Preoperative nutritional counselling in patients undergoing oesophagectomy.
- Resource Type
- Academic Journal
- Authors
- AlleaBelle Gongola M; College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Reif RJ; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Cosgrove PC; Department of Surgery, Division of Thoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Sexton KW; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Department of Health Policy and Management, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Department of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.; Marino KA; Department of Surgery, Division of Thoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Steliga MA; Department of Surgery, Division of Thoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.; Muesse JL; Department of Surgery, Division of Thoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
- Source
- Publisher: Sage in association with the Association for Perioperative Practice Country of Publication: England NLM ID: 101271023 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2515-7949 (Electronic) Linking ISSN: 17504589 NLM ISO Abbreviation: J Perioper Pract
- Subject
- Language
- English
Background: Patients undergoing surgery for oesophageal cancer are at high risk of malnutrition due to pathology and neoadjuvent therapy. This study sought to determine if oesophageal cancer patients undergoing oesophagectomy achieve superior clinical outcomes when preoperative nutritional counselling is performed.
Methods: Oesophageal cancer patients undergoing oesophagectomy were retrospectively divided into cohorts based on those who received ( n = 48) and did not receive ( n = 58) preoperative nutritional counselling. We compared weight loss, length of stay, 30-day readmission related to nutrition or feeding tube problems, and 90-day mortality.
Results: Per cent weight loss was less in patients who received preoperative nutritional counselling. There was a trend toward decreased mean length of stay and there were fewer readmissions for feeding tube-related complications in patients who received counselling.
Conclusions: Nutritional counselling before surgery may lead to decreased weight loss and reduced readmissions for feeding tube-related complications in patients with oesophageal cancer undergoing oesophagectomy.