Evaluation of Preoperative Nutritional Status in Gastric Cancer Patients

Research Article

Filip Bogdan*, Mihaela Buna

Abstract

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.

Relevant Publications in Journal of Surgery