Hypo-Calories with Micronutrients and Fat Emulsion of Pre-Operative Peripheral Parenteral Nutrition in Malnutrition Risk Rectal Cancer Patients: A Retrospective Cross-Sectional Study

Ming-Yi Liu, Hsiu-Chih Tang, Hui-Lan Yang, Hsiu-Hua Huang, Sue-Joan Chang

Department of Food and Nutrition, Taipei Veterans General Hospital, Chinese Taipei.
Department of Life Sciences, College of Bioscience and Biotechnology, National Cheng Kung University, Tainan, Chinese Taipei..
Department of Nursing, Sin-Lau Hospital, Tainan, Chinese Taipei.
Department of Nutrition, Sin-Lau Hospital, Tainan, Chinese Taipei;Department of Life Sciences, College of Bioscience and Biotechnology, National Cheng Kung University, Tainan, Chinese Taipei..
Department of Surgery, Sin-Lau Hospital, Tainan, Chinese Taipei.

DOI: 10.4236/fns.2013.48107                

Abstract

Malnutrition has been recognized as a significant risk factor for the post operated patients, especially for those patients undergoing abdominal operations. This study evaluated the effect of hypo-calories with micronutrients of pre-operative peripheral parenteral nutrition support (PPPN) for rectal cancer patients. Retrospective cross sectional study method was used to investigate. We screened rectal cancer patients past year pre-operative with malnutrition risk from our cancer database and divided into 2 groups, received or not received PPPN and compared the post-operative outcomes. The results showed that the post-operative serum albumin of the 25 patients received PPPN averaged 2.5 ± 0.32 g/dl; significantly better than those of the 15 patients not received PPPN (non-PPPN), which averaged 1.92 ± 0.42 g/dl. The first ambulatory time required 3.0 ± 0.8 days for the PPPN, significantly shorter than those for the non-PPPN, which averaged 4.9 ± 2.4 days. Post-operative hospital days for the patients received PPPN were 18.2 ± 10.5 day, also significantly fewer than the non-PPPN, which averaged 33.7 ± 20.0 day. More than 25% of the non-PPPN was infected with sepsis, while none was infected in the PPPN patients. In conclusion, this study verified the benefits of micronutrients of pre-operative peripheral parenteral nutrition support for rectal cancer patients.

Keywords

Parenreral Nutrition; Pre-Operative Nutrition Support; Malnutrition; Rectal Cancer

Conflicts of Interest

The authors declare no conflicts of interest.

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