Related Experiment Video
Updated: Oct 3, 2025
04:53
A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
10.8K
Postoperative decrease of albumin (ΔAlb) as early predictor of complications after gastrointestinal surgery: a
Gaëtan-Romain Joliat1,2, Arnaud Schoor3, Markus Schäfer4
1Department of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, CH-1011, Lausanne, Switzerland. gaetan.joliat@gmail.com.
Perioperative Medicine (London, England)
|February 15, 2022
Summary
The decline in serum albumin after surgery (ΔAlb) can predict postoperative complications in gastrointestinal surgery. This biomarker shows promise for early identification of patients at risk.
Area of Science:
- Surgical Outcomes
- Biomarker Discovery
- Gastrointestinal Surgery
Background:
- Postoperative complications are common after gastrointestinal surgery.
- Early prediction of these complications is a significant clinical challenge.
- Serum albumin decline (ΔAlb) post-surgery may indicate the severity of the stress response and predict complications.
Purpose of the Study:
- To systematically review the literature on the predictive value of ΔAlb for postoperative complications in gastrointestinal surgery.
Main Methods:
- A systematic review following PRISMA guidelines was conducted.
- Searches were performed in MEDLINE and Embase databases.
- Studies evaluating ΔAlb for predicting complications after gastrointestinal surgery were included.
Main Results:
- 16 studies (7 prospective, 9 retrospective) were included from 1256 screened articles.
- The sensitivity of ΔAlb ranged from 63-84% and specificity from 61-86% in predicting complications.
- Nine studies identified specific ΔAlb thresholds (5-11 g/l or 14-27%) for predicting morbidity.
Conclusions:
- ΔAlb demonstrates potential as a valuable biomarker for anticipating postoperative complications in gastrointestinal surgery.
- Further research is necessary to establish its clinical utility in perioperative patient management.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
205
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
205
01:23Peripheral Artery Disease V: Postoperative Nursing Management
41
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
41
01:29Appendicitis-II: Diagnostic Studies and Management
155
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
155
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
45
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
45
01:22Aneurysm IV: Nursing Management
33
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
33
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
132
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
132