{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T02:39:38Z","timestamp":1761964778413},"reference-count":39,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:p>ABSTRACT Patients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy. In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT.<\/jats:p>","DOI":"10.1590\/0100-69912016003006","type":"journal-article","created":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T14:00:36Z","timestamp":1471701636000},"page":"189-197","source":"Crossref","is-referenced-by-count":17,"title":["Reliability of nutritional assessment in patients with gastrointestinal tumors"],"prefix":"10.1590","volume":"43","author":[{"given":"ALINE KIRJNER","family":"POZIOMYCK","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ANA VALERIA GON\u00c7ALVES","family":"FRUCHTENICHT","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GEORGIA BRUM","family":"KABKE","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BERNARDO SILVEIRA","family":"VOLKWEIS","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil; Hospital de Cl\u00ednicas de Porto Alegre,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JORGE LUIZ","family":"ANTONIAZZI","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LUIS FERNANDO","family":"MOREIRA","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1002\/ijc.27711","article-title":"Global estimates of cancer prevalence for 27 sites in the adult population in 2008","volume":"132","author":"Bray F","year":"2013","journal-title":"Int J Cancer"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"S51","DOI":"10.1016\/j.ejon.2005.09.007","article-title":"The causes and consequences of cancer-associated malnutrition","volume":"9","author":"Van Cutsem E","year":"2005","journal-title":"Eur J Oncol Nur"},{"issue":"26","key":"ref3","doi-asserted-by":"crossref","first-page":"3310","DOI":"10.3748\/wjg.v16.i26.3310","article-title":"Comparison of different nutritional assessment in detecting malnutrition among gastric cancer patients","volume":"16","author":"Ryu SW","year":"2010","journal-title":"World J Gastroenterol"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1080\/07315724.2004.10719365","article-title":"Erdem E The influence of nutritional status on complications after major intraabdominal surgery","volume":"23","author":"Sungurtekin H","year":"2004","journal-title":"J Am Coll Nutr"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1590\/S0100-69912004000300009","article-title":"Influ\u00eancia do trauma cir\u00fargico na concentra\u00e7\u00e3o s\u00e9rica de albumina no p\u00f3s-operat\u00f3rio imediato","volume":"31","author":"Petroniau A","year":"2004","journal-title":"Rev Col Bras Cir"},{"issue":"1 Suppl","key":"ref6","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.1016\/0899-9007(96)90011-8","article-title":"Definition of standardized nutritional assessment and interventional pathways in oncology","volume":"12","author":"Ottery FD","year":"1996","journal-title":"Nutrition"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1590\/S0004-28032002000400008","article-title":"Avalia\u00e7\u00e3o nutricional subjetic a Parte 2 - Revis\u00e3o de suas adapta\u00e7\u00f5es e utiliza\u00e7\u00f5es nas diverss especialidade cl\u00ednicas","volume":"39","author":"Barbosa-Silva MCG","year":"2002","journal-title":"Arq Gastroenterol"},{"issue":"8","key":"ref8","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1080\/01635581.2012.721157","article-title":"Preoperative nutritional assessment and prognosis in patients with foregut tumors","volume":"64","author":"Poziomyck AK","year":"2012","journal-title":"Nutr Cancer"},{"issue":"5","key":"ref9","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1016\/j.clnu.2004.06.004","article-title":"Bioelectrical impedance analysis--part I review of principles and methods","volume":"23","author":"Kyle UG","year":"2004","journal-title":"Clin Nutr"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/j.jamcollsurg.2005.12.010","article-title":"Nutritional assessment of surgery patients","volume":"202","author":"Hall JC","year":"2006","journal-title":"J Am Coll Surg"},{"issue":"3","key":"ref11","first-page":"144","article-title":"History of progress in nutritional assessment","volume":"99","author":"Sando K","year":"1998","journal-title":"Nihon Geka Gakkai Zasshi"},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1177\/014860718701100108","article-title":"What is subjective global assessment of nutritional status","volume":"11","author":"Detsky AS","year":"1987","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"3","key":"ref13","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1097\/01.mco.0000222109.53665.ed","article-title":"Indications and limitations of the use of subjective global assessment in clinical practice an update","volume":"9","author":"Barbosa-Silva MC","year":"2006","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"ref14","series-title":"The Treaty of Nutrition and Metabolism in Surgery","first-page":"55","volume-title":"Consequences of malnutrition in the surgical patient","author":"Lameu EB","year":"2013"},{"issue":"5","key":"ref15","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1590\/S0100-69912009000500003","article-title":"Espessura do m\u00fasculo adutor do polegar um m\u00e9todo r\u00e1p\u00eddo e confi\u00e1vel na avalia\u00e7\u00e3o nutricional de pacients cir\u00fargicos","volume":"36","author":"Bragagnolo R","year":"2009","journal-title":"Rev Col Bras Cir"},{"issue":"1","key":"ref16","first-page":"46","article-title":"Hyponutrition prevalence among patients with digestive neoplasm before surgery","volume":"23","author":"Cid Conde L","year":"2008","journal-title":"Nutr Hosp"},{"issue":"1","key":"ref17","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1207\/s15327914nc5301_6","article-title":"Nutritional assessment in cancer comparing the Mini-Nutritional Assessment (MNA) with the scored Patient-Generated Subjective Global Assessment (PGSGA)","volume":"53","author":"Read JA","year":"2005","journal-title":"Nutr Cancer"},{"issue":"28","key":"ref18","doi-asserted-by":"crossref","first-page":"3542","DOI":"10.3748\/wjg.15.3542","article-title":"Clinical application of subjective global assessment in Chinese patients with gastrintestinal cancer","volume":"15","author":"Wu BW","year":"2009","journal-title":"World J Gastroenterol"},{"issue":"4","key":"ref19","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1016\/j.nut.2012.09.016","article-title":"Relationship between nutritional status and the Glasgow Prognostic Score in patients with colorectal cancer","volume":"29","author":"Maur\u00edcio SF","year":"2013","journal-title":"Nutrition"},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1590\/S0041-87812004000200002","article-title":"Adductor policis muscle a new anthropometric parameter","volume":"59","author":"Lameu EB","year":"2004","journal-title":"Rev Hosp Clin"},{"issue":"3","key":"ref21","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/MCO.0b013e3282fba5d7","article-title":"Subjective and objective nutritional assessment methods what do they really assess?","volume":"11","author":"Barbosa-Silva MC","year":"2008","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"9612","key":"ref22","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/S0140-6736(08)60269-X","article-title":"Body-mass index and incidence of cancer a systematic review and meta-analysis of prospective observational studies","volume":"371","author":"Renehan AG","year":"2008","journal-title":"Lancet"},{"issue":"2","key":"ref23","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1590\/S1415-52732008000200009","article-title":"A dinamometria manual e seu uso na avalia\u00e7\u00e3o nutricional","volume":"21","author":"Schl\u00fcssel MM","year":"2008","journal-title":"Rev Nutr"},{"issue":"3","key":"ref24","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/01.mco.0000165011.69943.39","article-title":"Bioelectrical impedance analysis in clinical practice a new perspective on its use beyond body composition equations","volume":"8","author":"Barbosa-Silva MC","year":"2005","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"13","key":"ref25","first-page":"490","article-title":"The influence of preoperative weight loss on the postoperative course after esophageal cancer resection","volume":"20","author":"van der Schaaf MK","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/1475-2891-9-69","article-title":"Pretreatment serum albumin as a predictor of cancer survival a systematic review of the epidemiological literature","volume":"9","author":"Gupta D","year":"2010","journal-title":"Nutr J"},{"issue":"5","key":"ref27","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/j.nut.2012.10.014","article-title":"Albumin synthesis in surgical patients","volume":"29","author":"H\u00fclshoff A","year":"2013","journal-title":"Nutrition"},{"issue":"1","key":"ref28","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1001\/archsurg.134.1.36","article-title":"Preoperative serum albumin level as a predictor of operative mortality and morbidity results from the National VA Surgical Risk Study","volume":"134","author":"Gibbs J","year":"1999","journal-title":"Arch Surg"},{"issue":"1","key":"ref29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/014860710302700101","article-title":"Preoperative albumin and surgical site identify surgical risk for major postoperative complications","volume":"27","author":"Kudsk KA","year":"2003","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"1","key":"ref30","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1038\/bjc.2013.701","article-title":"Validation of C-reactive protein levels as a prognostic indicator for survival in a large cohort of pancreatic cancer patients","volume":"110","author":"Szkandera J","year":"2013","journal-title":"Br J Cancer"},{"issue":"123","key":"ref31","first-page":"507","article-title":"Impact of C-reactive protein on prognosis of patients with colorectal carcinoma","volume":"60","author":"Takasu C","year":"2013","journal-title":"Hepatogastroenterology"},{"issue":"1","key":"ref32","doi-asserted-by":"crossref","first-page":"S59","DOI":"10.1111\/j.1753-4887.1996.tb03793.x","article-title":"Assessing the nutritional status of the elderly The Mini Nutritional Assessment as part of the geriatric evaluation","volume":"54","author":"Guigoz Y","year":"1996","journal-title":"Nutr Rev"},{"issue":"1","key":"ref33","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1590\/S0004-28032011000100012","article-title":"Clinical and nutritional status of surgical patients with and without malignant diseases cross-sectional study","volume":"48","author":"Leandro-Merhi VA","year":"2011","journal-title":"Arq Gastroenterol"},{"issue":"4","key":"ref34","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1080\/01635581.2012.675620","article-title":"Mini-nutritional assessment predicts functional status and quality of life of patients with hepatocellular carcinoma in Taiwan","volume":"64","author":"Hsu WC","year":"2012","journal-title":"Nutr Cancer"},{"issue":"11","key":"ref35","doi-asserted-by":"crossref","first-page":"2037","DOI":"10.1007\/s11605-012-2036-x","article-title":"Significance of the inflammation-based Glasgow prognostic score for short- and long-term outcomes after curative resection of gastric cancer","volume":"16","author":"Kubota T","year":"2012","journal-title":"J Gastrointest Surg"},{"issue":"3","key":"ref36","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/MCO.0b013e32832a7902","article-title":"Systemic inflammation, nutritional status and survival in patients with cancer","volume":"12","author":"McMillan DC","year":"2009","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"1","key":"ref37","first-page":"188","article-title":"Association between an inflammatory-nutritional index and nutritional status in cancer patients","volume":"28","author":"Alberici PC","year":"2013","journal-title":"Nutr Hosp"},{"issue":"12","key":"ref38","doi-asserted-by":"crossref","first-page":"1773","DOI":"10.1017\/S0007114511002509","article-title":"Importance of early nutritional screening in patients with gastric cancer","volume":"106","author":"Gavazzi C","year":"2011","journal-title":"Br J Nutr"},{"issue":"2","key":"ref39","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s13539-011-0027-5","article-title":"The cachexia score (CASCO) a new tool for staging cachectic cancer patients","volume":"2","author":"Argil\u00e9s JM","year":"2011","journal-title":"J Cachexia Sarcopenia Muscle"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v43n3\/0100-6991-rcbc-43-03-00189.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T23:54:29Z","timestamp":1495583669000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912016000300189&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["S0100-69912016000300189"],"URL":"https:\/\/doi.org\/10.1590\/0100-69912016003006","relation":{},"ISSN":["0100-6991"],"issn-type":[{"value":"0100-6991","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6]]}}}