Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Halliday, A.W.
Right arrow Articles by Blumgart, L.H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Halliday, A.W.
Right arrow Articles by Blumgart, L.H.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Nutritional Risk Factors in Major Hepatobiliary Surgery

A.W. Halliday, M.S., F.R.C.S.

Department of Surgery, Royal Postgraduate Medical School, London, England

I.S. Benjamin, B.SC., F.R.C.S.

Department of Surgery, Royal Postgraduate Medical School, London, England

L.H. Blumgart, M.D., F.R.C.S.

Department of Surgery, Royal Postgraduate Medical School, London, England

Preoperative nutritional assessment was performed for 32 patients undergoing surgery for malignant hepatobiliary and pancreatic disease. Weight, mid-arm circumference, total body potassium (TBK), and skin test reactivity were significantly reduced in the seven patients who died after operation ( p < .05, Student's t-test and Fisher's exact test). Analyses of major life-threatening complications indicated that those who had a complicated postoperative course (17 patients) had a significantly lower TBK (p < .05, Fisher's exact test). Using linear discriminant analysis (SPSS computer program), correct prediction of postoperative death or survival was possible in 85% of patients if measured by TBK alone, and in 83% if weight loss and serum albumin were used. Seventy three percent were correctly classified as complicated or uncomplicated by TBK alone, but serum albumin and weight loss were not helpful in predicting patients with complications. This study shows that malnutrition and operative risk may be identified preoperatively in patients with malignant hepatobiliary and pancreatic disease. Objective improvement may be achieved by intensive nutritional support. (Journal of Parenteral and Enteral Nutrition 12:43-48, 1988)

Journal of Parenteral and Enteral Nutrition, Vol. 12, No. 1, 43-48 (1988)
DOI: 10.1177/014860718801200143
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 J. Clin. Pathol.Home page
W J Marshall
Nutritional assessment: its role in the provision of nutritional support
J. Clin. Pathol., October 1, 2008; 61(10): 1083 - 1088.
[Abstract] [Full Text] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
J.-H. Chuang, W.-J. Chen, S.-K. Lo, and N.-K. Chang
Adverse Metabolic and Microbiological Effects of Tube Feeding in Experimental Canine Obstructive Jaundice
JPEN J Parenter Enteral Nutr, January 1, 1997; 21(1): 36 - 40.
[Abstract] [PDF]