Next Article in Journal
Exploring the Perceived Risks and Benefits of Heroin Use among Young People (18–24 Years) in Mauritius: Economic Insights from an Exploratory Qualitative Study
Next Article in Special Issue
Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries
Previous Article in Journal
Health Benefits Derived from Forest: A Review
Previous Article in Special Issue
Comparison of the Level of Awareness about the Transmission of Echinococcosis and Toxocariasis between Pet Owners and Non-Pet Owners in Greece
Open AccessArticle

Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy

1
Department of Nursing, University of West Attica, 12243 Athens, Greece
2
Department of Clinical Nutrition, Evangelismos General Hospital, 11521 Athens, Greece
3
Intensive Care Unit, G. Gennimatas General Hospital, 11527 Athens, Greece
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(17), 6124; https://doi.org/10.3390/ijerph17176124
Received: 4 July 2020 / Revised: 5 August 2020 / Accepted: 21 August 2020 / Published: 23 August 2020
(This article belongs to the Special Issue Evidence-Based Nursing)
Introduction: Patients undergoing ileostomy surgery often experience electrolyte disturbances and dehydration, especially during the first post-operative period. Recently, research has also begun on how the newly constructed ileostomy affects the patient’s nutritional status. Aim: The aim of the present pilot study was to assess the nutritional status of patients before and after the construction of the ileostomy as well as nutrition-related factors. Material and Method: This was a pilot study. The sample consisted of 13 adult patients diagnosed with colorectal or colon cancer who underwent scheduled ileostomy surgery. The evaluation tool used was “Original Full Mini Nutritional Assessment (MNA)”. Patients underwent nutritional assessment before the surgery (time 0), on the 7th post-operative day (time 1), and on the 20th post-operative day (time 2). The statistical significance level was set at p < 0.05. Results: All patients had a drop in MNA score on the 7th and 20th post-operative days. Factors associated with MNA were weight loss, mobility, body mass index (BMI), number of full meals consumed per day, portions of fruits and vegetables consumed per day, and mid-arm circumference, p < 0.05, respectively. Pre-operatively, 38.5%, of patients had severe weight loss (>3 kg), 23% moderate weight loss and 38.5% minimal weight loss. Pre-operatively, 92.3% of participants were able to move on their own and 69.2% on the 20th post-operatively day. Furthermore, BMI >23 kg/m2 had 84.6% of participants pre-operatively and 30.8% on the 20th post-operative day. In terms of portions of fruits and vegetables consumed per day, 30.8% of patients consumed at least 2 times, pre-operatively and no one (0%) on the 20th post-operative day. Moreover, pre-operatively all participants (100%) had arm circumference >22 cm while on the 20th post-operative day, only 38.5% of participants had arm circumference >22 cm. Conclusions: In the first 20 days after the construction of an ileostomy, the nutritional status of the patients is significantly affected. Decreased patient nutrition in both quantity and ingredients and reduced fluid intake appear to adversely affect the patient’s nutritional status. View Full-Text
Keywords: ileostomy; nutrition assessment; risk of malnutrition; weight loss ileostomy; nutrition assessment; risk of malnutrition; weight loss
Show Figures

Figure 1

MDPI and ACS Style

Vasilopoulos, G.; Makrigianni, P.; Polikandrioti, M.; Tsiampouris, I.; Karayiannis, D.; Margari, N.; Avramopoulou, L.; Toulia, G.; Fasoi, G. Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy. Int. J. Environ. Res. Public Health 2020, 17, 6124. https://doi.org/10.3390/ijerph17176124

AMA Style

Vasilopoulos G, Makrigianni P, Polikandrioti M, Tsiampouris I, Karayiannis D, Margari N, Avramopoulou L, Toulia G, Fasoi G. Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy. International Journal of Environmental Research and Public Health. 2020; 17(17):6124. https://doi.org/10.3390/ijerph17176124

Chicago/Turabian Style

Vasilopoulos, Georgios; Makrigianni, Panagiota; Polikandrioti, Maria; Tsiampouris, Ilias; Karayiannis, Dimitrios; Margari, Nikoletta; Avramopoulou, Lamprini; Toulia, Georgia; Fasoi, Georgia. 2020. "Pre- and Post-Operative Nutrition Assessment in Patients with Colon Cancer Undergoing Ileostomy" Int. J. Environ. Res. Public Health 17, no. 17: 6124. https://doi.org/10.3390/ijerph17176124

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop