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Predicting the Risk of Morbidity by GLIM-Based Nutritional Assessment and Body Composition Analysis in Oncologic Abdominal Surgery in the Context of Enhanced Recovery Programs by Marta Sandini; Luca Gianotti; Salvatore Paiella; Davide P. Bernasconi; Linda Roccamatisi; Simone Famularo; Matteo Donadon; Gabriele Di Lucca; Marco Cereda; Edoardo Baccalini; Giovanni Capretti; Gennaro Nappo; Amanda Casirati; Marco Braga; Alessandro Zerbi; Guido Torzilli; Claudio Bassi; Roberto Salvia; Emanuele Cereda; Riccardo Caccialanza is a Medicine article available to read on EtoBox.

What is Predicting the Risk of Morbidity by GLIM-Based Nutritional Assessment and Body Composition Analysis in Oncologic Abdominal Surgery in the Context of Enhanced Recovery Programs about?

## Background Preoperative nutritional status and body structure affect short-term prognosis in patients undergoing major oncologic surgery. Bioimpedance vectorial analysis (BIVA) is a reliable tool to assess body composition. Low BIVA-derived phase angle (PA) indicates a decline of cell membrane integrity and function. The aim was to study the association between perioperative PA variations and postoperative morbidity following major oncologic upper-GI surgery. ## Patients and Methods Between 2019 and 2022 we prospectively performed BIVA in patients undergoing surgical resection for pancreatic, hepatic, and gastric malignancies on the day before surgery and on postoperative day (POD) 1. Malnutrition was defined as per the Global Leadership Initiative on Malnutrition criteria. The PA variation (ΔPA) between POD1 and preoperatively was considered as a marker for morbidity. Uni and multivariable logistic regression models were applied. ## Results Overall, 542 patients with a mean age of 64.6 years were analyzed, 279 (51.5%) underwent pancreatic, 201 (37.1%) underwent hepatobiliary, and 62 (11.4%) underwent gastric resections. The prevalence of preoperative malnutrition was 16.6%. The

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Author

Marta Sandini; Luca Gianotti; Salvatore Paiella; Davide P. Bernasconi; Linda Roccamatisi; Simone Famularo; Matteo Donadon; Gabriele Di Lucca; Marco Cereda; Edoardo Baccalini; Giovanni Capretti; Gennaro Nappo; Amanda Casirati; Marco Braga; Alessandro Zerbi; Guido Torzilli; Claudio Bassi; Roberto Salvia; Emanuele Cereda; Riccardo Caccialanza

Publisher

Springer

Published

2024

Language

EN

Field

Medicine (Health Sciences)