Publication
Low Serum Chromium Is Rare in Patients That Underwent Endoscopic Gastrostomy For Long Term Enteral Feeding
| dc.contributor.author | Santos, CA | |
| dc.contributor.author | Fonseca, J | |
| dc.contributor.author | Carolino, E | |
| dc.contributor.author | Sousa Guerreiro, A | |
| dc.date.accessioned | 2018-01-31T16:15:59Z | |
| dc.date.available | 2018-01-31T16:15:59Z | |
| dc.date.issued | 2017-07 | |
| dc.description.abstract | BACKGROUND: Patients that underwent Percutaneous Endoscopic Gastrostomy (PEG) present with protein-energy malnutrition. Trace elements are required in small quantities and Chromium (Cr) displays a major role in the metabolism. OBJECTIVE: This study aims to evaluate Cr levels and its relationship with serum proteins, BMI and underlying diseases during the first 3 months of PEG feeding. METHODS: Prospective observational study during 3-months, when PEG was performed (T0), after 4 (T1), and 12 weeks (T3). Initial evaluation included: age, gender, underlying disease, NRS-2002, BMI, serum albumin, transferrin and Cr concentration. At T1 and T3 a blood sample was collected for Cr, albumin and transferrin. A Graphite Furnace Atomic Absorption Spectroscopy was used to assess Cr. According with the underlying disease, patients were divided into two groups: head and neck cancer (HNC) and neurological dysphagia (ND). All patients were fed with homemade meals. RESULTS: A one hundred and twenty-nine patients (80 males), 26-95 years old were studied: HNC-52; ND-77. The observed data included low mean values of BMI from 71 patients; low Cr-8, low albumin-70, low transferrin-85 and 57 with both proteins low. Albumin was associated with survival time ( P =0.024) and there was a significant correlation between albumin and Cr (r=0.217, P =0.012). A good evolution of Cr and proteins values was observed, with no low Cr levels at T3. CONCLUSION: Low serum Cr is rare in PEG-patients, with no relationship to other studied parameters. For the minority of patients displaying low Cr before gastrostomy, homemade PEG meals seem to be effective. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Arq Gastroenterol. 2017 Jul-Sept;54(3):211-216. | pt_PT |
| dc.identifier.doi | 10.1590/S0004-2803.201700000-25 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/2874 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE | pt_PT |
| dc.subject | Adult | pt_PT |
| dc.subject | Aged | pt_PT |
| dc.subject | Aged, 80 and over | pt_PT |
| dc.subject | Body Mass Index | pt_PT |
| dc.subject | Chromium | pt_PT |
| dc.subject | Female | pt_PT |
| dc.subject | Gastrostomy | pt_PT |
| dc.subject | Humans | pt_PT |
| dc.subject | Male | pt_PT |
| dc.subject | Middle Aged | pt_PT |
| dc.subject | Prospective Studies | pt_PT |
| dc.subject | Protein-Energy Malnutrition | pt_PT |
| dc.subject | Enteral Nutrition | pt_PT |
| dc.subject | HSM MED | pt_PT |
| dc.title | Low Serum Chromium Is Rare in Patients That Underwent Endoscopic Gastrostomy For Long Term Enteral Feeding | pt_PT |
| dc.title.alternative | O Cromo Sérico Baixo É Raro em Doentes Submetidos a Gastrostomia Endoscópica Para Nutrição Entérica de Longa Duração | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 216 | pt_PT |
| oaire.citation.issue | 3 | pt_PT |
| oaire.citation.startPage | 211 | pt_PT |
| oaire.citation.title | Arquivos de Gastroenterologia | pt_PT |
| oaire.citation.volume | 54 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |