Abstract
BackgroundEsophagectomy is a highly invasive procedure for patients aged > 70 years. Here, we compared the actual nutritional status of older and younger patients who underwent esophagectomy.MethodsA total of 118 patients who underwent radical esophagectomy between April 2013 and December 2016 were enrolled and divided into two groups based on age: group A (n = 41; ≥ 70 years) and group B (n = 77; < 70 years). Data pertaining to body mass index and nutritional variables (albumin; total cholesterol; cholinesterase; and prealbumin) were retrospectively analyzed preoperatively and at 3, 6, and 12 months postoperatively.ResultsSignificant preoperative between-group differences were found in the cholinesterase, albumin, and prealbumin levels. The body mass index gradually decreased over the first 12 months after surgery in both groups, without significant between-group differences. Significant differences were observed in prealbumin and cholinesterase levels at 3 months postoperatively. 1 year postoperatively, both groups showed slight improvements; however, the between-group differences were not statistically significant. Group A had a significantly lower amount of the degree of decrement of BMI and chE than group B.ConclusionThus, patients aged > 70 years can recover within 12 months of esophagectomy.
Highlights
Esophageal cancer predominantly affects elderly individuals, and its incidence peaks after 65 years of age
Radical esophagectomy is a highly invasive procedure; it results in reduced dietary intake and poor nutritional status
Data pertaining to body mass index (BMI) and the levels of nutritional variables were retrospectively collected preoperatively and at 3, 6, and 12 months postoperatively
Summary
Esophageal cancer predominantly affects elderly individuals, and its incidence peaks after 65 years of age. Radical esophagectomy is a highly invasive procedure; it results in reduced dietary intake and poor nutritional status. It is associated with several complications occurring more frequently in patients aged > 70 years. Esophagectomy is a highly invasive procedure for patients aged > 70 years. Data pertaining to body mass index and nutritional variables (albumin; total cholesterol; cholinesterase; and prealbumin) were retrospectively analyzed preoperatively and at 3, 6, and 12 months postoperatively. Results Significant preoperative between-group differences were found in the cholinesterase, albumin, and prealbumin levels. The body mass index gradually decreased over the first 12 months after surgery in both groups, without significant between-group differences. Significant differences were observed in prealbumin and cholinesterase levels at 3 months postoperatively. Conclusion patients aged > 70 years can recover within 12 months of esophagectomy
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