Related Experiment Video

Updated: Aug 22, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

Nutritional support management in resectable gastric cancer

Francesco Serra¹, Paolo Pedrazzoli¹, Silvia Brugnatelli¹

¹Medical Oncology Unit, IRCCS Policlinico San Matteo, Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.

Drugs in Context

|November 7, 2022

Summary

Nutritional support is crucial for gastric cancer patients undergoing surgery. Perioperative immunonutrition before surgery and combined oral/enteral nutrition after surgery aid recovery and improve outcomes.

Area of Science:

Oncology
Surgical Nutrition
Gastroenterology

Background:

Gastric cancer is a leading malignancy with significant impact on patient survival and quality of life.
Malnutrition is a prevalent issue in gastric cancer patients, affecting treatment outcomes.
Improving diagnostics and therapeutics have reduced gastric cancer mortality, yet nutritional status remains critical.

Purpose of the Study:

To review current data on nutritional support for resectable gastric cancer.
To focus on perioperative nutritional strategies and their impact.
To discuss malnutrition, pre- and post-operative support, and its relation to chemotherapy.

Main Methods:

This study is a narrative review of recent data.
It synthesizes information on nutritional support in resectable gastric cancer stages.
Focuses on perioperative nutritional interventions.

Main Results:

Nutritional counseling is essential from diagnosis.
Preoperative immunonutrition (oral or artificial) prepares patients for surgery.
Postoperative early, combined oral and enteral nutrition aids recovery and adaptation.

Conclusions:

Nutritional support is vital throughout the gastric cancer treatment journey.
Personalized, multidisciplinary strategies are recommended, especially when data on chemotherapy interactions are limited.
Further research is needed on the interplay between nutritional support and chemotherapy.

Keywords:

gastric cancer malnutrition nutritional support patient survival quality of life

Related Concept Videos

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...

Peptic Ulcer Disease IV: Management

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...

Articles linked to this work by shared authors, journal, and citation graph.

Digital Nutritional Care in Oncology: Opportunities to Enhance Quality of Life and Support Patient-Centered Care.

Cancers·2026

Mapping Nutritional Assessment and Management in Oncology: Challenges and Perspectives from a Regional Survey.

Nutrients·2026

Comparison of surgical outcomes in laparoscopic gastrectomy for advanced gastric cancer between Japanese and Italian cohorts: an international, propensity score-matched investigation (the Shinkansen Study).

Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·2026

Conversion strategies in RAS wild-type colorectal liver metastases: a systematic review and meta-analysis of first-line trials comparing regimens with anti-epidermal growth factor receptor inhibitors versus bevacizumab.

Critical reviews in oncology/hematology·2026

Explainable machine learning to predict immunotherapy outcomes in metastatic renal cell carcinoma - Meet-URO 15-AI study.

NPJ precision oncology·2026

Pembrolizumab-Induced Myositis: Diagnostic and Therapeutic Challenges From Two Case Reports and a Narrative Review.

Cancer reports (Hoboken, N.J.)·2026

See all related articles