Ann Surg Treat Res.  2014 Apr;86(4):206-211. 10.4174/astr.2014.86.4.206.

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

• Kwag SJ
• Kim JG
• Kang WK
• Lee JK
• Oh ST

• KMID: 2167127
• DOI: http://doi.org/10.4174/astr.2014.86.4.206

Abstract

PURPOSE
The authors evaluate the prevalence of malnutrition and its effect on the postoperative morbidity of patients after surgery for colorectal cancer.
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.
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).
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.

Keyword

Colorectal neoplasms; Complication; Malnutrition; Morbidity

MeSH Terms

Anastomotic Leak
Colorectal Neoplasms*
Humans
Malnutrition
Mass Screening
Postoperative Complications
Prevalence
Wound Infection

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