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Volume 8 Journal of Obesity & Weight Loss Therapy Obesity Summit 2018
July 10-11, 2018
Page 28
Notes:
conferenceseries.com
July 10-11, 2018 Bangkok, Thailand
19th World Obesity Congress
Nutritional support on postoperative Whipple procedure of pancreatic head carcinoma with hypoalbuminemia
Yosefa Ria Rampo and Nurpudji A Taslim
Hasanuddin University, Indonesia
Introduction: Pancreatic cancer is one of the most common gastrointestinal tumors and is the fifth leading cause of death in
developed countries including the United States. Even though mortality rates of pancreatic cancer are projected to fall by 3% in
the UK between 2014 and 2035, to 17 deaths per 100.000 people by 2035 but it is still a major problem worldwide. Over 98% of
patients die within six months of diagnosis, one of cancer-related comorbidities is malnourished and this is associated with the
risk of complications, increased length of hospitalization and mortality, thus nutritional intervention is required.
Case Description: A female, 64 years old, was consulted anesthesiologist with pancreatic carcinoma with hypoalbuminemia.
From the heteroanamnesis it was found that the patient was not allowed to eat and drink 5 days before by the digestive surgeon,
due to the surgery. Patient had nasogastric tube with 30 cc/4 hours of black residue. There was weight loss in the previous month
about 6 kg. 24 hours energy intake was 0 kcal. Nutritional diagnosis was moderate protein energy malnutrition (SGA), with
anemia (Hb 11, 3), leukocytosis (WBC 12.300), severe immune system depletion (TLC 390/uL), hypoalbuminemia (albumin
1.6 g/dL) and normal gastrointestinal function. Nutritional therapy was given of clear liquid diet with 5% dextrose and through
parenteral nutrition 1000 cc/24 hours. The amount and composition are gradually increased according to the tolerance and
condition of the patient up to 1600 kcal, 2 g/kg BW (body weight) / day (25%) protein, 50% carbohydrate and 25% fat. After
28 days of treatment, intake improved to 98.5% of patient’s total energy requirement, hemoglobin 12.7 g/dl, WBC 10.080/uL,
TLC 1250 cells/mm3 and albumin 2.9 g/dL.
Conclusion: Optimum nutritional support can accelerate healing in post-operative pancreatic cancer patients, increase
albumin levels and improve patient quality of life.
Biography
Yosefa Ria Rampo 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.
Yosefa Ria Rampo et al., J Obes Weight Loss Ther 2018, Volume 8
DOI: 10.4172/2165-7904-C4-067