| 論文種別 | 原著論文 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | European Society for Clinical Nutrition and Metabolism (ESPEN) Malnutrition Criteria for Predicting Major Complications After Hepatectomy and Pancreatectomy. |
| 掲載誌名 | 正式名：World journal of surgery 略 称：World J Surg ISSNコード：14322323/03642313 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 45(1),pp.243-251 |
| 著者・共著者 | Fukami Yasuyuki, Saito Takuya, Arikawa Takashi, Osawa Takaaki, Komatsu Shunichiro, Kaneko Kenitiro, Ishida Yuria, Maeda Keisuke, Mori Naoharu, Sano Tsuyoshi |
| 発行年月 | 2021/01 |
| 概要 | BACKGROUND:Recently, diagnostic criteria for malnutrition have been proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN). This study aimed to investigate the utility of the ESPEN malnutrition criteria as a predictor for major complications following hepatectomy and pancreatectomy.METHODS:Data were reviewed from 176 consecutive patients who underwent hepatectomy (n = 103) or pancreatectomy (n = 73) between November 2017 and December 2019. Patients were divided into two groups according to the ESPEN malnutrition criteria using a prospectively collected database. The clinical data and the surgical outcomes of patients in the malnourished and normal groups were retrospectively analyzed.RESULTS:Thirty-five (20%) patients were diagnosed with malnourishment according to ESPEN criteria. The malnourished group had a significantly low preoperative albumin concentration (p = 0.001). After hepatectomy, major complications (Clavien grade ≥ 3a) occurred significantly more frequently in the malnourished group than in the normal group (p = 0.013). Multivariate analysis indicated that operative duration ≥ 300 min (hazard ratio: 22.47, 95% CI: 2.17 to 232.73, p = 0.009) and malnourishment (hazard ratio: 14.56, 95% CI: 2.58 to 82.17, p = 0.002) were independently associated with major complications after hepatectomy. On the other hand, malnutrition was not associated with major complications after pancreatectomy.CONCLUSIONS:The ESPEN malnutrition criteria are a valuable predictor for major complications following hepatectomy. |
| DOI | 10.1007/s00268-020-05767-w |
| PMID | 32880680 |