A Study on the Dietary Intake and the Nutritional Status among the Pancreatic Cancer Surgical Patients.
The adequate dietary intake is important to maintain the nutritional status of the patients after pancreatic cancer surgery. This prospective study was designed to investigate the dietary intake and the nutritional status of the patients who had pancreatic cancer surgery. Thirty-one patients (15 men, 16 women) were enrolled and measured body weight, body mass index (BMI), nutritional risk index (NRI), and Malnutrition Universal Screening Tool (MUST). Actual oral intake with nutritional impact symptoms recorded on the clinical research foam at every meal and medical information were collected from electronic medical charts. The rates of malnutrition at admission were 45.1% (14/31) and 28.9% (9/31) by NRI and MUST method, respectively, but those were increased to 87% (27/31) and 86.6% (26/31) after operation on discharge. The median values of daily intake of energy, carbohydrates, fat, and protein were 588.1 kcal, 96.0 g, 11.8 g, and 27.0 g, respectively. Most patients (n = 20, 64.5%) experienced two or more symptoms such as anorexia, abdominal bloating and early satiety. There were negative correlations between C-reactive protein (CRP) levels and the intake of total energy, protein, fat, and zinc. The rates of malnutrition were increased sharply after surgery and the dietary intake also influenced the inflammatory indicators. The results suggested that need of considering special therapeutic diets for the patients who received pancreatic surgery.
Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 03760, Korea .
Jimin
0000-0002-8045-0436
J
Kang
Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea .
Joon Seong
JS
Park
Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea .
Dong Sup
DS
Yoon
Department of Nutrition Services, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea .
Woo Jeong
WJ
Kim
Department of Food and Nutrition, Soongeui Women's College, Seoul 04628, Korea .
Hae-Yun
HY
Chung
Department of Nutrition Care, Severance Hospital, Seoul 03722, Korea .
Song Mi
0000-0001-7313-0242
SM
Lee
Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 03760, Korea .
Namsoo
N
Chang
Dietary intake; Nutrition; Pancreatic cancer surgery