Birnstein Elliott, Schattner Mark
Division of Gastroenterology and Nutrition Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Division of Gastroenterology and Nutrition Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Surg Oncol Clin N Am. 2017 Apr;26(2):325-333. doi: 10.1016/j.soc.2016.10.003. Epub 2017 Feb 9.
Esophageal and gastric cancers are common malignancies, both in the United States and worldwide, that carry significant morbidity and mortality. Malnutrition is a common complication in patients with esophageal and gastric cancers and it portends a poor prognosis. For patients who undergo surgical therapy for these types of cancers, preoperative and postoperative nutritional optimization have been shown to improve outcomes. The support can be accomplished in different manners, including orally, enterally, or parentally. In patients who do not undergo surgery but receive chemotherapy and/or radiation, nutritional support is also an important aspect of the multidisciplinary care approach.
食管癌和胃癌是美国及全球常见的恶性肿瘤，具有较高的发病率和死亡率。营养不良是食管癌和胃癌患者常见的并发症，预示着预后不良。对于接受这类癌症手术治疗的患者，术前和术后的营养优化已被证明可改善治疗效果。营养支持可以通过不同方式实现，包括经口、肠内或肠外途径。对于未接受手术但接受化疗和/或放疗的患者，营养支持也是多学科护理方法的一个重要方面。
