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Volume 8
Journal of Obesity & Weight Loss Therapy
Obesity Summit 2018
July 10-11, 2018
Page 27
Notes:
conference
series
.com
July 10-11, 2018 Bangkok, Thailand
19
th
World Obesity Congress
Nutritional management in rectal carcinoma patient with wound dehiscence and hypoalbuminemia
Patricia Fergie Claudia Halim Puteri and Agussalim Bukhari
Hasanuddin University, Indonesia
Introduction:
Nutrition is known to play an important role in wound healing, malnutrition will impair in normal process of
wound healing. Adequate intake of macronutrients and micronutrients before, during, and after surgery can affect the rapidity
and potency of tissue repair.
Case Report:
A 52-year-old man was consulted by a surgeon with post-laparotomy rectal carcinoma and post colostomy
wound dehiscence. The main complaint of decrease intake since last 3 months, get worse in last 2 months due to reduced
appetite. There was no nausea, vomiting and fever. Twenty four hours intake was 204.5 kcal. Patients were diagnosed with
mild to moderate malnourished (SGA), microcytic hypochromic anemia (Hb 11.5 g/dl), immune depletion (TLC 610 u/L),
hypoalbuminemia (albumin 2.5 g/dL), hyponatremia (Na 130 mmol/L) and functional gastrointestinal state. On physical
examination we found sign of anemia, loss of thoracal subcutaneous fat and wasting on both lower extremities. Nutritional
therapy with 1600 kcal energy was given oral and parenteral nutrition to reach the calorie target within the first four days. After
being treated for 26 days, there was an increase albumin levels by 0.4 g/dl on day 15 (albumin 2.5 g/dl to 2.9 g/dl), immune
depletion levels by 450 u/L (TLC 610 u/L to 1060 u/L).
Conclusion:
Optimal nutrition support can accelerate wound healing and increase albumin levels and TLC in rectal carcinoma
patients.
Biography
Patricia Fergie Claudia Halim Puteri is currently a Clinical Nutrition Resident at Clinical Nutrition Department, Hasanuddin University, Indonesia. She has received a
Bachelor’s degree in Medicine from Maranatha University and (Master degree program) at Hasanuddin University. Her current research interest includes nutritional
effect of chocolate to metabolic syndrome.
patriciafergie@yahoo.co.idPatricia Fergie Claudia Halim Puteri et al., J Obes Weight Loss Ther 2018, Volume 8
DOI: 10.4172/2165-7904-C4-067