胃肠道癌症术前的现代肠内和肠外营养：文献复习。
Contemporary enteral and parenteral nutrition before surgery for gastrointestinal cancers: a literature review.
机构信息
Surgical Oncology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Oncology Centre, Bydgoszcz, 2 Romanowskiej Str, 85-796, Bydgoszcz, Poland.
Department of Surgical Oncology, Oncology Center - Prof Franciszek Lukaszczyk Memorial Hospital, Romanowskiej, Bydgoszcz, Poland.
出版信息
World J Surg Oncol. 2018 May 16;16(1):94. doi: 10.1186/s12957-018-1393-7.
BACKGROUND
Gastrointestinal cancers are among the most recognised oncological diseases in well-developed countries. Tumours located in the digestive tract may cause the fast occurrence of malnutrition.
MAIN TEXT
The perioperative period is a special time for systemic metabolism. Thanks to published guidelines, early universal control nutritional status before treatment, patients may have a chance to get suitable nutritional intervention. Although the first line of the intervention-nutritional consultation as well as the fortification of a diet and oral nutritional support (ONS)-is not debatable, in a case of inability of undergoing an oral feeding, the choice of the way of administration in patients before a surgery may represent a serious clinical obstacle.
CONCLUSIONS
Although there is broad agreement in the staging, classification, and role of surgery and nutritional status for outcomes of treatment of gastrointestinal cancers, there the way of nutritional intervention in patients with gastrointestinal cancer are still discussed.
背景
在发达国家，胃肠道癌症是最常见的肿瘤疾病之一。位于消化道的肿瘤可能导致营养不良迅速发生。
主要内容
围手术期是全身代谢的特殊时期。得益于已发表的指南，在治疗前尽早对所有患者进行常规的营养状态评估，患者可能有机会接受合适的营养干预。虽然干预措施——营养咨询以及饮食强化和口服营养支持（ONS）的应用——是毋庸置疑的，但在无法进行口服喂养的情况下，在术前选择患者的给药途径可能是一个严重的临床障碍。
结论
尽管在胃肠道癌症的分期、分类以及手术和营养状态对治疗结果的作用方面存在广泛共识，但胃肠道癌症患者的营养干预方式仍存在争议。
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