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العنوان
Nutritional assessment among cirrhotic patients undergoing major abdominal surgery using conventional methods versus CT techniques /
المؤلف
Mogy, Aya Ali Abdel Kawy.
هيئة الاعداد
باحث / ايه علي عبد القوي موجي
مشرف / ممدوح السيد لطفي
مشرف / مجدي كمال خليل
مشرف / صفاء محمد هلال
الموضوع
Liver- Fibrosis.
تاريخ النشر
2018.
عدد الصفحات
90 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
31/7/2018
مكان الإجازة
جامعة المنوفية - كلية الطب - التخدير
الفهرس
Only 14 pages are availabe for public view

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from 103

Abstract

PEM is very common in Cirrhosis and is known to be associated with increased risk of mortality and morbidity. Simple bedside parameters to identify malnutrition are essential to diagnose and manage the nutritional deficit early to improve the prognosis and quality of life of cirrhotics. Although it might under estimate the condition rising the need for more sophisticated methods as CT.
Aim of the Study:
The aim of our work was to assess the nutritional status in cirrhosis patients by NRS, SGA, anthropometry, muscle strength assessment, BIA and the use of new CT techniques. And to compare efficacy of each in identifying malnutrition, and the occurrence of sarcopenia related post-operative complications.
Patients and Methods:
This is a Prospective, observational study, conducted in National Liver Institute – Menoufia University. All adult cirrhosis patients more than 18 years of age. Nutritional status assessment conducted through NRS questionnaire, SGA, BMI, MAC, TSF thickness, MMA, HGS. BIA was used to measure Body Fat and skeletal muscle in percentages, in addition to CT cuts at level of L3-L4 and mid arm. Descriptive statistics analyzed using SPSS version 22.
Results:
60 patients were included in the eligible study population. Hepatitis virus infection was etiology of cirrhosis in 88%. BMI was not significantly different between those groups. In comparing