Evaluation of Preoperative Nutritional Status using Subjective Global Assessment (SGA) Score in Predicting Postoperative Outcome in Patients Undergoing Gastrointestinal Anastomosis

Mohamed Aabrez Shams, (2017) Evaluation of Preoperative Nutritional Status using Subjective Global Assessment (SGA) Score in Predicting Postoperative Outcome in Patients Undergoing Gastrointestinal Anastomosis. Masters thesis, Madurai Medical College, Madurai.

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Abstract

Gastrointestinal anastomosis is one of the most common procedures performed for a wide variety of surgical conditions either as the primary treatment or as part of a major surgery such as cancer surgery to restore anastomosis following resection. Despite meticulous technique, anastomotic surgeries tend to have frequent complications ranging from issues as simple as anaemia following surgery to requiring ventilatory support and repeat surgery for their management. This study aims to evaluate the efficacy of the Subjective Global Assessment (SGA) Score in predicting postoperative morbidity in patients undergoing these surgeries depending on their preoperative nutritional status. 50 patients were studied during this study and their nutritional status was assessed based on clinical history and findings. Patients were classified into 3 groups namely A, B & C depending on whether they were well nourished, moderately nourished or poorly nourished respectively. The incidence of postoperative morbidity in the 3 groups was observed which showed that patients belonging to Group A had a better postoperative outcome compared to those in Group B who in turn tolerated surgery better than those in Group C. Thus, the Subjective Global Assessment Score is a valuable tool in predicting postoperative complications in patients undergoing anastomotic surgeries and will enable us to provide perioperative nutritional support to patients who are prone to complications, thereby reducing wastage of human and monetary resources.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Gastrointestinal anastomosis, Subjective Global Assessment, SGA score, perioperative nutrition, postoperative morbidity, wastage, resources.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 18 Mar 2020 02:06
Last Modified: 18 Mar 2020 02:06
URI: http://repository-tnmgrmu.ac.in/id/eprint/12302

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