Influence of preoperative nutritional state on inflammatory response after surgery

Nakamura, Kazuo; Moriyama, Yukinori; Kariyazono, Hiroko; Hamada, Nobuo; Toyohira, H; Taira, Akira; Yamada, Katsushi

doi:10.1016/s0899-9007(99)00176-8

Cited by 47 publications

(30 citation statements)

References 8 publications

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“…We found no significant differences in the CRP level immediately after SpDP with PSAV and DPS, suggesting that the surgical stress of the two procedures was almost the same [23,30]. Therefore, the present study is also significant in clarifying the hematological changes in the early phase after splenectomy.…”

Section: Discussionmentioning

confidence: 66%

Postoperative Hematological Changes after Spleen-Preserving Distal Pancreatectomy with Preservation of the Splenic Artery and Vein

Tezuka

Kimura²,

Hirai³

et al. 2012

Dig Surg

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Background: The aim of this study was to determine the early postoperative hematological changes after spleen-preserving distal pancreatectomy (SpDP) with preservation of the splenic artery and vein (PSAV). Methods: We reviewed 53 patients who underwent SpDP with PSAV (n = 21) or distal pancreatectomy with splenectomy (DPS; n = 32) for benign or low-grade malignant lesions between July 1998 and June 2010. Red and white blood cell (WBC) count, platelet count, serum hemoglobin, hematocrit, C-reactive protein, albumin level, and clinical factors were compared between the SpDP with PSAV and DPS. Results: There were no significant differences in the patient characteristics between the two groups. Platelet count on postoperative day (POD) 5 and WBC count on POD 3 were significantly higher in the DPS group, and these differences continued to be significant until the 3rd month after surgery. Serum hemoglobin and hematocrit in the 1st month after surgery were also significantly higher in the SpDP with PSAV group. Conclusion: The hematological benefits of SpDP with PSAV include reduction of postoperative hematological abnormalities in the early postoperative phase and recovery of the serum hemoglobin and hematocrit levels in the early postoperative phase.

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Section: Discussionmentioning

confidence: 66%

Postoperative Hematological Changes after Spleen-Preserving Distal Pancreatectomy with Preservation of the Splenic Artery and Vein

Tezuka

Kimura²,

Hirai³

et al. 2012

Dig Surg

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“…Furthermore, it could be recalled that the risk of subsequent complications was higher in malnourished patients (Chima et al, 1997;Gibbs et al, 1999;Nakamura et al, 1999). The frequency of any degree of malnutrition varied from 63.3%, as assessed by the SGA, to 90% with the NRI.…”

Section: Discussionmentioning

confidence: 99%

Assessment of nutritional status on hospital admission: nutritional scores

2003

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Malnutrition is still a largely unrecognized problem in hospitals. Malnutrition in hospitalized patients is generally related to increasing morbidity and mortality, and costs and length of stay. The aim of this study was to assess the nutritional status of patients on admission to a general hospital using different nutritional scores and to test the sensitivity and specificity of these scores. Sample population included 60 patients (55% male; 45% female) selected (aged 65.6715.9 y) at random by using a computer software program. The nutritional state assessment was performed within 48 h of admission, using different nutritional indices (Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), Gassull classification, Instant Nutritional Assessment (INA) and a combined index). About 78.3% of patients were found to be malnourished on admission. The frequency of malnutrition degree varied from 63.3% as assessed by the SGA to 90% with the NRI. Malnutrition severity was not related to the diagnosis. However, an elderly population was associated with a higher prevalence of malnutrition. INA was the best single score to identify patients who are malnourished or at risk of malnutrition and who may benefit from nutrition support.

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“…Protein-energy wasting (PEW) is associated with adverse outcomes in various populations, including those with chronic obstructive pulmonary disease [1] and old age [2], or who have undergone surgery [3]. PEW is also frequently seen in chronic kidney disease (CKD) patients [4][5][6], those receiving maintenance dialysis [7,8], and kidney transplant recipients [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the malnutrition–inflammation score in chronic kidney disease patients and kidney transplant recipients

et al. 2015

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Influence of preoperative nutritional state on inflammatory response after surgery

Cited by 47 publications

References 8 publications

Postoperative Hematological Changes after Spleen-Preserving Distal Pancreatectomy with Preservation of the Splenic Artery and Vein

Postoperative Hematological Changes after Spleen-Preserving Distal Pancreatectomy with Preservation of the Splenic Artery and Vein

Assessment of nutritional status on hospital admission: nutritional scores

Comparison of the malnutrition–inflammation score in chronic kidney disease patients and kidney transplant recipients

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