title: A comparison of pre-operative nutritional status with post-operative morbidity and mortality in obese esophageal surgery patients.
abstract: OBJECTIVE
  The nutrition state of obese patients scheduled to undergo esophageal surgery was evaluated using two nutritional score systems: the mini nutritional assessment (MNA) and the prognostic and nutritional index (PINI). A further comparison of various proteins, lymphocytes and cholesterol was performed using biochemical tests. These factors were compared with post-operative morbidity and mortality in a prospective, descriptive clinical study.
  
  
  METHODS
  The study included 34 obese patients undergoing esophagus resection due to cancer, who were examined over four years using both scoring systems to analyze whether nutritional status influences the outcome of surgery. The patients were divided into four groups based on the severity of the outcome and their MNA and PINI scores were analyzed.
  
  
  RESULTS
  There were no significant differences between the nutritional status of survivors and deceased patients. The European Society for Parenteral and Enteral Nutrition (ESPEN) nutritional risk score was 1.35 ± 0.47 for Group I and 1.47 ± 0.58 for Group II (p = 0.62). With respect to severe morbidity there was no significant difference between Group III and Group IV: 2.01 ± 2.28 vs. 1.02 ± 3.67 (p = 0.54). Although there were minor differences, there were no major variations seen in the MNA or PINI scores comparing the four examined groups. No significant changes were observed in the biochemical parameters.
  
  
  CONCLUSIONS
  The study found no differences between post-operative morbidity or mortality and the pre-operative nutrition status of obese patients who underwent surgery due to esophageal cancer.
authors.affiliation: Department of Anaesthesiology and Intensive Therapy, University of Pécs, Hungary.
authors.forename: Subhamay
authors.initials: S
authors.lastname: Ghosh
authors.affiliation: Department of Anaesthesiology and Intensive Therapy, University of Pécs, Hungary.
authors.forename: Balázs
authors.initials: B
authors.lastname: Ittzés
authors.affiliation: Department of Anaesthesiology and Intensive Therapy, University of Pécs, Hungary.
authors.forename: Lajos
authors.initials: L
authors.lastname: Bogár
authors.affiliation: Department of Laboratory Medicine, University of Pécs, Hungary.
authors.forename: Tamás
authors.initials: T
authors.lastname: Kõszegi
authors.affiliation: Department of Surgery, University of Pécs, Hungary.
authors.forename: Péter Ors
authors.initials: PO
authors.lastname: Horváth
authors.affiliation: Department of Surgery, University of Pécs, Hungary.
authors.forename: Lászlo
authors.initials: L
authors.lastname: Cseke
authors.affiliation: Department of Surgery, University of Pécs, Hungary.
authors.forename: András
authors.initials: A
authors.lastname: Papp
authors.affiliation: Department of Anaesthesiology and Intensive Therapy, University of Pécs, Hungary.
authors.forename: Sándor
authors.initials: S
authors.lastname: Márton