm circumference, albumin, energy intake, as well as carbohyderate intake protein and energy malnutrition. Nutritional assessment is of great importance because undernutrition has been shown to be associated with increase in stomach cancer associated morbidity and mortality. The authors concluded that nutritional assessment should be done in cancer patients preoperatively, and with adequate nutritional support, the morbidity and mortality would be decreased.

Keywords: Nutritional assessment, Stomach neoplasms, Perioperative nutritional support

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