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在瘤性食道切除和胃切除术后的胃肠道疾病和微量营养素缺乏症
Hugo Teixeira Farinha1,2,3, Damien Bouriez1,3, Thomas Grimaud1
1Oeso-Gastric Surgery Unit, Department of Digestive Surgery, Magellan Center, Bordeaux University Hospital, 33600 Pessac, France.
胃肠外科手术的进步降低了死亡率,但往往导致营养不良和微量营养素缺乏,影响患者的长期预后和生活质量.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 营养科学 营养科学
背景情况:
- 胃肠外科手术,主要用于癌症,已经进步,改进了技术和外科护理,增加了切除能力.
- 尽管死亡率和发病率降低,但营养不良和营养缺乏在手术后带来了重大挑战,影响了患者的治疗结果.
- 长期的营养后果经常被忽视,延伸到六个月以后,影响生活质量和预后.
研究的目的:
- 要突出营养不良和微量营养素缺乏在食道胃手术后的流行和影响.
- 强调需要提高对手术后营养并发症的认识和主动管理.
- 强调为接受胃切除和食道切除的患者量身定制的预防策略的重要性.
主要方法:
- 对食胃外科手术技术和术后护理的最新进展进行了回顾.
- 对术后结果的分析,重点关注营养不良和微量营养素缺乏.
- 胃切除术后营养缺陷与食道切除术后营养缺陷的比较.
主要成果:
- 胃切除术和食道切除术后,微量营养素缺乏 (铁,维生素A,B1,B12,D,E) 普遍存在,影响患者多达78.3%.
- 营养不良显著导致体重减轻,肌肉质量减少,预后较差,包括瘤复发风险增加.
- 营养问题往往被低估,缺陷持续长期,影响患者的生活质量.
结论:
- 肠胃外科手术虽然可以挽救生命,但由于微量营养素缺乏率很高,因此需要对营养状况保持警.
- 早期发现和及时管理营养不良对于改善外科瘤患者的长期结果和生活质量至关重要.
- 识别与胃切除和食道切除相关的特定营养风险对于制定有效的,个性化的患者护理计划至关重要.
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