Kim So Young, Wie Gyung Ah, Lee Woo Jin, Park Sang-Jae, Woo Sang Myung
Department of Clinical Nutrition, National Cancer Center, Goyang 410-769, Korea.
Clin Nutr Res. 2013 Jul;2(2):154-8. doi: 10.7762/cnr.2013.2.2.154. Epub 2013 Jul 23.
Pancreatic cancer patients often have a poor prognosis and suffer from nutritional problems. Malnutrition is characterized by weight loss and decreased dietary intake, and is common among pancreatic cancer patients. The objective of this report was to describe the changes in dietary intake, body weight, nutritional status, and metabolic rate on a continuum from the time of diagnosis until the end of life in a patient with pancreatic cancer. In summary, the patient's nutritional status gradually declined, accompanied by extreme weight loss and decreased dietary intake. Conversely, resting energy expenditure, measured by indirect calorimetry, increased from 24 kcal/kg/day to 35 kcal/kg/day. Nutritional management during cancer treatment is important but may be challenging in pancreatic cancer patients.
胰腺癌患者通常预后较差，并存在营养问题。营养不良的特征是体重减轻和饮食摄入量减少，在胰腺癌患者中很常见。本报告的目的是描述一名胰腺癌患者从诊断时起直至生命结束整个过程中的饮食摄入量、体重、营养状况和代谢率的变化。总之，患者的营养状况逐渐下降，伴有极度体重减轻和饮食摄入量减少。相反，通过间接测热法测得的静息能量消耗从24千卡/千克/天增加到35千卡/千克/天。癌症治疗期间的营养管理很重要，但对胰腺癌患者来说可能具有挑战性。
