NUTRITIONAL MANAGEMENT IN GASTRIC NEOPLASMS (CONUT SCORE)

The presentation "Nutritional Management in Gastric Neoplasms (CONUT Score)" explores the impact of nutritional status on postoperative outcomes in gastric cancer patients. The study evaluates CONUT (Controlling Nutritional Status) score, which is calculated based on serum albumin, lymphocyte count, and total cholesterol levels. A prospective study conducted over 1.5 years at Surgical Clinic I, SCJU Târgu Mureș analyzed 57 patients, showing that a high CONUT score (5-12 points) was significantly associated with postoperative complications, including anastomotic fistula and wound infections (p=0.0021). The findings emphasize the role of nutritional assessment in optimizing recovery and improving quality of life in gastric cancer patients.

1. NUTRITIONAL MANAGEMENT IN GASTRIC NEOPLASMS (CONUT SCORE) Cosma C ătălin -Dumitru MD Ph.D . student–General Medicine Master: Clinical Nutrition 2nd year Coordonatori : Prof. Dr C ălin Molnar MD Phd

2. Introduction Nutritional status of the patients is very influential for postoperative complications and the quality of life index One helpful tool in evaluating postoperative gastric neoplasm patients is The Controlling Nutritional Status (CONUT) score Evaluation implies monitorization of serum albumin , lymphocyte , and total cholesterol levels.

3. Objective Our study aimed to assess the nutritional status and outcomes (CONUT score) of the patients treated for gastric neoplasm in Surgical Clinic I SCJU Tg.Mures

4. Material and Method prospective study : 1 year and six months patients diagnosed and treated for gastric neoplasm We evaluated the nutritional parameters and calculated the CONUT score In addition, comorbidities and postoperative surgical monitoring were registered.

5. Results - 57 patients 52 years avarage age 41% 28% 31%

6. Results – Serum albumin g/ dL

7. Results – Lymphocyte (/ mL )

8. Results – Total cholesterol mg/ dL

9. CONUT SCORE

10. CONUT SCORE In more than half of the patients, 57% , we recorded a low CONUT score (0-4 points) A high CONUT score (5-12 points) was associated with comorbidities, mainly anastomosis fistula and incision infection (p=0.0021) 7.9% total gastrectomy associated with a high CONUT score (p=0.0011)

11. Conclusion Quality of life in patients treated for gastric neoplasm is a valuable asset that ensures a rapid recovery with social reintegration CONUT score can be implemented in assessing the nutritional status of patients with surgical treatment to assess postoperative complications and nutritional management

12. Bibliography Rosa Rosania a Costanza Chiapponi b Peter Malfertheiner a Marino Venerito - Nutrition in Patients with Gastric Cancer: An Update Gastrointest Tumors 2015;2:178–187 Aline Kirjner Poziomyck1; Leandro Totti Cavazzola , TCBC-RS1; Luisa Jussara Coelho1; Edson Braga Lameu1; Antonio Carlos Weston , BC-RS1; Luis Fernando Moreira , TCBC-RS1 - Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy Rev Col Bras Cir 2017; 44(5): 482-490 Carol Rees Parrish, R.D., MS, Series Editor Post-Gastrectomy: Managing the Nutrition Fall-Out PRACTICAL GASTROENTEROLOGY • JUNE 2004 Qi Xiao1,4,7, Xiaoqing Li2,7, Baojun Duan3, Xiaofan Li1, Sida Liu1, Boyu Xu4, Shuai Shi5, Jin Zhang5, Haoyuan Qin4, Xianglong Duan1,6,8* & Yansong Pu1,8* - Cl inical significance of controlling nutritional status score (CONUT) in evaluating outcome of postoperative patientswith gastric cancer Scientific Reports | (2022) 12:93 |

13. Thank you