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2013 | 85 | 7 | 361-370
Tytuł artykułu

The impact of the nutritional state of patients on the results of the surgical treatment of crohn’s disease

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Crohn’s disease (CD) patients are qualified for surgery in the acute phase of the disease or after ineffective medical therapy. The course of the disease and the medical treatment received to that point weaken the general state of patients, with that they also cause undernutrition. The aim of the study was the assessment of the nutritional state of 168 CD patients, admitted for surgery and the evaluation of the influence of this state on the postoperative course. Material and methods. We referred the results of the nutritional state assessment to the time of the postoperative hospitalization of patients. Results. Applying the Kruskal-Wallis test we found statistically significant, but weakly expressed, differences between the values of nutritional state parameters and period of hospitalization of patients. The applied U Mann-Whitney test, with statistically significant results with p <0.05, showed that no one parameter of the nutritional state of patients expressed a statistically significant difference between dead and recovered groups. Conclusions. We propose the body mass loss in the 6 months period before admission, TLC and serum albumin level as parameters which well detect undernutrition in CD patients presenting for surgery
Wydawca

Rocznik
Tom
85
Numer
7
Strony
361-370
Opis fizyczny
Daty
wydano
2013-07-01
online
2013-08-13
Twórcy
  • Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews, surszula@amp.edu.pl
  • 60-355 Poznań, ul. Przybyszewskiego 49
  • Department of General Surgery, Oncological Gastroenterology, and Plastic Surgery, Medical University in Poznań, Kierownik: prof. dr hab. M. Drews
  • Department of Informatics and Medical Sciences, Medical University in Poznań, Kierownik: prof. dr hab. J. A. Moczko
Bibliografia
  • 1. Hanauer SB: Inflammatory bowel diseases. (WebMD Scientific American ® Medicine) Gastroenterology: IV Inflammatory Bowel Diseases -1-19, June 2001 Update.
  • 2. Hanauer SB: Inflammatory bowel disease. NEngl J Med 1996; 334: 841-48.
  • 3. Duerksen DR , Nehra V, Bistrian BR, BlackburnGL: Appropriate nutritional support in acute and complicated Crohn’s disease. Nutrition 1998; 14(5): 462-65.[Crossref][PubMed]
  • 4. Skowrońska-Piekarska U, Matysiak K: The effectiveness of nutritional support in the perioperative treatment of stomach cancer patients. GastroentPol 2005; 12: 299-304.
  • 5. Gassull MA: Nutrition and inflammatory bowel disease: its relation to pathophysiology, outcome and therapy. Dig Dis 2003; 21: 220-27.[Crossref][PubMed]
  • 6. Goh J, O’Morain CA: Review article: nutrition and adult inflammatory bowel disease. AlimentPharmacol Ther 2003; 17: 307-20.
  • 7. Lochs H, Dervenis Ch: Malnutrition - the ignored risk factor. Dig Dis 2003; 21: 196-97.[Crossref]
  • 8. Gassull MA, Abad A, Cabre E et al.: Enteral nutrition in inflammatory bowel disease. Gut 1986; 27: 76-80.[Crossref]
  • 9. Powell-Tuck J, Hennessy EM: A comparison of mid upper arm circumference, body mass index and weight loss as indices of undernutrition in acutely hospitalized patients. Clinical Nutrition 2003; 22(3): 307-12.[Crossref]
  • 10. Mansfeld JC, Giaffer MH, Holdworth CD: Controlled trial of oligopeptide versus aminoacid diet in treatment of active Crohn’s disease. Gut 1995; 36: 60-66.[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0055
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