title: Long term nutritional status and quality of life following major upper gastrointestinal surgery - a cross-sectional study.
abstract: OBJECTIVE
  Major upper gastrointestinal surgery results in permanent alterations to the gastrointestinal tract, and previously been shown to impair nutritional status. The aim of this study was to assess long term nutritional status and quality of life in people having had major upper gastrointestinal surgery, and the relationship between the two measures.
  
  
  METHODS
  People having had major upper gastrointestinal surgery greater than 6 months ago were recruited. Nutrition assessment included weight, anthropometry, Subjective Global Assessment, dietary intake and assessment of gastrointestinal symptoms; quality of life was assessed using the EORTC QLQ-C30 questionnaire. Associations between nutritional status, type of surgery and quality of life were analysed.
  
  
  RESULTS
  Thirty people were recruited with fourteen people showing a degree of malnutrition according to subjective global assessment. Total gastrectomy and oesophagectomy surgery resulted in significantly higher percent weight loss than those having undergone pancreaticoduodenectomy (p = 0.01). Subjective global assessment correlated with quality of life (p = 0.003). Subjective global assessment and gastrointestinal symptoms were both significant variables in explaining quality of life (p < 0.001).
  
  
  CONCLUSIONS
  Nutritional status in this group was significantly compromised, and impacted on quality of life. Individualised nutrition intervention to address malnutrition and gastrointestinal symptoms should be integrated into post surgery management.
authors: Department of Nutrition & Dietetics, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050 Sydney, Australia. slamb8@bigpond.com
authors: Sharon
authors: S
authors: Carey
authors: David
authors: D
authors: Storey
authors: Andrew V
authors: AV
authors: Biankin
authors: David
authors: D
authors: Martin
authors: Jane
authors: J
authors: Young
authors: Margaret
authors: M
authors: Allman-Farinelli
mesh_terms: D000368:Aged; D000886:Anthropometry; D001835:Body Weight / Q000502:physiology; D003430:Cross-Sectional Studies; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000209:etiology* / Q000503:physiopathology*; D008875:Middle Aged; D009517:New South Wales; D009752:Nutritional Status / Q000502:physiology*; D011788:Quality of Life; D011795:Surveys and Questionnaires; D041742:Upper Gastrointestinal Tract / Q000601:surgery*