Nutritional assessment of the patients with hepatocellular carcinoma before operation.
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概要
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The nutritioanl status of 46 patients with benign liver tumors and 69 with malignant liver tumor, were assessed by physical and biochemical examinations. The patients with malignant hepatic tumor and cirrhosis showed low values in the assessments of %ideal body weight (%IBW), %triceps skinf old (%TSF) and %arm muscle circumference (%AMC). Biochemical examination showed the same results. These findings indicate disturbed protein production in the liver and depressed protein storage in many organs in these patients. The serum α1-microglobulin level was depressed in patients with malignant hepatic tumor and cirrhosis. This protein, a kind of rapid turnover protein, is thought to be marker protein that reflects the nutriti onal state and is thus useful for nutritional assessment. From these findings, it is clear that patients with malignant hepatic tumor and cirrhosis are in a state of malnutrition, and nutritioanl support for these patients is necessary before and after surgery.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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