Kim Suhyun, Kim Soyoun, Park Youngmi, Shin Ah-Reum, Yeom Hyeseun
Department of Clinical Nutrition, Seoul National University of Bundang Hospital, Seongnam 13620, Korea.
Clin Nutr Res. 2018 Jul;7(3):223-228. doi: 10.7762/cnr.2018.7.3.223. Epub 2018 Jul 26.
Hematopoietic stem cell transplantation (HSCT) causes many complications such as anorexia, nausea, vomiting, diarrhea, and mucositis. Most patients undergoing HSCT have risk for malnutrition in the process of transplantation so artificial nutrition support is required. The purpose of this case report is to share our experience of applying nutrition intervention during the transplantation period. According to HSCT process, the change of the patient's gastrointestinal symptoms, oral intake and nutritional status was recorded. By encouraging oral intake and providing parenteral nutrition, the patient had only 0.3%, losing weight during the transplantation period. In conclusion, it emphasized that the nutritional status changes during the HSCT period should be closely monitored and nutritional management through appropriate nutritional support and interventions in hospital and after discharge.
造血干细胞移植(HSCT)会引发诸多并发症,如厌食、恶心、呕吐、腹泻和黏膜炎。大多数接受HSCT的患者在移植过程中存在营养不良风险,因此需要人工营养支持。本病例报告的目的是分享我们在移植期间应用营养干预的经验。根据HSCT过程,记录患者胃肠道症状、经口摄入量和营养状况的变化。通过鼓励经口摄入并提供肠外营养,患者在移植期间体重仅下降了0.3%。总之,强调应密切监测HSCT期间的营养状况变化,并通过在医院及出院后进行适当的营养支持和干预来进行营养管理。