Changes in the pattern of visceral protein concentrations after internal biliary drainage in patients with obstructive jaundice.
OBJECTIVE
To evaluate the influence of internal drainage on status of nutritional markers in patients with obstructive jaundice. DESSING: Prospective longitudinal study.


METHODS
University hospital, Spain.


METHODS
39 patients with obstructive jaundice (18 benign and 21 malignant obstructions).


METHODS
Nutritional state was assessed before and 10 days after endoscopic drainage.


METHODS
One anthropometric (body weight <95% of ideal) and two biochemical (albumin <35 g/L and prealbumin < 170 mg/L) as an indication of protein calorie malnutrition. Retinol binding protein and transferrin concentrations, total lymphocyte count, and nutritional prognostic index (NPI) were also measured.


RESULTS
Thirty patients (77%) had protein calorie malnutrition. After internal drainage, 6 patients with benign obstruction and 11 with malignant tumours remained malnourished. No anthropometric variables or concentrations of proteins with long half-lives were affected by drainage. However, prealbumin (p < 0.01) and transferrin (p < 0.01) concentrations, and total lymphocyte count (p < 0.001) increased significantly in both groups. NPI also improved significantly after drainage from 43 (9) compared with 37 (5) in benign obstructions (p < 0.05) and 58.7 (14) compared with 52 (12) in malignant (p < 0.05), although in the latter group the mean nutritional risk index remained high.


CONCLUSIONS
Concentrations of some of the visceral proteins studied (prealbumin and transferrin) improved 10 days after internal biliary drainage for both benign and malignant obstruction. However, many patients with malignant tumours remained malnourished with a high nutritional risk index.
Padillo
F J
FJ
Department of Surgery, Hospital Reine Sofía, Córdoba, Spain.
Rodriguez
M
M
Gallardo
J M
JM
Andicoberry
B
B
Naranjo
A
A
Minõ
G
G
Sitges-Serra
A
A
Pera-Madrazo
C
C
D000368:Aged; D001835:Body Weight; D002779:Cholestasis / Q000209:etiology / Q000378:metabolism / Q000601:surgery*; D004322:Drainage / Q000379:methods; D004724:Endoscopy; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009752:Nutritional Status; D011228:Prealbumin / Q000032:analysis; D011446:Prospective Studies; D011502:Protein-Energy Malnutrition / Q000209:etiology / Q000378:metabolism*; D012709:Serum Albumin / Q000032:analysis
D011228:Prealbumin; D012709:Serum Albumin