No abstract

Objectives To identify the nutritional profile of adult and elderly patients with colorectal cancer admitted to a Proctology ward for large elective surgeries. Methods A cross-sectional and retrospective study was performed with 31 patients of both genders, aged 39 to 77 years with colorectal cancer. The nutritional screening parameters used were the percentage of weight loss and Nutrition Risck Screening (NRS 2002). The data (percentage of weight loss and NRS 2002) were collected through a nutritional assessment form completed in the care routine, applied within 72 hours after the patient's hospitalization. Results The study included 13 adults (41.9%) and 18 elderly (58.1%). The evaluation of the percentage of weight loss showed that 7 patients (22.5%) had weight loss greater than 15% in a period of less than or equal to 6 months. In the nutritional risk assessment based on the NRS 2002, we observed that 9 patients (29%) scored 2, while 22 patients (71%) achieved a score equal to or greater than 3. Conclusions The nutritional profile of the evaluated patients showed a considerable prevalence of malnutrition, considering a weight loss of more than 15% in a period of 6 months, which is associated to a decrease in survival in patients with cancer, and is a very relevant data to help in the classification of nutritional status. The classification by the NRS 2002, showed a high prevalence of patients at nutritional or malnourished risk. Variation in the classification of nutritional status using several parameters reinforces the need for them to be used in a complementary way. Funding Sources Hospital Federal dos Servidores do Estado, Ministerio da Saude.

Objectives To evaluate the adherence to nutritional monitoring and the evolution of the nutritional parameters of patients submitted to bariatric surgery, in consultations with the nutritionist of the multidisciplinary team of a Federal Public Hospital of Rio de Janeiro. Methods Retrospective study was performed in a cohort of patients submitted to gastric bypass surgery at y-roux from 2013 to 2018. The frequency of consultations and the parameters of the evolution of nutritional status (BMI, % loss total protein, albumin, vitamin 25 OH-D and vitamin B12) in the 1st year of the postoperative period, in the 1˚, 3˚, 6˚ and 12˚ months, totaling 4 consultations in this period. Descriptive statistics were calculated. Results A total of 64 patients with a mean age of 43.6 ± 9.72 years were followed, with 92% (n = 59) females and 8% (n = 5) males. The BMI avarange was 47.86 ± 7.13 kg/m2. Patients' attendance at the 1-year postoperative visits was 95.5% in the first month, 86.4% in the third month, 72.7% in the sixth month, and 57.5% in the twelfth month. Each patient presented an average of 2.9 ± 0.4 visits, corresponding to 72.5% of the total proposed for this nutritional monitoring in the multidisciplinary team. When evaluated individually, a frequency of less than 75% of the scheduled appointments was observed. In relation to the nutritional status parameters: BMI and% of weight loss, it was observed in the 1st month (41.5 ± 5.7 kg/m2 and 10.8% ± 9) and 12˚ months (30, 3 ± 5.4 kg/m2 and 0.3% ± 1.4), respectively. The biochemical parameters, the mean serum levels of total proteins, albumin, ferritin and vitamin B12 were: 1˚ (7.13 g/dl ± 0.92, 4 g/dl ± 0.40, 34.9 ng/ml ± 13, 5; 552.6pg/ml ± 268.0) and 12˚ (7.07 g/dl ± 0.73, 4.0 g/dl ± 0.29, 31.3 ng/ml ± 11.4, 309pg/ml ± 169.6). Conclusions Adherence to treatment and monitoring of the patient's nutritional evolution postoperatively is necessary to reduce possible complications, such as nutrient deficiency or body weight regain. Funding Sources No funding sources.