Body mass index kinetics and risk factors of malnutrition one year after radical oesophagectomy for cancer

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Moussa OuattaraPascal-Alexandre Thomas

Abstract

Malnutrition is common after oesophageal cancer surgery. This study aims to investigate body mass index (BMI) kinetics and the risk factors of malnutrition among 1-year disease-free survivors after radical transthoracic oesophagectomy for cancer. From a prospective single-institution database, 118 1-year disease-free survivors having undergone a R0 transthoracic oesophagectomy with gastric tubulization between 2000 and 2008 were identified retrospectively. BMI values were collected at the onset of the disease (pre-treatment BMI), at the time of surgery (preoperative BMI), at postoperative 6 months and 1 year after oesophagectomy (1-year BMI). Logistic regression was performed with adjustment for confounders to estimate odds ratios of the factors associated with a 1-year weight loss (WL) of at least 15% of the pre-treatment body weight (BW). At the onset of the disease, 5 patients (4%) were underweighted (BMI < 8.5 kg/m&sup2;), 65 (55%) were normal (BMI = 18.5-24.9 kg/m&sup2;), 36 (31%) were overweighted (BMI > 25 kg/m&sup2;) and 12 (10%) were obese (BMI > 30 kg/m&sup2;). Mean pre-treatment, preoperative, postoperative 6-month and 1-year BMI values were 24.64 ± 4 kg/m&sup2;, 23.55 ± 3.8 kg/m&sup2;, 21.7 ± 3 kg/m&sup2; and 21.97 ...Continue Reading

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