The impact of the nutritional state of patients on the results of the surgical treatment of Crohn's disease.
Crohn's disease (CD) patients are qualified for surgery in the acute phase of the disease or after ineffective medical therapy. The course of the disease and the medical treatment received to that point weaken the general state of patients, with that they also cause undernutrition.


OBJECTIVE
The assessment of the nutritional state of 168 CD patients, admitted for surgery and the evaluation of the influence of this state on the postoperative course.


METHODS
We referred the results of the nutritional state assessment to the time of the postoperative hospitalization of patients.


RESULTS
Applying the Kruskal-Wallis test we found statistically significant, but weakly expressed, differences between the values of nutritional state parameters and period of hospitalization of patients. The applied U Mann-Whitney test, with statistically significant results with p <0.05, showed that no one parameter of the nutritional state of patients expressed a statistically significant difference between dead and recovered groups.


CONCLUSIONS
We propose the body mass loss in the 6 months period before admission, TLC and serum albumin level as parameters which well detect undernutrition in CD patients presenting for surgery.
Urszula
U
Skowrońska-Piekarska
Konrad
K
Matysiak
Anna
A
Sowińska
D000328:Adult; D003093:Colitis, Ulcerative / Q000453:epidemiology* / Q000523:psychology / Q000601:surgery; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000453:epidemiology* / Q000523:psychology; D009752:Nutritional Status; D011044:Poland; D011379:Prognosis; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult