Malnutrition and micronutrient deficiency following gastrointestinal cancer surgery: A case report and mini‑review of the literature

Do,Thanh Tat; Pham,Phuong Lan Thi; Nguyen,Phuong Thi; Pham,Anh Gia; Vu,Ha Ngoc

doi:10.3892/wasj.2024.266

September-October 2024 Volume 6 Issue 5

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September-October 2024 Volume 6 Issue 5

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Malnutrition and micronutrient deficiency following gastrointestinal cancer surgery: A case report and mini‑review of the literature

Authors:
- Thanh Tat Do
- Phuong Lan Thi Pham
- Phuong Thi Nguyen
- Anh Gia Pham
- Ha Ngoc Vu
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Affiliations: Department of Colorectal and Perineal Surgery, Viet Duc University Hospital, Hanoi 100000, Vietnam, Department of Nutrition, Viet Duc University Hospital, Hanoi 100000, Vietnam, Department of Nutrition, Tam Anh General Hospital, Hanoi 100000, Vietnam, Department of Oncology, Viet Duc University Hospital, Hanoi 100000, Vietnam, Department of Nutrition and Dietetics, Hanoi Medical University Hospital, Hanoi Medical University, Hanoi 100000, Vietnam

Copyright: © Do et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
Article Number: 51
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Published online on: July 15, 2024

https://doi.org/10.3892/wasj.2024.266
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Abstract

Malnutrition is a common issue following gastrointestinal cancer surgery, negatively affecting the quality of life and clinical outcomes of patients following surgery. However, this issue is often overlooked, and limited data are available on the long‑term effectiveness of nutritional intervention. The present study describes the case of a female patient developing severe malnutrition and micronutrient deficiencies following a gastrectomy for stomach cancer and a pancreaticoduodenectomy due to tumor recurrence. The patient received comprehensive nutrition intervention, combining both oral feeding and supplemental parenteral nutrition, oral and intravenous multi micronutrients supplements and personalized pancreatic enzyme replacement therapy. Her clinical condition markedly improved, as well as the edema caused by malnutrition and cutaneous lesions caused by micronutrient deficiency. Gastrectomy and pancreaticoduodenectomy are both major surgeries that severely affect the nutritional status of patients, as these are the main digestive organs of the body, particularly in the background of cancer and more adverse events from chemotherapy treatment. Progressive protein‑energy malnutrition and micronutrient deficiencies are the results of decreased dietary intake, anatomical changes and malabsorption following gastrointestinal surgery. Thus, surgeons/clinicians should consider the comprehensive treatment of patients, including comprehensive nutritional care before, during and following surgery in order to prevent malnutrition and its complications. This would also enhance the effectiveness of surgery and the long‑term clinical results following surgery for patients with cancer.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Malnutrition and micronutrient deficiency following gastrointestinal cancer surgery: A case report and mini‑review of the literature

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