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Scientific paper - Original scientific paper
Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA)
Libri Oncologici : Croatian Journal of Oncology, 47 (2019), 1; 13-16. https://doi.org/10.20471/LO.2019.47.01.03
Kirac, Iva; Fila, Jana; Misir, Zvonimir; Filipović Čugura, Jakša; Žaja, Ana; Benčić, Ivanka; Štefančić, Ljilja

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Kirac, I., Fila, J., Misir, Z., Filipović Čugura, J., Žaja, A., Benčić, I. & Štefančić, Lj. (2019). Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA). Libri Oncologici : Croatian Journal of Oncology, 47. (1), 13-16. doi: 10.20471/LO.2019.47.01.03

Kirac, Iva, et al. "Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA)." Libri Oncologici : Croatian Journal of Oncology, vol. 47, no. 1, 2019, pp. 13-16. https://doi.org/10.20471/LO.2019.47.01.03

Kirac, Iva, Jana Fila, Zvonimir Misir, Jakša Filipović Čugura, Ana Žaja, Ivanka Benčić and Ljilja Štefančić. "Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA)." Libri Oncologici : Croatian Journal of Oncology 47, no. 1 (2019): 13-16. https://doi.org/10.20471/LO.2019.47.01.03

Kirac, I., et al. (2019) 'Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA)', Libri Oncologici : Croatian Journal of Oncology, 47(1), pp. 13-16. doi: 10.20471/LO.2019.47.01.03

Kirac I, Fila J, Misir Z, Filipović Čugura J, Žaja A, Benčić I, and sur.. Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA). Libri Oncologici : Croatian Journal of Oncology [Internet]. 2019 [cited 2025 April 03];47(1):13-16. doi: 10.20471/LO.2019.47.01.03

I. Kirac, et al., "Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA)", Libri Oncologici : Croatian Journal of Oncology, vol. 47, no. 1, pp. 13-16, 2019. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:256495. [Accessed: 03 April 2025]

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Title (english)Nutritional evaluation in the perioperative period of gastric cancer patients using bioelectrical impedance analysis (BIA)
Title (croatian)Nutritivna procijena bioimpedancijom (bia) pacijenata s rakom želuca u perioperacijskom periodu
AuthorIva Kirac
AuthorJana Fila
AuthorZvonimir Misir
AuthorJakša Filipović Čugura
AuthorAna Žaja
AuthorIvanka Benčić
AuthorLjilja Štefančić
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Oncology
Abstract (english)
Gastric cancer is a ‘neglected cancer,’ with significant incidence (over 900 cases annually) and late-stage at the time of diagnosis in Croatia. Even in resectable cases, risk of malnutrition is high, and malnutrition-related to malignant disease presents a substantial problem in terms of compliance with treatment and complications during surgery. We retrospectively reviewed the patient records for patients operated for gastric cancer from January until December 2018. Data on sex, age, body... More mass index (BMI), complete preoperative blood count, postoperative recovery, and subsequent bioelectrical impedance analysis (BIA) measurements (preoperatively, on days 7, 14 and 30) were collected. All patients received nutritional support according to the Enhanced Recovery After Surgery (ERAS). Twenty-seven patients were operated for gastric cancer, eight were resected with curative intent (four total gastrectomies, one total gastrectomy with splenectomy, three distal gastrectomies and one local excision). Seven patients who had a resection were included in the perioperative nutritional protocol. All patients scored at risk according to Nutrition Score 2002 (NS2002). Two patients had tolerable initial BMIs and BIAs, only one patient with extremely low BMI and BIA had prolonged intensive care unit (ICU) stay and difficulties with peroral nutrition. Only the patients with tolerable initial values recovered those values postoperatively in the observed period but did not improve. Lean body mass is lost before surgery, and in the early postoperative period, it takes up to 3 months to compensate. However, in the late stage of the disease, routine ERAS nutritional protocol seems not to be enough. Perhaps, in gastric cancer, a more aggressive parenteral perioperative nutrition might be an option. Less
Abstract (croatian)
Rak želuca je ‘zanemareni rak’, sa značajnom učestalošću (preko 900 slučajeva godišnje) i kasnom fazom u vrijeme dijagnoze u Hrvatskoj. Čak i u slučajevima koji se mogu resecirati, rizik od pothranjenosti je visok, a pothranjenost povezana s malignim bolestima predstavlja značajan problem u smislu pridržavanja liječenja i komplikacija tijekom liječenja. Od siječnja do prosinca 2018. retrospektivno smo pregledali podatke o bolesnicima koji su operirani zbog raka želuca. Podaci o spolu,... More dobi, indeksu tjelesne mase (BMI), potpunoj prijeoperacijskoj krvnoj slici, poslijeoperacijskom oporavku i mjerenjima bioimpedance (bioelectrical impedance analysis BIA), 7., 14. i 30. dan poslije operacije. Svi pacijenti dobili su nutritivnu potporu u skladu sa standardnim protokolom za oporavak (Enhanced Recovery After Surgery, ERAS). Dvadeset sedam bolesnika operirano je zbog raka želuca, 8 je resecirano s kurativnom namjerom (4 totalne gastrektomije, 1 totalna gastrektomija sa splenektomijom, 3 distalne gastrektomije i 1 lokalna ekscizija). Svi pacijenati koji su liječeni resekcijom bili su uključeni u perioperacijski prehrambeni protokol. Svi bolesnici su bili procijenjeni kao rizični za pothranjenost prema Nutrition Score 2002 (NS2002). Dvojica pacijenata su imala tolerabilne početne BMI-e i BIA-e, samo 1 bolesnik s ekstremno niskim vrijednostima BMI-a i BIA-e imao je produljeni boravak u jedinici intenzivnog liječenja i poteškoće s peroralnom prehranom. Samo su bolesnici s tolerabilnim početnim vrijednostima procijene ponovo dostigli te vrijednosti poslije operacije u promatranom razdoblju, ali ih nisu poboljšali. Mišićna masa se gubi prije operacije i u ranom poslijeoperacijskom razdoblju te je potrebno do 3 mjeseca za kompenzaciju. Međutim, u kasnom stadiju bolesti, rutinski ERAS protokol za prehranu se čini da nije dovoljan. Možda je kod raka želuca potrebna agresivnija parenteralna perioperacijska prehrana. Less
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleLibri Oncologici : Croatian Journal of Oncology
Numberingvol. 47, no. 1, pp. 13-16
p-ISSN0300-8142
e-ISSN2584-3826
DOIhttps://doi.org/10.20471/LO.2019.47.01.03
URN:NBNurn:nbn:hr:220:256495
Publication2019
Document URLhttps://hrcak.srce.hr/224358
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2025-03-19 08:39:15
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