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生酮饮食在胰十二指肠切除术后胰腺癌患者中的潜在应用

The Potential Use of a Ketogenic Diet in Pancreatobiliary Cancer Patients After Pancreatectomy.

作者信息

Ok Ju Hye, Lee Hosun, Chung Hae-Yun, Lee Sung Hwan, Choi Eun Jeong, Kang Chang Moo, Lee Song Mi

机构信息

Department of Nutrition Care, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.

Department of Food and Nutrition, Soongeui Women's University, Seoul, Republic of Korea.

出版信息

Anticancer Res. 2018 Nov;38(11):6519-6527. doi: 10.21873/anticanres.13017.

Abstract

BACKGROUND/AIM: High-carbohydrate diets are generally provided to post-pancreatectomy cancer patients. Low energy density of this diet may obstruct proper energy intake and recovery. This study aimed to assess the effects of high-fat, high-energy ketogenic diet (KD) in these patients.

PATIENTS AND METHODS

After pancreatectomy, 9 patients were provided with general diet (GD) while 10 were served KD. Meal compliance, energy intake rate, meal satisfaction and presence of complications were monitored throughout hospital stay. Data on nutritional status, serum lipids and body composition were collected and compared between groups.

RESULTS

Meal compliance, energy intake rate and meal satisfaction score were higher in KD. There were no differences in complications, nutritional status and serum lipids. The decrease in body cell mass (BCM) was greater in GD.

CONCLUSION

Post-pancreatectomy cancer patients who consumed KD had a higher energy intake and BCM. These results suggest the potential use of KD as an adjuvant anti-cancer therapy.

摘要

背景/目的:胰腺切除术后的癌症患者通常采用高碳水化合物饮食。这种饮食的低能量密度可能会阻碍适当的能量摄入和恢复。本研究旨在评估高脂肪、高能量生酮饮食(KD)对这些患者的影响。

患者与方法

胰腺切除术后,9例患者采用常规饮食(GD),10例患者采用生酮饮食。在整个住院期间监测饮食依从性、能量摄入率、饮食满意度和并发症情况。收集两组患者的营养状况、血脂和身体成分数据并进行比较。

结果

生酮饮食组的饮食依从性、能量摄入率和饮食满意度得分更高。并发症、营养状况和血脂方面无差异。常规饮食组身体细胞质量(BCM)的下降幅度更大。

结论

采用生酮饮食的胰腺切除术后癌症患者能量摄入量和身体细胞质量更高。这些结果表明生酮饮食作为辅助抗癌治疗的潜在用途。

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