Document Detail


Nutritional and anthropometric assessment of the scope for dietary optimization during staging prior to pancreaticoduodenectomy.
MedLine Citation:
PMID:  18648132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Although several studies have examined peri-operative nutritional supplementation in patients undergoing pancreaticoduodenectomy all provided support at various timepoints with a variety of protocols. OBJECTIVE: This study undertakes a detailed nutritional and anthropometric assessment of patients due to undergo pancreaticoduodenectomy with particular reference to pre-operative nutritional status and peri-operative outcome. PATIENTS: Twenty-six patients undergoing pancreaticoduodenectomy. SETTING: A regional hepatobiliary service. MAIN OUTCOME MEASURES: Nutritional, anthropometric and clinical course details. DESIGN: Data were collected prospectively. RESULTS: There was no significant change in any anthropometric index from baseline to immediately prior to surgery. However, there was a significant fall in BMI comparing baseline measurements to observations at time of discharge from hospital (P<0.001). There was, in addition, a significant difference between baseline and BMI at 3 months (P<0.001). Similar trends were observed in mid-arm circumference, triceps skin fold thickness and hand-grip. There was no in-hospital or 3-month post-operative mortality in this series. CONCLUSION: Nutritional and anthropometric indices remain stable from the time of index admission to operation. However, there is a drastic and sustained reduction in nutritional indices in the post-operative period with this deficiency being sustained at 3-months after operation.
Authors:
Kolitha S Goonetilleke; Harsha R Hathurusinghe; Sorrell Burden; Ajith K Siriwardena
Publication Detail:
Type:  Journal Article     Date:  2008-07-10
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  9     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2008  
Date Detail:
Created Date:  2008-07-23     Completed Date:  2008-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  415-21     Citation Subset:  IM    
Affiliation:
Hepatobiliary Surgical Unit, Manchester Royal Infirmary. Manchester, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anthropometry*
Body Mass Index
Cohort Studies
Female
Great Britain
Hand Strength
Humans
Male
Middle Aged
Nutrition Assessment*
Nutritional Support / methods*
Outcome Assessment (Health Care) / statistics & numerical data*
Pancreatic Neoplasms / surgery*
Pancreaticoduodenectomy*
Preoperative Care
Prospective Studies
Skinfold Thickness

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


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