Desnutrição protético-energético no paciente gastrectomizado / Protein-energy malnutrition in the gastrectomized patient
Arq. gastroenterol
;
39(1): 3-10, jan.-mar. 2002. ilus, graf
Article
in Portuguese
| LILACS
| ID: lil-316272
ABSTRACT
Gastrectomy leads to nutritional consequences that although expected, are not usually measured due to methodological limitations. AIM:
To assess the protein-energy deficiency degrees estimated by isolated or combined indicators. PATIENTS ANDMETHODS:
There were studied 71 patients, who had undergone partial (n = 53) or total (n = 18) gastrectomy in the last 6-24 months (M1) or 24-60 months (M2). The dietary intake, body composition and biochemical data were estimated and compared between groups and moments.RESULTS:
The surgeries were undertaken after complications of peptic ulcer (68%) or due to gastric cancers (32%). Weight loss was referred by 70% of patients and higher (16 +/- 5 x 10 +/- 6 kg) in total gastrectomy group. The patients showed anthropometric deficits along with normal albumin and low energy intake, suggesting chronic-energy deficiency. Hematocrit, hemoglobin and iron showed the most prominent reductions. Anemia was installed earlier and worsened in the total gastrectomy group. Thus, when combining hemoglobin + albumin, + total lymphocyte count + arm circumference and subscapular skinfold, the protein-energy deficiency prevalence was higher and more severe than when hemoglobin was omitted. The protein-energy deficiency occurred earlier and it was more severe in total gastrectomy patients, while in partial gastrectomy the protein-energy deficiency increased in the late post-operative period.CONCLUSION:
The protein-energy deficiency resulted from gastrectomy is more marasmus-like coarsing with anemia, both installed earlier and severer in total gastrectomy than partial gastrectomy but ending up similarly at the late postoperatory
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Peptic Ulcer
/
Protein-Energy Malnutrition
/
Gastrectomy
Type of study:
Prevalence study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Arq. gastroenterol
Journal subject:
Gastroenterology
Year:
2002
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Londrina/BR
/
Universidade Estadual de São Paulo/BR
/
Universidade de São Paulo/BR
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