DOI: 10.36347/sjams.2022.v10i04.025

Pages: 580-585

Background: Early postoperative outcome of colorectal cancer being worsen by various factors like advanced disease stage, emergency presentation, poor nutritional status of the patient etc. To aim of this study was to evaluate the relationship between nutritional status, disease stage, its presentation with short term outcome like mortality and morbidity after colorectal cancer surgery. Methods: A total 44 number of colorectal cancer patients enrolled in this observational study. These patients underwent colorectal cancer surgery in different surgery unit of Dhaka Medical College hospital and Bangabandhu Sheikh Mujib Medical University, Dhaka were enrolled during the period of March 2014 to march 2015.Patients who developed early postoperative morbidity or mortality were compared with those who followed a healthy course after surgery in relation to nutritional status, disease stage and presentation. Total sample were divided into Group A, who developed postoperative complications and Group B, where patients had uneventful outcome. Results: Among 44 patients, in hospital death rate found nil and the overall postoperative morbidity rate was 34%. Most of the patients (33/44) was with normal BMI (17-24.9). Histopathologically found adenocarcinaoma and 56% was found TNM stage. Early postoperative outcome was significantly associated with preoperative hypoalbuminemia (16/36), medium to high risk of malnutrition (22/44), immediate surgery for acute disease state (2/15). Conclusion: In colorectal cancer, malnourished, high risk of malnutrition, hypoalbuminemia significantly contributes to postoperative mortality, morbidity and length of total hospital stay. Hypoalbuminemia serves as an excellent assessment tool and preoperative predictor of postoperative outcomes.