ESPEN 2022 Late Breaking Abstracts
Topic: Nutrition and cancer
Abstract Submission Identifier: ESPEN22-LB-2188
NUTRITIONAL AND FUNCTIONAL ASSESSMENT OF PATIENTS UNDERGOING SURGERY DUE TO GASTROINTESTINAL CANCER: PRELIMINARY OUTCOMES OF A PROSPECTIVE COHORT STUDY.
M. Frountzas*, 1, D. Schizas 2, I. Lidoriki 3, O. Toutouza 4, E. Karanikki 5, E. Katsarlinou 5, K. G. Toutouzas 6
1First Propaedeutic Department of Surgery, Hippocration General Hospital, 2First Department of Surgery, Laikon General Hospital, National and Kapodistrian University of Athens, 3Department of Nutrition and Dietetics, Harokopio University, Athens, Greece, 4School of Medicine, Imperial College, London, United Kingdom, 5Department of Clinical Nutrition, 6First Propaedeutic Department of Surgery, Hippocration General Hospital, Hippocration General Hospital, Athens, Greece
Rationale: Several patients that suffer from gastrointestinal (GI) cancer are characterized by malnutrition and impairment of their functional status (1). The aim of the present study was to evaluate the nutritional condition of patients undergoing surgery due to GI cancer and compare it with their functional status.
Methods: All consecutive patients with esophageal, gastric, colorectal, hepatocellular, pancreatic and biliary cancer, that underwent a surgical operation from March until May 2022 at the 1st Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Hippocration General Hospital, were included. Demographic characteristics, nutritional assessment and anthropometric measurements of the patients were recorded (2).
Results: Our study included 41 patients and their age was 69 ± 13 years. Twenty-three patients (56%) were male and eighteen patients (44%) were female. Fourteen patients (34%) received neo-adjuvant therapy prior to surgical operation. Fourteen patients (34%) were categorized as Stage A according to Patient Generated-Subjective Global Assessment (PG-SGA) tool, 9 patients (22%) as Stage B and 18 patients (44%) as Stage C. Seventeen patients (42%) were overweight and 14 patients (34%) were obese after their Body Mass Index (BMI) calculation. In addition, 40 patients (98%) were at a major risk of complication according to Geriatric Nutritional Risk Index (GNRI) calculation. Finally, 11 patients (27%) presented sarcopenia and 9 patients (22%) sarcopenic obesity.
Conclusion: Although the majority of patients (76%) presented overweight or obese after their BMI calculation, a great portion of patients (66%) were moderately or severely malnourished according to PG-SGA tool (3). This contrast was, also, highlighted by the remarkable incidence of sarcopenic obesity (22%).
References: 1.Pirlich M, Schütz T, Norman K, Gastell S, Lübke HJ, Bischoff SC, et al. The German hospital malnutrition study. Clinical nutrition. 2006;25(4):563-72.
2.Pathirana AK, Lokunarangoda N, Ranathunga I, Santharaj WS, Ekanayake R, Jayawardena R. Prevalence of hospital malnutrition among cardiac patients: results from six nutrition screening tools. Springerplus. 2014;3(1):1-7.
3.Cruz-Jentoft AJ, Sayer AA. Sarcopenia. The Lancet. 2019;393(10191):2636-46.
Disclosure of Interest: None Declared
Keywords: cancer, functional, gastrointestinal, nutritional, surgery