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National Program of Malnutrition Assessment in Patients with Cancer of the Gastrointestinal and Respiratory Tract in Poland

100%

Talarek M., Szawłowski A.

Polish Journal of Surgery

2007

vol. 79

issue 3

190-195

The aim of the study was assessment of the prevalence of malnutrition in hospitalized patients with cancer of the gastrointestinal and respiratory tract.Material and methods. The study was conducted between February and April of 2005 in 37 centers. Assessment of nutritional status was made according to a Subjective Global Assessment (SGA) and a Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire.Results. Nutritional status was evaluated in 2553 patients with cancer of the gastrointestinal tract (64.9%), respiratory tract (29.8%) and other cancer (5.2%). Hypoalbuminemia was found in 37.3% of patients. In 22% of patients, the body mass index (BMI) was below normal. According to the SGA scale, nutritional status was A in 51.1% of patients, B in 39.3%, and C in 9.7%. Nutritional status in patients with cancer of the gastrointestinal tract was A in 48.0%, B in 40.8%, and C in 11.2%. Nutritional status in patients with cancer of the respiratory tract was A in 55.4%, B in 37.4%, and C in 7.2%. Malnutrition was not found in 64.2% of patients with large bowel cancer but, in contrast, was found in 70.7% of patients with cancer of the upper part of the gastrointestinal tract. There were differences depending on kind of hospitalization: planned (A - 53.1%, B - 38.3%, C - 8.6%) or emergency (A - 27.4%, B - 46.3%, C - 26.2%). In 31.7% of cases, divergence between the SGA and PG-SGA scale was noted. Mostly, the divergence consisted in underestimation of malnutrition. According to the PG-SGA scale, nutritional treatment is indicated in 75.5% of patients; according to SGA scale, only in 49.0%.Conclusions. 1. According to SGA scale, malnutrition was diagnosed in 49.0% of patients hospitalized because of cancer, in 52% of patients with cancer of the gastrointestinal tract and 44.6% with cancer of the respiratory tract. 2. According to the PG-SGA scale, there is a need for nutritional treatment in 75.5% of patients hospitalized because of cancer of the gastrointestinal or respiratory tract. 3. Use of the scored PG-SGA allows for identification of malnourished patients in whom, according to SGA, malnutrition is not diagnosed.

Aortoesophageal Fistula – Rare Complication after Esophagogastrectomy, due to Cancer

61%

Saramak P., Liszka-Dalecki P., Talarek M., Król D., Szpakowski M., Olesiński T.

vol. 85

issue 8

460-463

The paper contains a description of the case - 63 year old patient with surgery due locally advanced cancer of the gastric cardia. In 28 postoperative day symptoms of GI bleeding occurred. Despite the endoscopic attempts undertaken to stop bleeding, the patient died in the course of hemorrhagic shock. Posed by the post-mortem consider: aorto-esophageal fistula, is a rare complication in surgery of the esophagus. The rapidly increasing symptoms and deterioration of the patient, in most cases, despite the measures taken, ending in death of the patient. In the literature, there are few reports of this complication. There is also no clear guidelines on how to proceed. Reminder of the possibility of bad promising complications and the analysis carried out on the basis of this case and the available literature can be helpful for specializing in surgery of the digestive tract

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2 Polish Journal of Surgery

1 2013

1 2007

2 Talarek M.

1 Król D.

1 Liszka-Dalecki P.

1 Olesiński T.

1 Saramak P.

1 Szawłowski A.

1 Szpakowski M.

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National Program of Malnutrition Assessment in Patients with Cancer of the Gastrointestinal and Respiratory Tract in Poland

Aortoesophageal Fistula – Rare Complication after Esophagogastrectomy, due to Cancer