Preoperative albumin level and surgical prognostic risk for digestive tract diseases / 肠外与肠内营养

ABSTRACT

Objectives:To evaluate the correlation of preoperative albumin level(PAL) and surgical prognostic risk for digestive tract diseases. Methods:This is a retrospective study of 1009 surgical patients who were undergoing elective esophageal,gastric,pancreaticoduodenal,or colon surgery between January 1998 and December 2003.Patients were subdivided into 7 groups based on the first PAL by different 5 g/L in hospital,whose incidence of complications,mortality,postoperative stay,intensive care unit(ICU) stay,and resumption of oral intake were statistically analyzed. Results:Incidence of complications and mortality increased significantly as PAL decreased(P35 g/L.Patients with PAL≤35 g/L undergoing esophageal or pancreatic procedures sustained a significantly higher complication rate and mortality than those of colonic or gastric surgery.The delay of postoperative stay,ICU stay,and resumption of oral intake were related to these complication rates.Esophageal and pancreatic procedures had the longest stay days and colon procedures had the shortest in patients with PAL≤35 g/L. Conclusions:Esophageal or pancreatic procedures performed in patients with PAL≤35 g/L who could have had surgery result in higher risk than colon or gastric surgery.PAL and surgical site identify surgical risk for digestive tract diseases.