28. NUTRITIONAL STATUS AND ASSOCIATED FACTORS AMONG ESOPHAGEAL CANCER PATIENTS UNDERGOING GASTROSTOMY AT VIETNAM NATIONAL CANCER HOSPITAL IN 2024-2025

Le Thi Dieu Thu1, Hoang Viet Bach2, Nguyen Ha Thu3, Dao Thi Mai Hanh3, Le Thi Huong4
1 Viện Đào tạo Y học Dự phòng và Y tế Công cộng, Trường Đại học Y Hà Nội
2 K Hospital
3 Institute of Preventive Medicine and Public Health, Hanoi Medical University
4 nstitute of Preventive Medicine and Public Health, Hanoi Medical University

Main Article Content

Abstract

Objective: To assess the nutritional status and related factors among esophageal cancer patients undergoing gastrostomy at K Hospital period 2024-2025.


Subjects and methods: A cross-sectional study was conducted among 96 patients at K Hospital, Tan Trieu campus. Nutritional status was evaluated using PG-SGA, BMI, serum albumin, combined with clinical and laboratory parameters.


Results: The prevalence of malnutrition according to PG-SGA was 81.25%, including 54.17% at moderate level (PG-SGA B) and 27.08% at severe level (PG-SGA C). Hypoalbuminemia (< 35 g/l) was found in 86.46% of patients. Based on BMI, 16.67% were undernourished, and 3.12% were overweight/obese. Patients over 70 years old, those with education below high school, living in rural areas, with comorbidities, dysphagia grade 2, and stage IV cancer have higher malnutrition prevalence in compare with other group. However, these factors were not statistically significant related.


Conclusion: Malnutrition is common among esophageal cancer patients undergoing gastrostomy. Early nutritional screening and intervention are essential to improve patient condition, support treatment, and enhance outcomes.

Article Details

References

[1] Sung H, Ferlay J, Siegel R.L et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, May 2021, 71 (3): 209-249. doi: 10.3322/caac.21660
[2] Bray F, Laversanne M, Sung H et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, May-Jun 2024, 74 (3): 229-263. doi: 10.3322/caac.21834
[3] Viện Ung thư Quốc gia. Tình hình bệnh ung thư tại Việt Nam theo GLOBOCAN 2022. Ung thư và COVID19, 2022
[4] Zhang L, Lu Y, Fang Y. Nutritional status and related factors of patients with advanced gastrointestinal cancer. Br J Nutr, Apr 14 2014, 111 (7): 1239-44. doi: 10.1017/S000711451300367X
[5] Quyen T.C, Angkatavanich J, Thuan T.V, Xuan V.V, Tuyen L.D, Tu D.A. Nutrition assessment and its relationship with performance and Glasgow prognostic scores in Vietnamese patients with esophageal cancer. Asia Pac J Clin Nutr, Jan 2017, 26 (1): 49-58. doi: 10.6133/apjcn.122015.02
[6] Nguyễn Thị Thúy Lương, Nguyễn Thị Thanh Hòa. Tình trạng dinh dưỡng và khẩu phần thực tế của bệnh nhân ung thư thực quản tại Bệnh viện K năm 2021. Tạp chí Nghiên cứu Y học, 2021, 146 (10): 185-191.
[7] Cao J, Xu H, Li W et al. Nutritional assessment and risk factors associated to malnutrition in patients with esophageal cancer. Current problems in cancer, 2021, 45 (1): 100638.
[8] Pham Van B, Nguyen Thi Thanh H, Le Thi H, Nguyen Le Tuan A, Dang Thi Thu H, Dang Viet D. Nutritional Status and Feeding Regimen of Patients with Esophagus Cancer-A Study from Vietnam. Healthcare (Basel) , Mar 6 2021, 9 (3). doi: 10.3390/healthcare9030289
[9] Jordan T, Mastnak D.M, Palamar N, Kozjek N.R. Nutritional therapy for patients with esophageal cancer. Nutrition and cancer, 2018, 70 (1): 23-29.
[10] Schizas D, Lidoriki I. Nutritional Management of Esophageal Cancer. Esophageal Abnormalities, 2017, 89.
[11] Budrewicz-Czapska K, Szelachowski P, Strutyńska-Karpińska M, Nienartowicz M, Pelczar P. Assessment of nutritional status in patients with esophageal and esophago-gastric cancer. Advances in Clinical and Experimental Medicine, 2011, 20 (2): 199-203.