Severe nutritional risk predicts decreased long-term survival in geriatric patients undergoing pancreaticoduodenectomy for benign disease.

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Abstract

Weight loss and malnutrition are poorly tolerated by geriatric patients, and pancreaticoduodenectomy (PD) can result in chronic malabsorption and weight loss. We sought to determine how preoperative severe nutritional risk (SNR), as defined by the American College of Surgeons National Surgical Quality Improvement Program/American Geriatric Society Best Practice Guidelines, affects long-term survival after PD for benign disease among geriatric and nongeriatric patients.

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Journal

Journal ID (iso-abbrev): J. Am. Coll. Surg.

Title: Journal of the American College of Surgeons

ISSN (Electronic): 1879-1190

ISSN (Print): 1072-7515

Publication date (Electronic): Dec 2014

Volume: 219

Issue: 6

Affiliations

[1 ] Department of Surgery, Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO.

[2 ] Division of Geriatrics, Department of Medicine, Saint Louis University School of Medicine, Saint Louis, MO.

[3 ] Department of Surgery, Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO; Alvin J Siteman Cancer Center, Washington University School of Medicine, Saint Louis, MO.

[4 ] Department of Surgery, Barnes-Jewish Hospital and Washington University School of Medicine, Saint Louis, MO; Alvin J Siteman Cancer Center, Washington University School of Medicine, Saint Louis, MO. Electronic address: linehand@wudosis.wustl.edu.

Article

Publisher Item ID: S1072-7515(14)00507-9 Mid ID: NIHMS610202

DOI: 10.1016/j.jamcollsurg.2014.06.017

PMC ID: 4254444

PubMed ID: 25442378

SO-VID: 0dfa497e-907a-4bd6-aadd-441a3288abbc

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