Reliability of nutritional assessment in patients with gastrointestinal tumors

• Main Authors: ALINE KIRJNER POZIOMYCK, ANA VALERIA GONÇALVES FRUCHTENICHT, GEORGIA BRUM KABKE, BERNARDO SILVEIRA VOLKWEIS, JORGE LUIZ ANTONIAZZI, LUIS FERNANDO MOREIRA
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Nutrition Assessment; Gastrointestinal Tract; Malnutrition; Prognosis; Morbidity.
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000300189&lng=en&tlng=en

ABSTRACT Patients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy. In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT.