2019
DOI: 10.5009/gnl18469
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Effects of Preoperative Malnutrition on Postoperative Surgical Outcomes and Quality of Life of Elderly Patients with Periampullary Neoplasms: A Single-Center Prospective Cohort Study

Abstract: Background/AimsWe investigated the effect of preoperative malnutrition on postoperative surgical outcomes in elderly patients undergoing pancreatoduodenectomy for periampullary neoplasms.MethodsThis prospective cohort study enrolled 154 patients aged ≥65 years with periampullary neoplasms. Using the Mini Nutritional Assessment tool, patients were categorized into three groups according to their preoperative nutritional status: well-nourished (13.0%), at-risk-of-malnutrition (59.7%), and malnourished (27.3%).Re… Show more

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Cited by 26 publications
(26 citation statements)
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“…Pre-operative malnutrition is associated with significantly poorer post-operative outcomes for pancreatic resection, addressing this extends beyond just the prescribing of PERT [ 74 , 75 ]. The international Study Group on Pancreatic Surgery (ISGPS) released a position paper on nutritional support and therapy in pancreatic surgery, this emphasizes the importance of pre-operative assessment of nutritional status and recommends nutritional supplements in those who have, or are at risk of developing, moderate malnutrition [ 76 ].…”
Section: Pre-operative Pathwaysmentioning
confidence: 99%
“…Pre-operative malnutrition is associated with significantly poorer post-operative outcomes for pancreatic resection, addressing this extends beyond just the prescribing of PERT [ 74 , 75 ]. The international Study Group on Pancreatic Surgery (ISGPS) released a position paper on nutritional support and therapy in pancreatic surgery, this emphasizes the importance of pre-operative assessment of nutritional status and recommends nutritional supplements in those who have, or are at risk of developing, moderate malnutrition [ 76 ].…”
Section: Pre-operative Pathwaysmentioning
confidence: 99%
“…Elderly patients (aged 65-90 years) were included if they were scheduled to undergo noncardiac surgery with an expected duration ≥ 2 h under general anesthesia. Patients who met any of the following criteria were excluded: (1) refused to participate in the study; (2) previous history of schizophrenia, epilepsy, Parkinson's Disease, or myasthenia gravis; (3) unable to communicate due to severe dementia, comatose or language barrier; (4) traumatic brain injury or neurosurgery; (5) an American Society of Anesthesiologists (ASA) classi cation of IV or above; or (6) Emergency surgery.…”
Section: Participantsmentioning
confidence: 99%
“…(3,4) Its incidence reaches up to 60%-86% in the elderly. (4,5) Malnutrition is associated with increased risk of morbidity (i.e., gastrointestinal stula, wound dehiscence, and infection) and mortality. (1)(2)(3)(4)(5) Delirium is one of the most common complications in elderly surgical patients.…”
Section: Introductionmentioning
confidence: 99%
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“…It is estimated that 24-51 % of surgical patients are at risk of malnutrition [3,4]. Its incidence reaches up to 60-86 % in the older patients [4,5]. Malnutrition is associated with increased risk of morbidity (i.e., gastrointestinal fistula, wound dehiscence, and infection) and mortality [1][2][3][4][5].…”
Section: Introductionmentioning
confidence: 99%