Document Detail


Correlation of nutritional parameters of gallbladder cancer patients.
MedLine Citation:
PMID:  16724358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: Gallbladder cancer (GBC) is a highly fatal disease with poor prognosis and 5-year survival <5%. Weight loss and nutritional deterioration are associated with adverse outcomes in terms of cancer prognosis. Protein-calorie malnutrition is the single most common secondary diagnosis in a patient with cancer, and is a direct consequence of the anorexia of malignancy and altered host metabolism induced by the tumor. The present study of nutritional assessment is of particular interest for it helps in better understanding the extent of malnutrition in patients of GBC. PATIENTS AND METHODS: A case-control study was designed comprising of 153 cases of GBC and 153 controls of gallstone disease (GSD). To assess the nutritional status of the GBC patients, anthropometric measurements such as height, weight, mid arm circumference, and skinfold thickness were recorded together with the biochemical parameters and their nutrient intake. RESULTS AND CONCLUSIONS: The present study showed that GBC influences the nutritional status of the patients. Forty-three percent of GBC patients were malnourished with low body mass index (BMI). A significant reduction in all the anthropometric measures was observed for GBC patients compared to those with GSD. GBC patients had significantly low hemoglobin and serum albumin levels compared to the control group. The hemoglobin levels in case and control groups were 10.87 g/dl (+/-1.81 SD) and 11.62 g/dl (+/-1.89 SD), respectively (P < 0.001). Intake of almost all the nutrients was far below the recommendations of Indian Council of Medical Research. GBC patients had anorexia and weight loss.
Authors:
Arundhati Rai; Mallika Tewari; S C Mohapatra; H S Shukla
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical oncology     Volume:  93     ISSN:  0022-4790     ISO Abbreviation:  J Surg Oncol     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-31     Completed Date:  2006-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0222643     Medline TA:  J Surg Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  705-8     Citation Subset:  IM    
Copyright Information:
Copyright 2006 Wiley-Liss, Inc.
Affiliation:
Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
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MeSH Terms
Descriptor/Qualifier:
Anorexia / metabolism
Anthropometry
Body Mass Index
Case-Control Studies
Gallbladder Neoplasms / complications,  metabolism*
Gallstones / complications,  metabolism
Hemoglobins / analysis
Humans
Nutrition Assessment*
Nutritional Status*
Prognosis
Protein-Energy Malnutrition / etiology*
Serum Albumin / analysis
Weight Loss
Chemical
Reg. No./Substance:
0/Hemoglobins; 0/Serum Albumin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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