Reliability of nutritional assessment in patients with gastrointestinal tumors

ABSTRACT Patients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy. In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of d...

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Published in:Revista do Colégio Brasileiro de Cirurgiões 2016-06, Vol.43 (3), p.189-197
Main Authors: POZIOMYCK, ALINE KIRJNER, FRUCHTENICHT, ANA VALERIA GONÇALVES, KABKE, GEORGIA BRUM, VOLKWEIS, BERNARDO SILVEIRA, ANTONIAZZI, JORGE LUIZ, MOREIRA, LUIS FERNANDO
Format: Article
Language:eng ; por
Subjects:
Gastrointestinal Tract
Malnutrition
Morbidity
Nutrition Assessment
Prognosis
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Summary:ABSTRACT Patients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy. In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT. RESUMO Pacientes com neoplasia gastrointestinal e desnutridos são menos propensos a tolerar procedimentos cirúrgicos de grande porte, radioterapia ou quimioterapia. Em geral, apresentam maior incidência de complicações, como infecção, deiscência e sepse, o que aumenta o tempo de internação e o risco de morte, e reduz a qualidade de vida. O objetivo desta revisão é abordar os prós e contras de diferentes pontos de vista que avaliam risco nutricional em pacientes com tumores do Trato Gastrointestinal (TGI) e sua viabilidade, considerando o atual entendimento e abordagens de triagem neste campo. Melhor combinação de avaliações antropométricas, laboratoriais e subjetivas se faz necessária em pacientes com câncer do TGI, uma vez que a desnutrição nestes pacientes costuma ser muito mais grave do que naqueles indivíduos com tumores em outros sítios que não o TGI.
ISSN:0100-6991
1809-4546
0100-6991
DOI:10.1590/0100-69912016003006