eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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3/2023
vol. 18
 
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abstract:
Original paper

Selected parameters of nutritional status in patients with pancreatic head cancer – own experience

Konrad Zaręba
1
,
Justyna Dorf
2
,
Kerianne Cummings
2
,
Zbigniew Kamocki
1
,
Bogusław Kędra
1

  1. 2nd Department of General, Gastroenterological and Oncological Surgery, Medical University of Bialystok, Bialystok, Poland
  2. Student Scientific Society at 2nd Department of General, Gastroenterological and Oncological Surgery, Medical University of Bialystok, Bialystok, Poland
Gastroenterology Rev 2023; 18 (3): 308–312
Online publish date: 2023/09/22
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Introduction
Around 200,000 new cases of pancreatic cancer are diagnosed yearly worldwide. It is the fourth most common cause of cancer deaths. Pancreatic cancer has a high mortality rate due to unspecific symptoms being responsible for late diagnosis.

Aim
In this study, the authors analysed selected nutritional parameters and the severity of anaemia in patients diagnosed with pancreatic head cancer.

Material and methods
Data were collected upon admission to the 2nd Clinical Department of General, Gastrointestinal, and Oncological Surgery in the University Clinical Hospital in Bialystok, Poland and retrospectively with the help of correctly collected anamnesis.

Results
It has been shown that most patients with pancreatic cancer are malnourished at the time of diagnosis. Body mass index (BMI) is the least valuable parameter primarily. Weight loss has been determined to be the most accurate predictor of the patient’s metabolic status, although it should never be the only parameter. Although these factors do not suggest an inflammatory process, serum protein levels and albumin concentration should be considered.

Conclusions
When assessing the nutritional status of patients with pancreatic cancer, many predictive factors should be considered. BMI seems to be the least accurate parameter for assessing nutritional status in patients diagnosed with cancer. However, when combined with weight loss and serum albumin levels, it can be quite useful as a prognostic factor.

keywords:

cancer, malnutrition, body mass index, weight loss, pancreatic cancer

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