Anthropometric nutritional assessment is of value in colorectal patients |
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Authors: | Mr M N de la Hunt FRCS P J McDonald FRCS S J Karran M Chir FRCS |
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Institution: | (1) University Surgical Unit, Southampton General Hospital, Tremona Road, S01 6HU Southampton |
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Abstract: | Eighty patients undergoing elective major colorectal surgery were nutritionally assessed using simple anthropometric methods
and serum albumin. Although most of the patients were not malnourished, these tests were able to detect a small group of high-risk
patients. Thirty major complications were recorded. The incidence of complications was 72 per cent in patients with low body
weight, 69 per cent with low forearm muscle circumference, 55 per cent with recent weight loss, and 57 per cent with serum
albumin below 35 g/l. Anthropometric tests were better in predicting postoperative complications than serum albumin. Of those
patients who developed complications, 60 per cent had low grip strength, 37 percent weight loss, 37 per cent high malnutrition
score, 33 per cent low body weight, and 27 per cent had lower serum album. Anthropometric tests were more sensitive and more
accurate than serum albumin. Anthropometry has the additional advantages of being simple, noninvasive, and independent of
laboratory facilities; it also provides instant bedside assessment. |
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Keywords: | Colon and rectal surgery Nutrition disorders |
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