EVALUATION OF NUTRITIONAL STATUS IMPROVEMENT IN CANCER PATIENTS UNDERGOING PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG)
.
.
Abstract
Objectives: Assessing the degree of improvement in nutritional status in cancer patients undergoing endoscopic gastrostomy (PEG).
Subjects and methods: A prospective longitudinal study was conducted, in 62 cancer patients who underwent percutaneous endoscopic gastrostomy.
Results: Pre-PEG, the mean BMI of the study cohort was 19.1 ± 2.3 kg/m²; the prevalence of underweight based on BMI was 38.7%, and 69.4% were malnourished according to SGA. Anemia was present in 32.3% of patients, and 22.6% had hypoalbuminemia. At 1 month post-PEG, body weight and BMI were largely unchanged; the prevalence of BMI-defined malnutrition decreased slightly, while SGA-defined malnutrition remained unchanged, with a shift toward a higher proportion of mild malnutrition and lower proportions of moderate and severe malnutrition. At 3 months post-PEG, mean body weight increased by 1.3 kg and mean BMI by 0.5 kg/m². The prevalence of BMI-defined malnutrition decreased from 38.7% to 27.4%, and SGA-defined malnutrition from 69.4% to 37.1%. Anemia increased from 32.3% to 58.1% at 3 months, whereas the prevalence of hypoalbuminemia decreased from 22.6% to 16.1%.
Conclusions: PEG in cancer patients helps maintain nutritional status during treatment at 1 month and improves nutritional status at 3 months.
.
Keywords
Percutaneous endoscopic gastrostomy (PEG), nutritional status in cancer patients.
- Bui D, Luu NT. Huong dan dinh duong trong dieu tri benh ung thu [in Vietnamese]. Hanoi: Medical Publishing House; 2025. p. 9-10.
- Doan TAT, Pham MC. Lua chon phuong phap nuoi duong trong benh vien cho benh nhan ung thu. In: Dinh duong trong dieu tri ung thu [in Vietnamese]. Ho Chi Minh City: Medical Publishing House; 2020. p. 72-103.
- Nghiem NT, Tran TTP. Dinh duong ho tro va cac duong nuoi an. In: Dinh duong lam sang [in Vietnamese]. Hanoi: Medical Publishing House; 2018. p. 110-125.
- Howad JP. Ky thuat ho tro dinh duong. Luu NT, translator. In: Nhung van de co ban trong dinh duong lam sang [in Vietnamese]. Ho Chi Minh City: Medical Publishing House; 2014. p. 309-417.
- Diep BT, Nguyen TKC. Nghien cuu dieu tri nuoi an bang phau thuat mo thong da day cho benh nhan ung thu [in Vietnamese]. Vietnam Journal of Oncology. 2016;(4):510-515.
- Rabie AS. Percutaneous endoscopic gastrostomy in cancer patients: technique, indications and complications. Gulf J Oncolog. 2010;(7):37-41.
- Nguyen TL, et al. Tinh trang dinh duong va mot so yeu to lien quan o nguoi benh ung thu dau co dieu tri xa tri tai Benh vien Ung buou Ha Noi nam 2021 [in Vietnamese]. Journal of Medical Research. 2022;153(5):145-154.
- Silva FR, Prado CM, Lima TR, et al. Factors associated with malnutrition in hospitalized cancer patients: a cross-sectional study. Nutr J. 2015;14:123.
