胰腺癌的营养支持:关于法国指南的实际实施的专家声明
Julien Taieb1, Raëf Abdallah2, Ronan Thibault3
1Department of Gastroenterology and Digestive Oncology, Georges Pompidou European Hospital, Université Paris-Cité, SIRIC CARPEM comprehensive cancer center, Paris, France.
Clinics and research in hepatology and gastroenterology
|June 26, 2023
概括
法国 Thésaurus National de Cancérologie Digestive (TNCD) 准则为消化系统癌症患者提供了专门的营养和体育活动建议. 本综述强调了它们在胰腺癌治疗中的应用,解决营养不良和改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 消化系统健康 消化系统健康
背景情况:
- 欧洲临床营养与新陈代谢学会 (ESPEN) 的指导方针是癌症营养支持的一般指导方针.
- 由于缺乏癌症类型特定的指导方针,因此需要专门的建议.
- 胰腺癌的患病率和发病率很高,超过60%的患者患有营养不良.
研究的目的:
- 审查法国的 Thésaurus National de Cancérologie Digestive (TNCD) 对消化道癌症的指导方针.
- 讨论TNCD指南在整个疾病阶段的胰腺癌管理中的应用.
- 探索将营养支持整合到瘤治疗中的挑战,并提出患者护理算法.
主要方法:
- 对消化道癌的法国TNCD实践指南的审查 (更新至2022年).
- 在胰腺癌的背景下分析TNCD建议.
- 将TNCD指南与其他国际指南 (ISGPS,ESPEN,SEOM) 的比较.
主要成果:
- TNCD指南为消化系统癌症提供了特定的营养和体育活动建议.
- TNCD的建议与其他主要的国际指导方针保持一致,这表明其适用性广泛.
- 营养不良严重影响胰腺癌患者的生活质量,治疗耐受性,发病率和死亡率.
结论:
- TNCD指南为消化道癌患者,特别是胰腺癌患者的营养管理提供了有价值的专业框架.
- 营养支持的有效整合对于改善瘤学患者的治疗结果至关重要.
- 该综述提供了对患者护理途径和胰腺癌临床营养方面的挑战的见解.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
116
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
116
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
205
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...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
205
Acute Pancreatitis II: Clinical Manifestations and Management
150
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
150
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
227
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
227
Enteral Nutrition I: Orogastric and Nasogastric Feeding
375
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...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
375
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
360
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...
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...
360


