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Nutrients
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Diet and Nutrition in Gastrointestinal Cancer Surgery
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Diet and Nutrition in Gastrointestinal Cancer Surgery

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: 25 August 2026 | Viewed by 961

Editor

Dr. Karol Rawicz-Pruszyński

E-Mail Website
Guest Editor
Department of Surgical Oncology, Medical University of Lublin, Radziwiłłowska 13 St., 20-080 Lublin, Poland
Interests: minimally invasive gastric cancer surgery; conversion surgery for gastric cancer
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues, 

Optimal nutritional status is crucial for modern gastrointestinal cancer surgery, directly influencing postoperative outcomes, the tolerance of multimodal treatment, and long-term oncological results. This Special Issue focuses on the role of diet and nutrition across the entire surgical pathway: from preoperative risk stratification and prehabilitation, through perioperative metabolic support, to postoperative recovery, follow-up, and survivorship. We welcome original research and high-quality reviews addressing nutritional assessment tools, sarcopenia and frailty, immunonutrition, enhanced recovery protocols, and personalized dietary interventions integrated with minimally invasive and oncological surgery. By bridging surgical oncology and clinical nutrition, this Special Issue aims to define evidence-based strategies that translate nutritional science into measurable improvements in surgical quality and patient outcomes.

Dr. Karol Rawicz-Pruszyński
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • gastrointestinal cancer surgery
  • clinical nutrition
  • perioperative nutrition
  • prehabilitation and nutritional optimization
  • sarcopenia and frailty
  • immunonutrition
  • enhanced recovery after surgery (ERAS)
  • minimally invasive surgery
  • nutritional risk assessment
  • postoperative outcomes

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Published Papers (1 paper)

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Research

15 pages, 789 KB  
Article
Diagnostic Performance and Agreement of MST and NUTRISCORE Compared with GLIM Criteria in Ambulatory Cancer Patients: Results from the OncoNutridos Study
by Carmen Ripa, Olatz Olariaga, Sara Vallinas, Mariola Sirvent, Larraitz Leunda, Elena Prado, Rosa Romero-Jimenez, Laia Pérez-Cordón, Paloma Terroba, Sara Hernández, Amelia Chica, Rocio Gázquez, Fernando Quintana, Isabel Caba and Maria Encina García
Nutrients 2026, 18(9), 1452; https://doi.org/10.3390/nu18091452 - 30 Apr 2026
Viewed by 533
Abstract
Background/Objectives: Disease-related malnutrition is highly prevalent in oncology and is associated with poor clinical outcomes. Early detection through nutritional screening is essential; however, the optimal screening tool for ambulatory cancer patients remains uncertain. This study aimed to evaluate the agreement and diagnostic [...] Read more.
Background/Objectives: Disease-related malnutrition is highly prevalent in oncology and is associated with poor clinical outcomes. Early detection through nutritional screening is essential; however, the optimal screening tool for ambulatory cancer patients remains uncertain. This study aimed to evaluate the agreement and diagnostic performance of the malnutrition screening tool (MST) and NUTRISCORE compared with the Global Leadership Initiative on Malnutrition (GLIM) criteria in a large nationwide cohort of ambulatory cancer patients. Methods: In this multicenter, observational, cross-sectional nationwide study, adult patients attending oncology day hospitals for intravenous antineoplastic treatment between April and November 2021 were included. Nutritional risk was assessed using MST (cut-off ≥ 2) and NUTRISCORE (cut-off ≥ 5). Malnutrition was diagnosed according to GLIM criteria. Agreement between tools was assessed with Cohen’s kappa, and diagnostic performance was evaluated by sensitivity, specificity, accuracy, positive predictive value, and negative predictive value. Analyses were stratified by tumor nutritional risk and cancer stage. Results: Among 4440 patients from 86 hospitals, 50.7% met the GLIM criteria for malnutrition; 72.5% had moderate and 27.5% severe malnutrition. MST identified 37.5% of patients as being at nutritional risk, compared with 17.3% identified by NUTRISCORE. Agreement between MST and NUTRISCORE was moderate overall (κ = 0.48; 95% CI, 0.45–0.51), but varied markedly according to tumor nutritional risk, ranging from high agreement in high-risk tumors (κ = 0.82) to low agreement in low-risk tumors (κ = 0.28). Relative to GLIM, MST was more sensitive than NUTRISCORE (0.51 vs. 0.27), whereas NUTRISCORE was more specific (0.92 vs. 0.76) and had a higher positive predictive value (0.77 vs. 0.68). Negative predictive value was low for both tools. Conclusions: GLIM-defined malnutrition was highly prevalent in this large cohort of ambulatory patients with cancer. MST provided greater case detection, whereas NUTRISCORE showed a more conservative profile with higher specificity but substantially lower sensitivity. These findings suggest that the choice of screening tool should consider clinical context- and tumor-related nutritional risk, and that neither instrument alone reliably excludes malnutrition in outpatient oncology settings. Full article
(This article belongs to the Special Issue Diet and Nutrition in Gastrointestinal Cancer Surgery)
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