Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil
Ano de defesa: | 2018 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Ciências da Saúde |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Saúde
|
Departamento: |
Ciências da Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/20602 |
Resumo: | Individuals with esophageal cancer undergoing esophagectomy surgery are affected by several factors that lead to nutritional risk: unable to feed through the mouth due to obstruction of the esophageal channel, time between diagnosis and surgery, postoperative complications and the presence of clinical treatment before and/or after surgery. The objective of this study is to describe and analyze the nutritional profile of patients with esophageal cancer undergoing esophagectomy. This is a cross-sectional study involving 123 patients with esophageal cancer who underwent esophagectomy between 2008 and 2012 in a University Hospital in the central region of the south of the country. The data collection was performed by means of the medical records analysis. The analysis was performed through the EpiInfo version 7 program. Of the total surveyed, there was a ratio of 4 men for each woman, with a mean age of 59.3 ± 10.8 years. The majority (65.8%) of patients were in the advanced stage of the disease (III or IV), in which 44.7% had some surgical complication and 13% died. Only 2.9% showed no weight loss, while the rest ranged from no significant loss (14.3%), significant loss (5.7%) to severe weight loss (77.1%). While malnutrition was present in 31.4% of the patients, in the preoperative period malnourished patients were already 43.3%. After surgery, malnutrition reached 49% of patients and in the period after hospital discharge reached 53.8%. The patients received the first nutritional evaluation after the diagnosis of the disease, in a mean period of 55.9 ± 109.4 days. An association between elderly patients and malnutrition was found in all stages of the treatment, whether at diagnosis, preoperative, postoperative and within six months after surgery. Age over 60 years was also significantly associated with postoperative complications and death. In the present study, no association was found between weight loss and hypoalbuminemia with postoperative complications or with death. However, the patients’ hospitalization time was significantly associated with postoperative complications. Early nutritional assessment and monitoring of all patients during the pre- and post-surgical period of esophageal cancer patients should be part of the therapy to ensure adequate nutritional status in order to avoid undesirable outcomes during treatment and to provide quality of life. |
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2021-04-16T10:11:57Z2021-04-16T10:11:57Z2018-03-23http://repositorio.ufsm.br/handle/1/20602Individuals with esophageal cancer undergoing esophagectomy surgery are affected by several factors that lead to nutritional risk: unable to feed through the mouth due to obstruction of the esophageal channel, time between diagnosis and surgery, postoperative complications and the presence of clinical treatment before and/or after surgery. The objective of this study is to describe and analyze the nutritional profile of patients with esophageal cancer undergoing esophagectomy. This is a cross-sectional study involving 123 patients with esophageal cancer who underwent esophagectomy between 2008 and 2012 in a University Hospital in the central region of the south of the country. The data collection was performed by means of the medical records analysis. The analysis was performed through the EpiInfo version 7 program. Of the total surveyed, there was a ratio of 4 men for each woman, with a mean age of 59.3 ± 10.8 years. The majority (65.8%) of patients were in the advanced stage of the disease (III or IV), in which 44.7% had some surgical complication and 13% died. Only 2.9% showed no weight loss, while the rest ranged from no significant loss (14.3%), significant loss (5.7%) to severe weight loss (77.1%). While malnutrition was present in 31.4% of the patients, in the preoperative period malnourished patients were already 43.3%. After surgery, malnutrition reached 49% of patients and in the period after hospital discharge reached 53.8%. The patients received the first nutritional evaluation after the diagnosis of the disease, in a mean period of 55.9 ± 109.4 days. An association between elderly patients and malnutrition was found in all stages of the treatment, whether at diagnosis, preoperative, postoperative and within six months after surgery. Age over 60 years was also significantly associated with postoperative complications and death. In the present study, no association was found between weight loss and hypoalbuminemia with postoperative complications or with death. However, the patients’ hospitalization time was significantly associated with postoperative complications. Early nutritional assessment and monitoring of all patients during the pre- and post-surgical period of esophageal cancer patients should be part of the therapy to ensure adequate nutritional status in order to avoid undesirable outcomes during treatment and to provide quality of life.Indivíduos com câncer de esôfago submetidos à cirurgia de esofagectomia são acometidos por fatores diversos que levam ao risco nutricional: impossibilidade de se alimentar pela boca em decorrência da obstrução do canal esofágico, tempo entre a confirmação do diagnóstico pela endoscopia e a cirurgia, complicações pós-operatórias e a presença de tratamento clínico antes e/ou após a cirurgia. O objetivo deste estudo é descrever e analisar o perfil nutricional de pacientes portadores de câncer de esôfago submetidos à esofagectomia. Trata-se de um estudo transversal, realizado com 123 pacientes com câncer de esôfago que foram submetidos à esofagectomia no período entre 2008 e 2012 em um Hospital Universitário da região central do sul do país. A coleta de dados foi realizada por meio da análise em prontuário e a análise foi realizada por meio do programa EpiInfo versão 7. Do total pesquisado, havia uma relação de 4 homens para cada mulher, com idade média de 59,3 ± 10,8 anos. A maioria (65,8%) dos pacientes encontrava-se em estádio avançado da doença (III ou IV), sendo que 44,7% apresentavam alguma complicação cirúrgica e 13% foram a óbito. Apenas 2,9% não apresentaram perda de peso, sendo que todo o restante variou de perda não significativa (14,3%), perda significativa (5,7%) à perda grave de peso (77,1%). Enquanto na confirmação do diagnóstico a desnutrição estava instalada em 31,4% dos pacientes, no período pré-operatório os desnutridos já totalizavam 43,3%. Após a cirurgia, a desnutrição alcançou 49% dos pacientes e no período posterior à alta hospitalar chegou a 53,8%. Os pacientes receberam a primeira avaliação nutricional após o diagnóstico confirmado da doença, em um período médio de 55,9 ± 109,4 dias. Encontrou-se associação entre pacientes idosos e desnutrição, em todas as etapas do tratamento, seja na confirmação do diagnóstico pela endoscopia, pré-operatório, pós-operatório e no período de seis meses após a cirurgia. Idade superior a 60 anos também associou-se significativamente a complicações pós-operatórias e ao óbito. No presente estudo não foi encontrada associação entre perda de peso e hipoalbuminemia com complicações pós-operatórias ou com o óbito. Entretanto, o tempo de internação dos pacientes se associou significativamente às complicações pós-operatórias. A avaliação nutricional precoce e o monitoramento de todos os pacientes durante o período pré e pós cirúrgico de pacientes com câncer de esôfago, deve fazer parte da terapêutica, para buscar garantir um estado nutricional adequado, visando evitar desfechos indesejáveis durante o tratamento e proporcionar qualidade de vida.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em Ciências da SaúdeUFSMBrasilCiências da SaúdeAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEstado nutricionalAvaliação nutricionalNeoplasias esofágicasPerda de pesoDesnutriçãoNutritional statusNutrition assessmentEsophageal neoplasmsWeight lossMalnutritionCNPQ::CIENCIAS DA SAUDEPerfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do BrasilNutritional profile of patients with esophageal cancer subject to esophagectomy in a hospital of the central region of southern Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisFlores, Liziane Maahshttp://lattes.cnpq.br/7244754996330153Hautrive, Tiffany ProkoppXXXXXXXXXXXXXXXColpo, ElisângelaXXXXXXXXXXXXXXDall’Agnol, Marinel MórXXXXXXXXXXXXhttp://lattes.cnpq.br/4856816282230535Carlesso, Leticia4000000000016009cd5b443-822e-47fa-8a47-1364893df3ae5404de9f-a43c-465b-9a4b-55de5873eefa0a723c6d-2b5d-4b65-876b-e9ca901a538a1e09bb98-dd2f-4fd5-bbf3-d409b780857e017652d3-cb5b-4c07-ada1-b4b5915676abreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGCS_2018_CARLESSO_LETICIA.pdfDIS_PPGCS_2018_CARLESSO_LETICIA.pdfDissertação de Mestradoapplication/pdf972493http://repositorio.ufsm.br/bitstream/1/20602/1/DIS_PPGCS_2018_CARLESSO_LETICIA.pdfb861f1a0f3ce6fc36f85289aec6bd63aMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil |
dc.title.alternative.eng.fl_str_mv |
Nutritional profile of patients with esophageal cancer subject to esophagectomy in a hospital of the central region of southern Brazil |
title |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil |
spellingShingle |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil Carlesso, Leticia Estado nutricional Avaliação nutricional Neoplasias esofágicas Perda de peso Desnutrição Nutritional status Nutrition assessment Esophageal neoplasms Weight loss Malnutrition CNPQ::CIENCIAS DA SAUDE |
title_short |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil |
title_full |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil |
title_fullStr |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil |
title_full_unstemmed |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil |
title_sort |
Perfil nutricional de pacientes com câncer de esôfago submetidos à esofagectomia em um hospital da região central do sul do Brasil |
author |
Carlesso, Leticia |
author_facet |
Carlesso, Leticia |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Flores, Liziane Maahs |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7244754996330153 |
dc.contributor.referee1.fl_str_mv |
Hautrive, Tiffany Prokopp |
dc.contributor.referee1Lattes.fl_str_mv |
XXXXXXXXXXXXXXX |
dc.contributor.referee2.fl_str_mv |
Colpo, Elisângela |
dc.contributor.referee2Lattes.fl_str_mv |
XXXXXXXXXXXXXX |
dc.contributor.referee3.fl_str_mv |
Dall’Agnol, Marinel Mór |
dc.contributor.referee3Lattes.fl_str_mv |
XXXXXXXXXXXX |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4856816282230535 |
dc.contributor.author.fl_str_mv |
Carlesso, Leticia |
contributor_str_mv |
Flores, Liziane Maahs Hautrive, Tiffany Prokopp Colpo, Elisângela Dall’Agnol, Marinel Mór |
dc.subject.por.fl_str_mv |
Estado nutricional Avaliação nutricional Neoplasias esofágicas Perda de peso Desnutrição |
topic |
Estado nutricional Avaliação nutricional Neoplasias esofágicas Perda de peso Desnutrição Nutritional status Nutrition assessment Esophageal neoplasms Weight loss Malnutrition CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Nutritional status Nutrition assessment Esophageal neoplasms Weight loss Malnutrition |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
description |
Individuals with esophageal cancer undergoing esophagectomy surgery are affected by several factors that lead to nutritional risk: unable to feed through the mouth due to obstruction of the esophageal channel, time between diagnosis and surgery, postoperative complications and the presence of clinical treatment before and/or after surgery. The objective of this study is to describe and analyze the nutritional profile of patients with esophageal cancer undergoing esophagectomy. This is a cross-sectional study involving 123 patients with esophageal cancer who underwent esophagectomy between 2008 and 2012 in a University Hospital in the central region of the south of the country. The data collection was performed by means of the medical records analysis. The analysis was performed through the EpiInfo version 7 program. Of the total surveyed, there was a ratio of 4 men for each woman, with a mean age of 59.3 ± 10.8 years. The majority (65.8%) of patients were in the advanced stage of the disease (III or IV), in which 44.7% had some surgical complication and 13% died. Only 2.9% showed no weight loss, while the rest ranged from no significant loss (14.3%), significant loss (5.7%) to severe weight loss (77.1%). While malnutrition was present in 31.4% of the patients, in the preoperative period malnourished patients were already 43.3%. After surgery, malnutrition reached 49% of patients and in the period after hospital discharge reached 53.8%. The patients received the first nutritional evaluation after the diagnosis of the disease, in a mean period of 55.9 ± 109.4 days. An association between elderly patients and malnutrition was found in all stages of the treatment, whether at diagnosis, preoperative, postoperative and within six months after surgery. Age over 60 years was also significantly associated with postoperative complications and death. In the present study, no association was found between weight loss and hypoalbuminemia with postoperative complications or with death. However, the patients’ hospitalization time was significantly associated with postoperative complications. Early nutritional assessment and monitoring of all patients during the pre- and post-surgical period of esophageal cancer patients should be part of the therapy to ensure adequate nutritional status in order to avoid undesirable outcomes during treatment and to provide quality of life. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-03-23 |
dc.date.accessioned.fl_str_mv |
2021-04-16T10:11:57Z |
dc.date.available.fl_str_mv |
2021-04-16T10:11:57Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
status_str |
publishedVersion |
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http://repositorio.ufsm.br/handle/1/20602 |
url |
http://repositorio.ufsm.br/handle/1/20602 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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400000000001 |
dc.relation.confidence.fl_str_mv |
600 |
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dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Ciências da Saúde |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências da Saúde |
dc.source.none.fl_str_mv |
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