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A NUMBER OF FACTORS ASSOCIATED WITH NUTRITIONAL CONDITION AFTER SURGERY IN STOMACH CANCER PATIENTS AT NGHE AN ONCOLOGY HOSPITAL IN 2022
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Abstract
Background: Stomach cancer (SC) is one of the common cancers all over the word. According to Globocan 2020, SC incidence ranked fiftth (5,6% equal to 1.089.103 cases). Gastrointestinal cancer has been proved to have a higher malnutrition rate (20% – 85%) compared to other types of cancer, in which 19% - 94% of stomach cancer patients were diagnosed with malnutrition. Malnutrition before and after operation can impact decisions on treatment and patients immune system, increase the rate of post-operative complications such as surgical wound infection (5% - 52%), reduce response, increase the treatment costs (to more than 25%), prolong the hospitalization (8 - 60 days), raise the death rate. All of those effects would thus deteriorate patients quality of life, response and prognosis. Objective: Identify the malnutrition rate and analysis of some factors related to nutritional after after surgery in stomach cancer patients at Nghe An Oncology Hospital in 2022. Materials and Methods: Descriptive cross-sectional study with analysis was conducted on 120 stomach cancer patients at Nghe An Oncology Hospital from January 2022 to May 2022. The information was collected by a set of questionnaire which were used during direct interviews, carrying out medical examination and analyzing medical records. Results: The malnutrition rate after operation by PG-SGA was 53.3%, in which the rate of severe malnutrition accounted for 21.6% and the conditions measured according to BMI and Albumin were 52.2% and 38.3% respectively. There was a relationship between the nutritional status of patients after surgery with indications for surgery, postoperative fever, weight loss within 1 month and reduction of subcutaneous fat, muscle atrophy, edema (p < 0.05). Conclusions: The general assessment for SC cancer after operation must be conducted to timely and rationally solve any problems and increase the effectiveness in treatment.
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Keywords
malnutrition, stomach cancer, PG-SGA, surgery.
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