Malnutrition and vitamin deficiencies after surgery for esophageal and gastric cancer: A metanalysis.
Esophageal cancer
Esophagectomy
Gastrectomy
Gastric cancer
Supplementation
Vitamin deficiency
Journal
Clinical nutrition ESPEN
ISSN: 2405-4577
Titre abrégé: Clin Nutr ESPEN
Pays: England
ID NLM: 101654592
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
received:
10
12
2023
revised:
17
02
2024
accepted:
20
02
2024
medline:
14
3
2024
pubmed:
14
3
2024
entrez:
13
3
2024
Statut:
ppublish
Résumé
Patients receiving oncological esophagectomy or gastrectomy are known to be at high risk for vitamin and micronutrient deficiency before, during and after surgery. However, there are no clear guidelines for these cancer patients regarding postoperative vitamin supplementation. We conducted a metanalysis consisting of 10 studies regarding vitamin and micronutrient deficiencies after oncological gastric or esophageal resection. 5 databases were searched. Data was sufficient regarding Vitamins B12 and 25-OH D3 as well as calcium. We were able to show deficiencies in 25-OH Vitamin D3 levels (p < 0.001) and lower levels of Vitamin B12 and calcium (bit p < 0.001) when compared to the healthy population. Patients from these groups are at risk for vitamin deficiencies. A guideline on postoperative supplementation is needed.
Sections du résumé
BACKGROUND & AIMS
OBJECTIVE
Patients receiving oncological esophagectomy or gastrectomy are known to be at high risk for vitamin and micronutrient deficiency before, during and after surgery. However, there are no clear guidelines for these cancer patients regarding postoperative vitamin supplementation.
METHODS
METHODS
We conducted a metanalysis consisting of 10 studies regarding vitamin and micronutrient deficiencies after oncological gastric or esophageal resection. 5 databases were searched.
RESULTS
RESULTS
Data was sufficient regarding Vitamins B12 and 25-OH D3 as well as calcium. We were able to show deficiencies in 25-OH Vitamin D3 levels (p < 0.001) and lower levels of Vitamin B12 and calcium (bit p < 0.001) when compared to the healthy population.
CONCLUSIONS
CONCLUSIONS
Patients from these groups are at risk for vitamin deficiencies. A guideline on postoperative supplementation is needed.
Identifiants
pubmed: 38479934
pii: S2405-4577(24)00045-7
doi: 10.1016/j.clnesp.2024.02.021
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
348-355Informations de copyright
Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.