Is the Geriatric Nutritional Risk Index a Significant Predictor of Postoperative Complications in Patients with Esophageal Cancer Undergoing Esophagectomy?

European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
Ippei YamanaYuichi Yamashita

Abstract

The Geriatric Nutritional Risk Index (GNRI) is a new index recently introduced for predicting the risk of nutrition-related complications. The GNRI has mainly been reported as a simple and accurate tool to assess the nutritional status and prognosis of elderly patients. So far, there have been no reports of the GNRI in patients with gastrointestinal cancer. Our objective was to examine the association between the GNRI and short-term outcomes, especially postoperative complications, in patients with esophageal cancer who underwent esophagectomy and gastric tube reconstruction. The present study enrolled 122 consecutive patients with esophageal cancer who underwent esophagectomy and gastric tube reconstruction. The GNRI at admission to the hospital was calculated as follows: (1.489 × albumin in g/l) + (41.7 × present/ideal body weight). The characteristics and short-term outcomes were compared between two groups: the high (GNRI ≥90) and the low (GNRI <90) GNRI group. The mortality and morbidity rates, especially the rates regarding respiratory complications and anastomotic leakage, were investigated. The mean age of the 122 patients was 63.9 ± 9.1 years (range 43-83). There were no significant differences in either patient or ope...Continue Reading

Citations

Nov 7, 2015·The Journal of Thoracic and Cardiovascular Surgery·Katie S Nason
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Mar 10, 2021·Journal of Cancer Research and Clinical Oncology·Pei-Yu WangYin Li
Nov 2, 2020·Aging Clinical and Experimental Research·Derya Yenibertiz, Mustafa Ozgur Cirik
Sep 30, 2021·Journal of Cachexia, Sarcopenia and Muscle·Guo-Tian RuanHan-Ping Shi

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