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2013 | 85 | 8 | 424-432
Tytuł artykułu

The Impact of the Nutritional State of Patients on the Results of the Surgical Treatment of Ulcerative Colitis

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
A variety of mechanisms have been proposed to explain the malnutrition and body mass loss in UC patients. The aim of the study trial was a nutritional state assessment of 347 UC patients, admitted for surgical treatment, and the evaluation of the impact of this state on the postoperative course in this group of patients. Material and methods. We referred the results of nutritional state assessment to the length of time of postoperative hospitalization of patients. Results. Through application of 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 statistically significant differences between cured and dead subgroups in: 1) loss of body mass in 6 months before hospitalization (p = 0.000033), 2) hemoglobin level (p = 0.006676), 3) total lymphocyte count (TLC) (p = 0.025242), 4) total serum protein level (p = 0.003485), 5) serum albumin level (p =0.00165). Differences in BMI values were statistically negligible (p = 0.969397). Conclusions. The body mass loss in 6 months before admission, total lymphocyte count and serum albumin level are the reference parameters of the nutritional state of UC patients on admission to surgery
Wydawca

Rocznik
Tom
85
Numer
8
Strony
424-432
Opis fizyczny
Daty
wydano
2013-08-01
online
2013-09-05
Twórcy
  • Chair and Department of General, Gastroenterological Oncology and Plastic Surgery, K. Marcinkowski, University of Medical Sciences in Poznań, surszula@amp.edu.pl
  • Chair and Department of General, Gastroenterological Oncology and Plastic Surgery, K. Marcinkowski, University of Medical Sciences in Poznań
  • Chair and Department of Informatics and Statistics, K. Marcinkowski, University of Medical Sciences in Poznań
Bibliografia
  • 1. Hanauer SB: Inflammatory bowel disease. NEngl J Med 1996; 334: 841-48.
  • 2. Hanauer SB: Inflammatory bowel diseases. (WebMD Scientific American ® Medicine) Gastroenterology: IV Inflammatory Bowel Diseases -1-19, June 2001 Update.
  • 3. Kornbluth A, Sachar DB: Ulcerative colitis practice guidelines in adults (update): American College of Gastroenterology, Practice Parameters Committee. Am J Gastroenterol 2004; 99: 1371-85.[WoS]
  • 3. Shaw P: Nutrition for surgical patients: a brief overview. Nutrition 2000; 16: 311-12. [PubMed][Crossref]
  • 4. Studley HO : Percentage of weight loss: a basic indicator of surgical risk in patients with chronic peptic ulcer. JAMA 1936; 106: 458-62.[Crossref]
  • 5. Lewis JD, Fisher RL : Nutrition support in inflammatory bowel disease. Med Clin North Am 1994; 78: 1443-56.[PubMed]
  • 6. Goh J, Morain CAO: Review article; nutrition and adult inflammatory bowel disease. AlimentPharmacol Ther 2003; 17: 307-20.
  • 7. Skowrońska-Piekarska U, Matysiak K: The effectiveness of nutritional support in the perioperative treatment of stomach cancer patients. GastroentPol 2005; 12: 299-304
  • 8. Cabre E, Gassull MA: Nutrition in inflammatory bowel disease: impact on disease and therapy. CurrOpin Gastroenterol 2001; 17: 342-49.
  • 9. Dieleman LA, Heizer WD : Nutritional issues in inflammatory bowel disease. Gastroenterol ClinNorth Am 1998; 27: 435-51.[Crossref]
  • 10. Podolsky DK : Inflammatory bowel disease. NEngl J Med 1991; 325: 928-37.
  • 11. Koretz RL , Lipman TO , Klein S: AGA technical review on parenteral nutrition. Gastroenterology 2001; 121: 970-1001.
  • 12. Lochs H, Dervenis Ch: Malnutrition - the ignored risk factor. Dig Dis 2003; 21: 196-97. [Crossref][PubMed]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0065
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