Nutritional Status and Feeding Regimen of Patients with Esophagus Cancer-A Study from Vietnam.

作者: Dung Dang Viet , Hang Dang Thi Thu , Binh Pham Van , Anh Nguyen Le Tuan , Hoa Nguyen Thi Thanh

DOI: 10.3390/HEALTHCARE9030289

关键词: Internal medicineBody mass indexFisher's exact testCancerDysphagiaGastroenterologyEsophagusMalnutritionEsophageal cancerMedicineWeight loss

摘要: Background: Esophagus cancer patients are at high risk of malnutrition. This study was performed to assess the nutritional status and dietary intake newly diagnosed esophageal in Vietnam National Cancer Hospital (NCH). Methods: A cross-sectional conducted on 206 early inpatients after gastrostomy from September 2017 June 2018. The chi-squared test, Fisher exact Mann–Whitney test were performed. software Institute Nutrition used evaluate patients. Results: All participants male with a mean age 57.1 ± 8.5 years. Overall, 87.4% had dysphagia. Furthermore, 82.5% 90.8% reported weight loss one six months pre-diagnosis, respectively. Moreover, 52.9% suffered mild/moderate malnutrition 29.6% severe according Patient-Generated Subjective Global Assessment (PG-SGA). body mass index (BMI) mid upper arm circumference (MUAC) measurement revealed 47.6% 50% undernourished patients, proportions having 10.7%, 55.8%, 27.2% albumin, prealbumin, total lymphocyte counts, means energy, protein, lipid, carbohydrate patients’ 24 h preoperative diets 973.6 443.0 kcal/day, 42.4 21.6 g/day, 31.0 15.5 130.0 64.5 g/day. animal plant lipid strongly correlated age, economic classification, PG-SGA (each p < 0.05). energy increased day by day, average 1343.9 521.3 kcal seventh day. Energy protein response rates highest 7 days post-operation 18.0% 19.4%. Conclusion: Malnutrition insufficient noteworthy is results this will help medical staff prevent improve inpatients. public awareness should be raised recognizing as an symptom utilization assessment tools for management.

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