一项关于在头颈部癌症患者接受放（化）疗根治性治疗期间进行营养干预的实践的欧洲调查。
A European survey on the practice of nutritional interventions in head-neck cancer patients undergoing curative treatment with radio(chemo)therapy.
机构信息
Faculty of Medicine, University of Milan, Milano, Italy.
Medical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public, Health University of Brescia, ASST-Spedali Civili, Brescia, Italy.
出版信息
Eur Arch Otorhinolaryngol. 2022 Mar;279(3):1499-1508. doi: 10.1007/s00405-021-06920-4. Epub 2021 Jun 19.
PURPOSE
As the practice of nutritional support in patients with head and neck cancer (HNC) during curative radio(chemo)therapy is quite heterogeneous, we carried out a survey among European specialists.
METHODS
A 19-item questionnaire was drawn up and disseminated via the web by European scientific societies involved in HNC and nutrition.
RESULTS
Among 220 responses, the first choice was always for the enteral route; naso-enteral tube feeding was preferred to gastrostomy in the short term, while the opposite for period longer than 1 month. Indications were not solely related to the patient's nutritional status, but also to the potential burden of the therapy.
CONCLUSION
European HNC specialists contextualize the use of the nutritional support in a comprehensive plan of therapy. There is still uncertainty relating to the role of naso-enteral feeding versus gastrostomy feeding in patients requiring < 1 month nutritional support, an issue that should be further investigated.
目的
由于头颈部癌症（HNC）患者在根治性放化疗期间的营养支持实践存在很大差异，我们对欧洲专家进行了一项调查。
方法
制定了一个包含 19 个问题的问卷，并通过参与 HNC 和营养的欧洲科学协会在网上进行了传播。
结果
在 220 份回复中，首选始终是肠内途径；短期而言，鼻肠管喂养优于胃造口术，而超过 1 个月则相反。适应证不仅与患者的营养状况有关，还与治疗的潜在负担有关。
结论
欧洲 HNC 专家将营养支持纳入综合治疗计划中。对于需要<1 个月营养支持的患者，鼻肠管喂养与胃造口喂养的作用仍存在不确定性，这是一个需要进一步研究的问题。
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