University of California at Davis, Department of Otolaryngology - Head and Neck Surgery, Sacramento, California.
Department of Otolaryngology - Head and Neck Surgery, New York University Langone Medical Center, New York, New York.
Head Neck. 2019 Mar;41(3):577-583. doi: 10.1002/hed.24866. Epub 2018 Dec 31.
This article is a part of the "Do you know your guidelines" series by the Education Committee of the American Head and Neck Society. The aim is to summarize the core principles outlined by the NCCN Clinical Practice Guidelines In Oncology (NCCN Guidelines ) on management of malnutrition in patients with head and neck cancer. We outline the current recommendations from the National Comprehensive Cancer Network (NCCN ) for the screening and management of malnutrition, including indications for nutritional supplementation and placement of a nasogastric or gastrostomy tube. We also include a brief review of the available literature on additional screening tools, alternative guidelines, as well as an update on the emerging data surrounding the use of immune-enhancing nutrition.
本文是美国头颈学会教育委员会“你了解你的指南吗?”系列文章的一部分。目的是总结 NCCN 肿瘤临床实践指南(NCCN 指南)中对头颈部癌症患者营养不良管理概述的核心原则。我们概述了国家综合癌症网络(NCCN)目前关于营养不良筛查和管理的建议,包括营养补充的适应证和鼻胃管或胃造口管的放置。我们还简要回顾了有关其他筛查工具、替代指南的现有文献,以及有关免疫增强型营养使用的新兴数据的最新信息。