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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1992-5-12
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pubmed:abstractText |
Thirty patients diagnosed with non-metastatic infiltrating vesical cancer (pT2-3, NoMo) due to receive radical cystectomy and transintestinal urinary by-pass, underwent Pre-operative Nutritional Assessment (PRNA), Cystectomy, post-operative Total Parenteral Nutrition (TPN), and Post-operative Nutritional Assessment (PONA) in day 7. The purposes of this prospective, uncontrolled clinical trial were: to identify, prior to surgery, undernourished patients, to assess the effectiveness of post-operative TPN with regard to a decrease in morbidity and mortality, and to evaluate the influence of a deficient nutritional condition in the occurrence of post-operative complications. It was found the 16.6% patients were undernourished prior to surgery, 80% of which showed complications, while only 28% patients considered to be in a normal state of nutrition had complications (there were no fistulae, intraabdominal abscesses, and abdominal sepsis). 6.6% complications were TPN-related. The conclusions were: the percentage of patients with malnutrition prior to surgery is large enough to justify a routine PRNA; TPN decreases morbidity and mortality in patients with previous good nutritional state but not in those with malnutrition; undernourished patients have a very high rate of complications and surgery should be delayed until a acceptable state of nutrition is achieved.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
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pubmed:issn |
0210-4806
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
429-36
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1807121-Cystectomy,
pubmed-meshheading:1807121-Female,
pubmed-meshheading:1807121-Humans,
pubmed-meshheading:1807121-Male,
pubmed-meshheading:1807121-Middle Aged,
pubmed-meshheading:1807121-Nutrition Disorders,
pubmed-meshheading:1807121-Parenteral Nutrition, Total,
pubmed-meshheading:1807121-Postoperative Care,
pubmed-meshheading:1807121-Preoperative Care,
pubmed-meshheading:1807121-Prospective Studies,
pubmed-meshheading:1807121-Urinary Bladder Neoplasms,
pubmed-meshheading:1807121-Urinary Diversion
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pubmed:articleTitle |
[Usefulness++ of total parenteral nutrition in radical surgery for bladder cancer].
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pubmed:affiliation |
Servicio de Urología, Hospital General Gregorio Marañón, Madrid.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract
|