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FUNCTIONALITY OF UPPER GASTROINTESTINAL CANCER PATIENTS WHICH HAVE UNDERTAKEN SURGERY IN HOSPITAL PHASE

BACKGROUND: Cancer patients present various physiological, metabolic, social and emotional changes as a consequence of the disease’s own catabolism, and may be potentiated in the gastrointestinal tract cancer by their interference with food intake, digestion and absorption. AIM: T: o evaluate the fu...

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Detalles Bibliográficos
Autores principales: de CARVALHO, Epamela Sulamita Vitor, LEÃO, Ana Cristina Machado, BERGMANN, Anke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049995/
https://www.ncbi.nlm.nih.gov/pubmed/29947687
http://dx.doi.org/10.1590/0102-672020180001e1353
Descripción
Sumario:BACKGROUND: Cancer patients present various physiological, metabolic, social and emotional changes as a consequence of the disease’s own catabolism, and may be potentiated in the gastrointestinal tract cancer by their interference with food intake, digestion and absorption. AIM: T: o evaluate the functionality of upper gastrointestinal cancer patients which have undertaken surgery and analyze the factors associated with changes in strength and functionality during hospitalization time. METHODS: Prospective analytical study in patients with cancer of the upper gastrointestinal tract which have undertaken surgery. Was evaluated the handgrip strength using a hand dynamometer and functionality through the functional independence measure and Functional Status Scale for Intensive Care Unit in the preoperative period, 2(nd) and 7(th) postoperative day. RESULTS: Were included 12 patients, 75% men, and mean age was 58.17 years old. The most prevalent tumor site was stomach (66.7%). There was a progressive reduction from the pre-operative palmar grip strength to the 2(nd) and 7(th) postoperative day, respectively. There was a decrease in functional performance from the preoperative period to the 2(nd) and a gain from the 2(nd) to the 7(th) postoperative day (p<0.001). CONCLUSION: An important reduction in the handgrip strength and functionality was evidenced during the postoperative period in relation to the basal value in the pre-operative period.