Nutrition Assessment
Conditions
Keywords
nutrition,cirrhosis
Brief summary
Ultrasonography of Rectus Femoris and Anterior Tibialis muscles for nutritional assesment in cirrhotic patients undergoing major abdominal surgery
Detailed description
in the study, the investigator will use ultrasound to assess the nutritional state of cirrhotic patients after major abdominal surgery,The investigator aim to assess reliability of ultrasound as a bedside,non invasive tool,The investigator will enroll 72 patients for or study which is an observational study
Interventions
Ultrasound is a type of imaging. It uses high-frequency sound waves to look at organs and structures inside the body.
Sponsors
Study design
Eligibility
Inclusion criteria
* hepatic patients classified as child A, B undergoing major abdominal surgery (liver resection,whipple,Splenectomy,colectomy, Common Bile Duct exploration,By pass surgery) * 18-60 yrs old * no past history of nutritional problems,chronic use of drugs,patients with no orthopedic issues such as skeletal fractures or immobilization
Exclusion criteria
* Refusal of the patient to share in the study, relevant comorbidities (renal, heart disease or COPD) * previous immune abnormalities including treatment with corticosteroids * neuromuscular diseases * laparoscopic surgery * patients on parenteral nutrition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of the diameters of the Rectus Femoris and Anterior Tibialis muscles using the ultrasound in cm and the change of these diameters over the postoperative period till the 7th day to assess nutrition status in cirrhotic patients | perioperative days 1,3,5,7 | observational prospective study |
Countries
Egypt