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PP103-SUN: Outcomes of Early Oral Feeding After Gastrectomy for Gastric Cancer
S58 (3.4±4.0) as part of the abPG-SGA contributed most to its total score (6.1±6.0). Only abPG-SGA total score correlated significantly to all EORTC QLQ-C30 function scales and six symptom scales and single items (p = 0.01). Conclusion: Components of established malnutrition screening tools for the general hospital might not be appropriate for the requirements of an oncology outpatient setting. Cancer- and treatment-related symptoms, QoL and development of malnutrition closely affect one another and should be taken into account as the abPG-SGA does. Disclosure of Interest: None Declared.
PP103-SUN OUTCOMES OF EARLY ORAL FEEDING AFTER GASTRECTOMY FOR GASTRIC CANCER H. Sato1 , S. Sakuramoto1 , I. Koyama1 . 1 Esophagogastric Surgery, Saitama International Medical Center, Saitama Medical University, Hidaka-shi, Saitama, Japan Rationale: This study aimed to evaluate the safety of early oral intake included in the enhanced recovery after surgery (ERAS® ) program for patients who had undergone gastrectomy for gastric cancer. Methods: This was a retrospective case control study. Between February and July 2013, 100 patients were enrolled in this study. The postoperative course were analyzed. Open gastrectomy (Op) was performed for 49 patients and laparoscopic gastrectomy (Lap) for 51 patients. Among patients who underwent distal gastrectomy (DG), 24 and 27 underwent Op and Lap, respectively. Among patients who underwent pylorus-preserving gastrectomy (PPG), 7 underwent Lap, and among those who underwent proximal gastrectomy (PG), 1 and 10 underwent Op and Lap, respectively. Among patients who underwent total gastrectomy (TG), 21 and 7 underwent Op and Lap, respectively, while among those who underwent remnant total gastrectomy (RTG), 3 underwent Op. The oral intake regimen in DG and PPG patients was initiated on postoperative day 1 (POD1) as follows: POD1, drinking water; POD2, liquid food or rice gruel in three-tenth degree; POD3 4, rice gruel in half and POD4 6: rice gruel. The regimen was initiated on POD2 in TG and RTG patients. Results: The oral intake regimen was uneventful for 60 patients (60%), while 40 patients (40%) showed variations. Twenty-five (51%) Op patients and 35 (69%; P = 0.1) Lap patients, 12 (50%) OpDG and 10 (70%) LapDG patients, 5 (71%) LapPPG and 6 (60%) LapPG patients, 11 (52%) OpTG and 5 (71%) LapTG patients and 2 (67%) OpRTG patients completed the oral intake regimen. The reasons for variations were abdominal pain and/or distention (n = 22), inflammatory findings in laboratory data (n = 8), anastomotic leakage (suspicious; n = 5) and pancreatic fistula (n = 2). Conclusion: Early oral intake programs are possible, but they cannot be simple and rigid because of frequent variations among individual patients. Tailor-made management is necessary. Disclosure of Interest: None Declared.
Poster presentations PP104-SUN DISCORDANCE BETWEEN PHYSICIANS AND PATIENTS IN NUTRITIONAL ASSESSMENT IN ELDERLY PATIENTS WITH CANCER; SUBGROUP ANALYSIS FROM THE FRENCH NUTRICANCER 2012 SURVEY B. Raynard1 , J. Lacau Saint Guily2 , E. Gyan3 , F. Goldwasser4 , X. H´ ebuterne5 . 1 Unit´ e Transversale de Di´ et´ etique et de Nutrition, Gustave Roussy Cancer Campus Grand Paris, Villejuif, 2 Service d’ORL et de chirurgie cervicofaciale, CHU Tenon, Paris, 3 Service d’h´ ematologie et th´ erapie cellulaire, CHU Tours, Tours, 4 Service d’oncologie m´ edicale, CHU Cochin, Paris, 5 Service d’h´ epato-gastro-ent´ erologie et nutrition, CHU Nice, Nice, France Rationale: 27 40% of older cancer pts are malnourished. Nutritional status in elderly is often based on physician (phy)’s assessment only, because cognitive alterations are frequent (15%). How could older patients perceive their nutritional status and their nutritional treatment? We aimed to compare nutritional assessment and nutritional treatment perceptions between pts older than 70 years and phy. Methods: We performed a one-day survey in France. It included all adults, in or out-hospital patients with cancer, who gave their consent to participate. Pts and phy completed specific questionnaires. We describe only data about pts >70 years. Malnutrition was defined by weight loss >5% in 1 month or 10% in 6 months, and/or BMI 21, and/or albuminemia <35 g/L and/or MNA 17. Results: Among 2,197 pts, 578 were >70 y (26%) with 154 pts >79 y (7%). Digestive (41%) was the principal tumour localization. PS was more impaired in older pts (PS 2+ 53% vs. 38%; p < 0.05). Malnutrition was found in 45% (vs. 37% in <70 y; p < 0.05). Phy declared 48% of malnutrition, and pts in 28% only. Oral intake estimated by pts was similar before and after 70 y, but phy overestimated oral intake in >70 y. Phy underestimated influence of malnutrition on quality of life. >70 y declared more often having nutritional support (dietetic counselling 65%, ONS 45%) than younger (53% vs. 47%) but it was initiated later in >70 y. >70 y are more clearly conscious of the link between quality of life and nutritional status but are resigned concerning the possibilities of preventing or improving malnutrition. Conclusion: About half of oncologic elderly pts are malnourished. >70 y underestimate malnutrition and nutritional support’s efficacy, while they received more frequently dietetic counselling and ONS. Better information about interest of screening and nutritional support in elderly pts with cancer is mandatory. Disclosure of Interest: B. Raynard Grant/Research Support from: Fresenius-Kabi, J. Lacau Saint Guily Grant/Research Support from: Fresenius-Kabi, E. Gyan Grant/Research Support from: FreseniusKabi, F. Goldwasser Grant/Research Support from: Fresenius-Kabi, X. H´ ebuterne Grant/Research Support from: Fresenius-Kabi.
PP103-SUN OUTCOMES OF EARLY ORAL FEEDING AFTER GASTRECTOMY FOR GASTRIC CANCER H. Sato1 , S. Sakuramoto1 , I. Koyama1 . 1 Esophagogastric Surgery, Saitama International Medical Center, Saitama Medical University, Hidaka-shi, Saitama, Japan Rationale: This study aimed to evaluate the safety of early oral intake included in the enhanced recovery after surgery (ERAS® ) program for patients who had undergone gastrectomy for gastric cancer. Methods: This was a retrospective case control study. Between February and July 2013, 100 patients were enrolled in this study. The postoperative course were analyzed. Open gastrectomy (Op) was performed for 49 patients and laparoscopic gastrectomy (Lap) for 51 patients. Among patients who underwent distal gastrectomy (DG), 24 and 27 underwent Op and Lap, respectively. Among patients who underwent pylorus-preserving gastrectomy (PPG), 7 underwent Lap, and among those who underwent proximal gastrectomy (PG), 1 and 10 underwent Op and Lap, respectively. Among patients who underwent total gastrectomy (TG), 21 and 7 underwent Op and Lap, respectively, while among those who underwent remnant total gastrectomy (RTG), 3 underwent Op. The oral intake regimen in DG and PPG patients was initiated on postoperative day 1 (POD1) as follows: POD1, drinking water; POD2, liquid food or rice gruel in three-tenth degree; POD3 4, rice gruel in half and POD4 6: rice gruel. The regimen was initiated on POD2 in TG and RTG patients. Results: The oral intake regimen was uneventful for 60 patients (60%), while 40 patients (40%) showed variations. Twenty-five (51%) Op patients and 35 (69%; P = 0.1) Lap patients, 12 (50%) OpDG and 10 (70%) LapDG patients, 5 (71%) LapPPG and 6 (60%) LapPG patients, 11 (52%) OpTG and 5 (71%) LapTG patients and 2 (67%) OpRTG patients completed the oral intake regimen. The reasons for variations were abdominal pain and/or distention (n = 22), inflammatory findings in laboratory data (n = 8), anastomotic leakage (suspicious; n = 5) and pancreatic fistula (n = 2). Conclusion: Early oral intake programs are possible, but they cannot be simple and rigid because of frequent variations among individual patients. Tailor-made management is necessary. Disclosure of Interest: None Declared.
Poster presentations PP104-SUN DISCORDANCE BETWEEN PHYSICIANS AND PATIENTS IN NUTRITIONAL ASSESSMENT IN ELDERLY PATIENTS WITH CANCER; SUBGROUP ANALYSIS FROM THE FRENCH NUTRICANCER 2012 SURVEY B. Raynard1 , J. Lacau Saint Guily2 , E. Gyan3 , F. Goldwasser4 , X. H´ ebuterne5 . 1 Unit´ e Transversale de Di´ et´ etique et de Nutrition, Gustave Roussy Cancer Campus Grand Paris, Villejuif, 2 Service d’ORL et de chirurgie cervicofaciale, CHU Tenon, Paris, 3 Service d’h´ ematologie et th´ erapie cellulaire, CHU Tours, Tours, 4 Service d’oncologie m´ edicale, CHU Cochin, Paris, 5 Service d’h´ epato-gastro-ent´ erologie et nutrition, CHU Nice, Nice, France Rationale: 27 40% of older cancer pts are malnourished. Nutritional status in elderly is often based on physician (phy)’s assessment only, because cognitive alterations are frequent (15%). How could older patients perceive their nutritional status and their nutritional treatment? We aimed to compare nutritional assessment and nutritional treatment perceptions between pts older than 70 years and phy. Methods: We performed a one-day survey in France. It included all adults, in or out-hospital patients with cancer, who gave their consent to participate. Pts and phy completed specific questionnaires. We describe only data about pts >70 years. Malnutrition was defined by weight loss >5% in 1 month or 10% in 6 months, and/or BMI 21, and/or albuminemia <35 g/L and/or MNA 17. Results: Among 2,197 pts, 578 were >70 y (26%) with 154 pts >79 y (7%). Digestive (41%) was the principal tumour localization. PS was more impaired in older pts (PS 2+ 53% vs. 38%; p < 0.05). Malnutrition was found in 45% (vs. 37% in <70 y; p < 0.05). Phy declared 48% of malnutrition, and pts in 28% only. Oral intake estimated by pts was similar before and after 70 y, but phy overestimated oral intake in >70 y. Phy underestimated influence of malnutrition on quality of life. >70 y declared more often having nutritional support (dietetic counselling 65%, ONS 45%) than younger (53% vs. 47%) but it was initiated later in >70 y. >70 y are more clearly conscious of the link between quality of life and nutritional status but are resigned concerning the possibilities of preventing or improving malnutrition. Conclusion: About half of oncologic elderly pts are malnourished. >70 y underestimate malnutrition and nutritional support’s efficacy, while they received more frequently dietetic counselling and ONS. Better information about interest of screening and nutritional support in elderly pts with cancer is mandatory. Disclosure of Interest: B. Raynard Grant/Research Support from: Fresenius-Kabi, J. Lacau Saint Guily Grant/Research Support from: Fresenius-Kabi, E. Gyan Grant/Research Support from: FreseniusKabi, F. Goldwasser Grant/Research Support from: Fresenius-Kabi, X. H´ ebuterne Grant/Research Support from: Fresenius-Kabi.