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Enteral Nutrition in Operated-On Gastric Cancer Patients: An Update
John K Triantafillidis1,2, John Papakontantinou3, Pantelis Antonakis3
1Department of IBD and Endoscopy, "Metropolitan General" Hospital, 15562 Holargos, Greece.
Nutrients
|June 19, 2024
Summary
Optimizing preoperative nutrition for gastric cancer (GC) patients improves surgical outcomes. Enteral nutrition (EN) is recommended to reduce complications and weight loss after gastrectomy, aiding recovery and treatment.
Area of Science:
- Oncology
- Surgical Nutrition
- Gastroenterology
Background:
- Preoperative nutritional status critically impacts gastric cancer (GC) patient prognosis and survival.
- Early nutritional assessment and intervention positively influence postoperative recovery.
- Standard surgical guidelines recommend oral enteral nutrition (EN) for GC patients.
Purpose of the Study:
- To review the benefits of enteral nutrition (EN) in gastric cancer (GC) patients undergoing gastrectomy.
- To emphasize essential nutritional management strategies based on current literature.
- To highlight the role of EN in improving outcomes for GC patients.
Main Methods:
- Literature review of current data on nutritional status and management in GC patients.
- Analysis of the impact of enteral nutrition (EN) on perioperative outcomes.
- Evaluation of nutritional deficiencies and post-gastrectomy syndromes.
Main Results:
- Perioperative EN is associated with reduced complications and shorter hospital stays, though not mortality.
- Postoperative oral EN helps mitigate weight loss following gastrectomy.
- EN supports patients undergoing neoadjuvant or adjuvant antineoplastic therapy.
Conclusions:
- Enteral nutrition (EN) is crucial for managing gastric cancer (GC) patients undergoing gastrectomy.
- Addressing nutritional deficiencies like iron and vitamin B12 is vital post-surgery.
- Comprehensive nutritional management, including EN, is essential for optimal patient outcomes.
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