{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T17:22:00Z","timestamp":1767374520255,"version":"3.37.3"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T00:00:00Z","timestamp":1599091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T00:00:00Z","timestamp":1599091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T00:00:00Z","timestamp":1599091200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Recently, diagnostic criteria for malnutrition have been proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN). This study aimed to investigate the utility of the ESPEN malnutrition criteria as a predictor for major complications following hepatectomy and pancreatectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were reviewed from 176 consecutive patients who underwent hepatectomy (<jats:italic>n<\/jats:italic>\u2009=\u2009103) or pancreatectomy (<jats:italic>n<\/jats:italic>\u2009=\u200973) between November 2017 and December 2019. Patients were divided into two groups according to the ESPEN malnutrition criteria using a prospectively collected database. The clinical data and the surgical outcomes of patients in the malnourished and normal groups were retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010five (20%) patients were diagnosed with malnourishment according to ESPEN criteria. The malnourished group had a significantly low preoperative albumin concentration (<jats:italic>p<\/jats:italic>\u2009=\u20090.001). After hepatectomy, major complications (Clavien grade\u2009\u2265\u20093a) occurred significantly more frequently in the malnourished group than in the normal group (<jats:italic>p<\/jats:italic>\u2009=\u20090.013). Multivariate analysis indicated that operative duration\u2009\u2265\u2009300\u00a0min (hazard ratio: 22.47, 95% CI: 2.17 to 232.73, <jats:italic>p<\/jats:italic>\u2009=\u20090.009) and malnourishment (hazard ratio: 14.56, 95% CI: 2.58 to 82.17, <jats:italic>p<\/jats:italic>\u2009=\u20090.002) were independently associated with major complications after hepatectomy. On the other hand, malnutrition was not associated with major complications after pancreatectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ESPEN malnutrition criteria are a valuable predictor for major complications following hepatectomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05767-w","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T15:04:23Z","timestamp":1599145463000},"page":"243-251","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["European Society for Clinical Nutrition and Metabolism (ESPEN) Malnutrition Criteria for Predicting Major Complications After Hepatectomy and Pancreatectomy"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5273-5362","authenticated-orcid":false,"given":"Yasuyuki","family":"Fukami","sequence":"first","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University 1\u20101 Yazakokarimata 480\u20101195 Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Saito","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University 1\u20101 Yazakokarimata 480\u20101195 Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Arikawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University 1\u20101 Yazakokarimata 480\u20101195 Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Osawa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University 1\u20101 Yazakokarimata 480\u20101195 Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunichiro","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University 1\u20101 Yazakokarimata 480\u20101195 Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenitiro","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University 1\u20101 Yazakokarimata 480\u20101195 Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuria","family":"Ishida","sequence":"additional","affiliation":[{"name":"Department of Nutrition Aichi Medical University Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Nutrition Aichi Medical University Nagakute Aichi Japan"},{"name":"Department of Palliative and Supportive Medicine Aichi Medical University Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoharu","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Nutrition Aichi Medical University Nagakute Aichi Japan"},{"name":"Department of Palliative and Supportive Medicine Aichi Medical University Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Sano","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological Surgery, Department of Surgery Aichi Medical University 1\u20101 Yazakokarimata 480\u20101195 Nagakute Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001427"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002753"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000217605.66519.38"},{"key":"e_1_2_9_5_1","unstructured":"FukamiY KaneokaY MaedaA KumadaT TanakaJ AkitaTet al. 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