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上消化道癌症患者的营养策略

Nutritional Strategies for Patients With Upper Gastrointestinal Cancers.

作者信息

Kim Sang Hoon

机构信息

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University School of Medicine, Gwanymyeong, Korea.

出版信息

Korean J Helicobacter Up Gastrointest Res. 2023 Dec;23(4):262-267. doi: 10.7704/kjhugr.2023.0056. Epub 2023 Dec 8.

Abstract

Patients with upper gastrointestinal tract cancers frequently develop severe malnutrition during treatment. Optimal nutritional management is imperative to enhance the efficacy of both chemotherapeutic and surgical interventions. In this article, various methods for nutritional screening and assessment, including a range of biochemical assays and decision-making frameworks relevant to clinical settings. We have described pre- and postoperative nutritional strategies and highlighted the established practical guidelines. Additionally, we investigated the key aspects of nutritional oversight during oncological treatment and emphasize the significance of a multidisciplinary approach that involves the services of physicians, dietitians, and nurses. We have outlined specific strategies to facilitate interprofessional collaboration in this setting.

摘要

上消化道癌症患者在治疗期间常出现严重营养不良。优化营养管理对于提高化疗和手术干预的疗效至关重要。在本文中,介绍了各种营养筛查和评估方法,包括一系列生化检测以及与临床环境相关的决策框架。我们描述了术前和术后的营养策略,并强调了既定的实用指南。此外,我们研究了肿瘤治疗期间营养监督的关键方面,并强调了多学科方法的重要性,该方法涉及医生、营养师和护士的服务。我们概述了在这种情况下促进跨专业协作的具体策略。

相似文献

1
Nutritional Strategies for Patients With Upper Gastrointestinal Cancers.上消化道癌症患者的营养策略
Korean J Helicobacter Up Gastrointest Res. 2023 Dec;23(4):262-267. doi: 10.7704/kjhugr.2023.0056. Epub 2023 Dec 8.

本文引用的文献

5
ESPEN practical guideline: Clinical nutrition in surgery.ESPEN 实践指南:外科手术中的临床营养。
Clin Nutr. 2021 Jul;40(7):4745-4761. doi: 10.1016/j.clnu.2021.03.031. Epub 2021 Apr 19.
6
ESPEN practical guideline: Clinical Nutrition in cancer.ESPEN 实践指南:癌症患者的临床营养。
Clin Nutr. 2021 May;40(5):2898-2913. doi: 10.1016/j.clnu.2021.02.005. Epub 2021 Mar 15.
9
Nutritional Laboratory Markers in Malnutrition.营养不良中的营养实验室指标
J Clin Med. 2019 May 31;8(6):775. doi: 10.3390/jcm8060775.

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