Nutritional Counseling Protocol for Colorectal Cancer Patients after Surgery Improves Outcome

Abstract

Incidences of colorectal cancer (CRC) have continued to grow. Surgery is the main treatment and the only curative factor is nutritional status, which has an enormous influence on postoperative evolution. This study proposes a protocol for nutritional intervention beginning preoperatively and lasting up to three months postoperatively. Twenty patients with confirmed diagnosis of colon adenocarcinoma who underwent resection surgery were included. Anthropometric and food intake data–assessed through two 24-hour recalls, one weekday and one weekend–were collected at baseline, one month postoperative (PO), and three months PO. Anthropometric evaluation showed a decrease in the first month PO in weight, BMI, Hand grip strength, and arm circumference (P < 0.05), but these parameters recovered after 3 mo, PO and concomitant with the increase in protein and dietary fiber intake. In addition, collateral symptoms, such as abdominal distension, abdominal pain, and post prandial fullness, decreased between baseline and three months postoperative (P < 0.05). The nutritional counseling protocol for patients undergoing surgery due to CRC was positive in the recovery of nutritional status and improve of symptoms.

Disclosure Statement

No potential conflict of interest was reported by the author(s).

Funding

This study was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo - FAPESP (N° 2018/18739-6); Conselho Nacional de Desenvolvimento Científico e Tecnológico (N° 33002010163P6); Fundação de Desenvolvimento Administrativo - FUNDAP.

Chart 1. Dietary patterns and allowed foods.

Chart 2. Signs and symptoms to assess the progression of diet post operative.