Abstract
BackgroundAdequate nutritional protein and energy intake are required for optimal postoperative recovery. There are limited studies reporting the actual postoperative protein and energy intake within the first week after major abdominal cancer surgery. The main objective of this study was to quantify the protein and energy intake after major abdominal cancer surgery.MethodsWe conducted a prospective cohort study. Nutrition intake was assessed with a nutrition diary. The amount of protein and energy consumed through oral, enteral, and parenteral nutrition was recorded and calculated separately. Based on the recommendations of the European Society for Clinical Nutrition and Metabolism (ESPEN), protein and energy intake were considered insufficient when patients received <1.5 g/kg protein and 25 kcal/kg for 2 or more days during the first postoperative week.ResultsFifty patients were enrolled in this study. Mean daily protein and energy intake was 0.61 ± 0.44 g/kg/day and 9.58 ± 3.33 kcal/kg/day within the first postoperative week, respectively. Protein and energy intake were insufficient in 45 [90%] and 41 [82%] of the 50 patients, respectively. Patients with Clavien‐Dindo grade ≥III complications consumed less daily protein compared with the group of patients without complications and patients with grade I or II complications.ConclusionDuring the first week after major abdominal cancer surgery, the majority of patients do not consume an adequate amount of protein and energy. Incorporating a registered dietitian into postoperative care and adequate nutrition support after major abdominal cancer surgery should be a standard therapeutic goal to improve nutrition intake.
Highlights
Surgical procedures cause trauma to body tissue that can lead to the activation of the systemic inflammatory response and an increase in the metabolic demands of the body
Low skeletal muscle mass and acute muscle loss have been extensively reported as independent risk factors for mortality in critically ill patients admitted to the intensive care unit (ICU).[3,4,5,6]
Fifty patients who were scheduled for major abdominal cancer surgery based on an underlying malignancy of the liver, pancreas, bile duct, colon, or rectum were included between May 2019 and November 2019
Summary
Surgical procedures cause trauma to body tissue that can lead to the activation of the systemic inflammatory response and an increase in the metabolic demands of the body. There are limited studies reporting the actual postoperative protein and energy intake within the first week after major abdominal cancer surgery. The main objective of this study was to quantify the protein and energy intake after major abdominal cancer surgery. Based on the recommendations of the European Society for Clinical Nutrition and Metabolism (ESPEN), protein and energy intake were considered insufficient when patients received
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