胰腺疾病中的营养:胃肠科医生的路线图
Tiago Cúrdia Gonçalves1,2,3, Tiago Lima Capela1,2,3, José Cotter1,2,3
1Gastroenterology Department, Hospital da Senhora da Oliveira - Guimarães, Guimarães, Portugal.
GE Portuguese journal of gastroenterology
|February 5, 2024
概括
适当的营养对于患有胰腺疾病的患者至关重要,如急性胰腺炎,慢性胰腺炎和胰腺癌. 早期营养支持可以改善这些疾病的结果和生存率.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 临床营养学 临床营养学
- 在瘤学瘤学.
背景情况:
- 包括急性胰腺炎 (AP),慢性胰腺炎 (CP) 和胰腺癌 (PC) 在内的胰腺疾病显著破坏胰腺生理学,并经常导致营养不良.
- 营养不良对患者的预后,功能能力,生活质量产生负面影响,并增加了AP,CP和PC中并发症和死亡率的风险.
- 营养状况是胰腺疾病患者结果的关键决定因素.
研究的目的:
- 突出营养在治疗AP,CP和PC患者中的关键作用.
- 提出适合这些胰腺疾病的系统营养方法.
- 强调营养干预措施对患者预后和治疗反应的影响.
主要方法:
- 本综述综合了关于胰腺疾病营养管理的当前知识.
- 它分析了AP,CP和PC的特定营养挑战和目标.
- 该审查提出了一个营养评估和干预的结构化框架.
主要成果:
- 在AP的营养护理旨在预防营养不良,纠正平衡,减少炎症和改善结果.
- 在CP的营养不良,往往是一个晚期的迹象,损害功能,生活质量,并增加死亡风险.
- 在PC早期的营养支持可以提高治疗耐受性,存活率,生活质量,并减少并发症.
结论:
- 系统的营养方法对于优化患者护理和AP,CP和PC的结果至关重要.
- 适当的营养支持可以减轻与这些胰腺疾病相关的营养不良的不良影响.
- 强调营养是改善胰腺病理患者预后和生活质量的关键.
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