[Determination of nutritional parameters affected in patients with gastric adenocarcinoma who are candidates for surgery according to tumor stage].
An attempt is made to determine the nutritional parameters which are affected in patients with a gastric adeno-carcinoma, who are candidates for surgery, and to relate these parameters to the surgical technique employed, and to the tumor stage. Later, they aim to determine the parameters which may be indicative of the surgical prognosis of these patients. To this end, between January 1992 and October 1994, 66 patients, distributed in two groups, were studied. Group A included the patients who had undergone a total gastrectomy or a partial gastrectomy, and group B included those individuals subjected to an exploratory laparotomy, gastro-intestinal derivation, and subtotal or palliative gastrectomy. When analyzing the results obtained in the two groups of patients, it is observed that all of them have one or more altered nutritional parameters, and that the means of these parameters are more altered in group B than in group A. However, only the percentage of weight loss and the serum albumin level present significant differences between the two groups. That is to say, we observe that patients with serum albumin levels lower than 35 g/l, and with a weight loss of > 6%, have a greater risk of being subjected to an exploratory laparotomy, a gastro-intestinal derivation, or a total or subtotal palliative gastrectomy, than do patients with serum albumin levels > 35 g/l and a weight loss of < or = 6%. We may conclude that the loss of weight and the serum albumin level may help to decide a more or less aggressive surgical approach, and to predict the possible resectability of the tumor.
Saló Solá
E
E
Servicio de Farmacia, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Cardona
D
D
Salvador
R
R
Marcuello
E
E
Bonal
J
J
D000230:Adenocarcinoma / Q000473:pathology* / Q000503:physiopathology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry; D001835:Body Weight; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009752:Nutritional Status; D011379:Prognosis; D012885:Skinfold Thickness; D013274:Stomach Neoplasms / Q000473:pathology* / Q000503:physiopathology
Determinación de los parámetros nutricionales que se ven afectados en pacientes con adenocarcinoma gástrico candidatos a cirugía según el estadio del tumor.