Pancreas Cancer Discussion Page:
An Unmoderated Forum
*
 
Support pancreas research*DISCLAIMER: This page is an unmoderated forum, and the opinions expressed herein do not necessarily reflect the viewpoint of The Johns Hopkins Medical Institutions. Patients are advised to consult their personal physicians before making any medical decisions.
FULL DISCLAIMER

Pancreas Cancer

our experience was posted 03/30/2010 11:44 pm by sandynIA
E-mail Address:

Message Text
Hi-- I don't know if you are leaning towards knowing the degree of malnutrition or something else....I can fill you in on malnutrition facts....the most accurate lab test for malnutrition is called pre-albumin. There are other tests like protein and albumin, but those can fluctuate with dehydration/recent eating patterns, etc. The PRE-albumin is a general, overall picture of nutritional status. Normal range is 20-40. less than 15 is a concern; less than 10 is critical, less than 5 has a poor prognosis.

I know this because my husband, Dan, is dealing with this now. He had a duodenal obstruction and had surgery gastrojejunostomy) in which the surgeon took a loop of small bowel and attached it to his stomach, bypassing the obstruction...( similar to gastric bypass for weight loss.) Dan suffered for a month with extreme belching, abdominal pain, nausea/vomiting until the obstruction was discovered. Along with the gastrojejunostomy the surgeon placed a J-tube for feeding and a G-tube to drain his stomach until the new outlet healed. Due to his inability absorb any nutrition for a month, his pre-albumin was 7.4 (critical). He was on TPN to build him up to tolerate surgery. He has now been on tube feedings only for 11 days and his pre-albumin is up to 9.3 (still critical but rising)...he will be on tube feedings for weeks to months until his level gets to normal. He is just now starting to eat a little bit of real food, but not nearly enough to build up his nutritional status.

I don't mean to ramble and I don't know if you were asking about malnutrition, but this is what we are dealing with during this time on this difficult journey. Hope this helps. If any other questions, just ask. Take care, sandy

Reply to this message | Return to Main Message List


Responses

*DISCLAIMER: This page is an unmoderated forum, and the opinions expressed herein do not necessarily reflect the viewpoint of The Johns Hopkins Medical Institutions. Patients are advised to consult their personal physicians before making any medical decisions.
FULL DISCLAIMER


Pancreas Home | Surgical | Medical | Basic Sci | Docs | Registry | FAQ | Appts | Chat

Feedback | Pathology Home | Oncology Center Home | Search
Copyright © 2019 The Johns Hopkins University, Baltimore, Maryland
Last Modified: 11/11/2002 10:50 am