The Impact of the Nutritional State of Patients on the Results of the Surgical Treatment of Ulcerative Colitis

Journal Title: Polish Journal of Surgery - Year 2013, Vol 85, Issue 8

Abstract

A variety of mechanisms have been proposed to explain the malnutrition and body mass loss in UC patients. The aim of the study trial was a nutritional state assessment of 347 UC patients, admitted for surgical treatment, and the evaluation of the impact of this state on the postoperative course in this group of patients. Material and methods. We referred the results of nutritional state assessment to the length of time of postoperative hospitalization of patients. Results. Through application of the Kruskal-Wallis test we found statistically significant, but weakly expressed, differences between the values of nutritional state parameters and period of hospitalization of patients. The applied U Mann-Whitney test, with statistically significant results with p <0.05, showed statistically significant differences between cured and dead subgroups in: 1) loss of body mass in 6 months before hospitalization (p = 0.000033), 2) hemoglobin level (p = 0.006676), 3) total lymphocyte count (TLC) (p = 0.025242), 4) total serum protein level (p = 0.003485), 5) serum albumin level (p =0.00165). Differences in BMI values were statistically negligible (p = 0.969397). Conclusions. The body mass loss in 6 months before admission, total lymphocyte count and serum albumin level are the reference parameters of the nutritional state of UC patients on admission to surgery.

Authors and Affiliations

Urszula Skowrońska-Piekarska, Konrad Matysiak, Anna Sowińska

Keywords

Related Articles

Physiotherapy Based on PNF Concept for Elderly People After Conventional Colon Surgery

Aging population, increases the number of major abdominal surgery (MAS) performed in the elderly. Main goal of physiotherapy after that surgery is prevention postoperative complications and reduction of functional limita...

Can the leukocyte`s parameters in peripheral blood smear predict the risk of in-hospital death of patients undergoing high-risk gastrointestinal surgery?

Introduction. White blood cell (WBC) count constitutes a part of routine peripheral blood examination (FBC, full blood count). Precise analysis of leukocytes’ parameters in blood smear is usually performed only when leuk...

Bezpośrednie wprowadzenie trokarów z uniesieniem pochewki mięśnia prostego brzucha: nowa technika w chirurgii bariatrycznej

Wprowadzenie: Pierwotne wprowadzenie trokaru stanowi pierwszy etap każdego zabiegu laparoskopowego i wiąże się z wieloma powikłaniami. U pacjentów z otyłością olbrzymią wprowadzenie trokara wiąże się z większą liczbą pow...

Download PDF file
  • EP ID EP74306
  • DOI 10.2478/pjs-2013-0065
  • Views 124
  • Downloads 0

How To Cite

Urszula Skowrońska-Piekarska, Konrad Matysiak, Anna Sowińska (2013). The Impact of the Nutritional State of Patients on the Results of the Surgical Treatment of Ulcerative Colitis. Polish Journal of Surgery, 85(8), 424-432. https://europub.co.uk/articles/-A-74306