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NUTRITIONAL STATUS OF PATIENTS WITH PANCREATIC HEAD CANCER UNDERGOING PANCREATICODUODENECTOMY AT VIET DUC UNIVERSITY HOSPITAL IN 2025
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Abstract
Objective: To assess preoperative nutritional status and its association with postoperative complications and length of hospital stay in patients with pancreatic head cancer undergoing pancreaticoduodenectomy. Methods: A cross-sectional descriptive study was conducted on patients aged ≥18 years who underwent surgery at Viet Duc University Hospital (May–August 2025). Nutritional status was evaluated using BMI, PG-SGA, and NRS-2002, combined with albumin and prealbumin levels; complications were recorded according to the Dindo classification and hospital stay duration.Results: Nearly 50% of patients had a BMI <18.5; over 70% were classified as PG-SGA B/C. More than two-thirds experienced preoperative weight loss and presented symptoms such as anorexia, fatigue, and dry mouth. Prealbumin <15 mg/dL was significantly associated with malnutrition (p=0.021). Common complications included pancreatic fistula (58.3%), delayed gastric emptying (36%), and pneumonia (12%) High-risk patients often stayed >21 days, OR=0.15 compared to the mild-risk group (p=0.018).. Conclusion: Preoperative malnutrition is highly prevalent and impacts hospital stay, highlighting the need for early nutritional screening and intervention.
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Keywords
preoperative nutritional status, pancreatic head cancer, pancreaticoduodenectomy
References
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