Rozich Noah S, Jones Caitlin E, Morris Katherine T
Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Ann Pancreat Cancer. 2019 Mar;2. doi: 10.21037/apc.2019.02.01. Epub 2019 Mar 11.
The objective of this article is to review the available literature examining the impact of malnutrition, frailty, and sarcopenia on surgical morbidity among pancreatic cancer patients. We examine definitions used to diagnose and quantify these conditions and review the differences between them with regards to preoperative assessment and postoperative outcomes. The most relevant scoring systems are summarized. Lastly, we summarize current knowledge regarding effectiveness of specific interventions aimed at malnutrition, frailty, and sarcopenia for patients undergoing pancreatic cancer surgery.
本文的目的是回顾现有文献,探讨营养不良、衰弱和肌肉减少症对胰腺癌患者手术并发症的影响。我们研究了用于诊断和量化这些状况的定义,并回顾了它们在术前评估和术后结果方面的差异。总结了最相关的评分系统。最后,我们总结了目前关于针对营养不良、衰弱和肌肉减少症的特定干预措施对接受胰腺癌手术患者有效性的认识。