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World Journal of Surgery
Erschienen in: World Journal of Surgery 8/2016

24.05.2016 | Original Scientific Report

Preoperative Nutritional Assessment by Controlling Nutritional Status (CONUT) is Useful to estimate Postoperative Morbidity After Esophagectomy for Esophageal Cancer

verfasst von: Naoya Yoshida, Yoshifumi Baba, Hironobu Shigaki, Kazuto Harada, Masaaki Iwatsuki, Junji Kurashige, Yasuo Sakamoto, Yuji Miyamoto, Takatsugu Ishimoto, Keisuke Kosumi, Ryuma Tokunaga, Yu Imamura, Satoshi Ida, Yukiharu Hiyoshi, Masayuki Watanabe, Hideo Baba

Erschienen in: World Journal of Surgery | Ausgabe 8/2016

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Abstract

Background

A nutritional indicator suitable for predicting complications after esophagectomy has not been confirmed. The nutritional screening tool CONUT is a potential candidate.

Methods

We retrospectively analyzed 352 patients who underwent elective esophagectomy with lymphadenectomy for esophageal cancer between April 2005 and December 2014. Patients were divided into three groups according to the malnutrition degree in controlling nutritional status (CONUT): normal, light malnutrition, moderate or severe malnutrition.

Results

The numbers of patients assigned to the normal, light malnutrition, and moderate or severe malnutrition groups were 205, 126, and 21, respectively. One hundred forty-seven (41.8 %) patients were considered malnourished. Patients with moderate or severe malnutrition had a significantly high incidence of any morbidity, severe morbidities, and surgical site infection. Hospital stay in patients with moderate or severe malnutrition was significantly longer. Logistic regression analysis suggested that moderate or severe malnutrition was an independent risk factor for any morbidity [hazard ratio (HR) 2.75, 95 % confidence interval (CI) 1.081–7.020; p = 0.034] and severe morbidities (HR 3.07, 95 % CI 1.002–9.432; p = 0.049).

Conclusions

CONUT was a convenient and useful tool to assess nutritional status before esophagectomy. Patients with moderate or severe malnutrition according to CONUT are at high risk for postoperative complications.
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Metadaten
Titel
Preoperative Nutritional Assessment by Controlling Nutritional Status (CONUT) is Useful to estimate Postoperative Morbidity After Esophagectomy for Esophageal Cancer
verfasst von
Naoya Yoshida
Yoshifumi Baba
Hironobu Shigaki
Kazuto Harada
Masaaki Iwatsuki
Junji Kurashige
Yasuo Sakamoto
Yuji Miyamoto
Takatsugu Ishimoto
Keisuke Kosumi
Ryuma Tokunaga
Yu Imamura
Satoshi Ida
Yukiharu Hiyoshi
Masayuki Watanabe
Hideo Baba
Publikationsdatum
24.05.2016
Verlag
Springer International Publishing
Erschienen in
World Journal of Surgery / Ausgabe 8/2016
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-016-3549-3

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