ASSESSMENT OF PERIOPERATIVE NUTRITIONAL STATUS IN COLORECTAL CANCER PATIENTS

Le Gia Kiet Nguyen1, , Van Nang Pham1, Van Tuan Nguyen1, Van Doi Mai1, Van Hien Nguyen1, Hoang Huan Lam1, Thi Anh Trinh Vo1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Colorectal cancer significantly impacts patients’ physical health, mental health, and social life. Malnutrition is a common condition that affects immune function and increases mortality risk. Malnutrition worsens prognosis by reducing tolerance to stress surgery, leading to prolonged hospital stays, decreased quality of life, and increased medical costs. Objectives: 1. To assess perioperative nutritional status in colorectal cancer patients; 2. To Investigate the relationship between nutritional status and treatment outcomes in colorectal cancer patients. Materials and methods: A cross-sectional descriptive study was conducted on 208 patients with analysis performed at Can Tho University of Medicine and Pharmacy Hospital from 2023 to 2024. Results: Males predominated in this study, with 123 cases accounting for 59.13%, while females comprised 85 cases or 40.87%. Stage III cancer cases made up the majority at 60.58%. Cases of stage III and IV cancer had a higher risk of malnutrition compared to the remaining cases (p<0.001). Surgical site infections were the most common complication in 5.8% of cases. Anastomotic leakage was observed in 7 cases, accounting for 3.4%. There were 6 cases of respiratory failure due to pneumonia, comprising 2.9%. No deaths were recorded. All cases requiring reintervention or life-threatening complications were associated with moderate or severe malnutrition. Conclusions: Perioperative malnutrition can substantially impact their recovery and overall treatment outcomes. Further studies are needed to establish definitively the most effective screening tools. Still, addressing nutritional status before surgery cannot be overstated in pursuing favorable patient outcomes. 

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References

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