Wibowo Agung Ary, Willyanto Nathan Aditya
Department of Surgery, Digestive Division, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, Indonesia.
Surgery Resident, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, Indonesia.
Clin Nutr ESPEN. 2024 Jun;61:322-332. doi: 10.1016/j.clnesp.2024.04.002. Epub 2024 Apr 12.
BACKGROUND & AIMS: Colorectal cancer (CRC) is the third most common malignancy in developed countries. Therefore, omega-3 fatty acids (O3FAs) have been suggested as a beneficial complementary treatment due to their ability to regulate inflammatory responses and improve nutrition levels.This study aimed to evaluate the effects of O3FAs as a complementary treatment for inflammation, nutrition levels, post-operative infectious complications, and enhancement of recovery in CRC patients.
The literature search was carried out through three databases. The outcomes of interest were assessed by measuring pro-inflammatory cytokines (IL-1β, IL-6, and TNF-α) and CRP levels, serum albumin levels for nutrition assessment, post-operative infectious complications, and length of stay for recovery evaluation. Quality appraisal and meta-analysis were performed using RoB 2.0 and RevMan 5.4, respectively.
The result showed that O3FAs significantly reduced IL-6, CRP, and TNF-α, but did not affect IL-1β. Furthermore, the variable slightly increased serum albumin levels and the supplementation led to a decrease in post-operative infectious complications and shortened hospital stays.
O3FAs as a complementary treatment provided advantages for CRC patients, Further clinical trials and experiments should also be made emphasizing the impact and clinical implementation of O3FA in the nutritional status of CRC patients.
在发达国家,结直肠癌(CRC)是第三大常见恶性肿瘤。因此,ω-3脂肪酸(O3FAs)因其调节炎症反应和改善营养水平的能力,被认为是一种有益的辅助治疗方法。本研究旨在评估O3FAs作为辅助治疗对CRC患者炎症、营养水平、术后感染并发症及恢复情况的影响。
通过三个数据库进行文献检索。通过测量促炎细胞因子(IL-1β、IL-6和TNF-α)和CRP水平、用于营养评估的血清白蛋白水平、术后感染并发症以及用于恢复评估的住院时间来评估感兴趣的结果。分别使用RoB 2.0和RevMan 5.4进行质量评估和荟萃分析。
结果显示,O3FAs显著降低了IL-6、CRP和TNF-α,但对IL-1β无影响。此外,该变量使血清白蛋白水平略有升高,补充O3FAs导致术后感染并发症减少,住院时间缩短。
O3FAs作为辅助治疗为CRC患者带来了益处,还应进一步开展临床试验和实验,强调O3FAs对CRC患者营养状况的影响及临床应用。