经过手术的胃癌患者的肠道营养:最新情况
John K Triantafillidis1,2, John Papakontantinou3, Pantelis Antonakis3
1Department of IBD and Endoscopy, "Metropolitan General" Hospital, 15562 Holargos, Greece.
Nutrients
|June 19, 2024
概括
为胃癌 (GC) 患者优化手术前营养可以改善手术结果. 建议进行肠道营养 (EN),以减少胃切除术后的并发症和体重减轻,帮助恢复和治疗.
科学领域:
- 在瘤学瘤学.
- 手术营养是指手术营养.
- 胃肠病学 胃肠病学
背景情况:
- 手术前的营养状况极大地影响胃癌患者的预后和生存率.
- 早期的营养评估和干预积极影响术后恢复.
- 标准的外科手术指南建议GC患者口服肠道营养 (EN).
研究的目的:
- 审查胃切除术 (Gastrectomy) 的胃癌 (GC) 患者肠道营养 (EN) 的益处.
- 强调基于当前文献的基本营养管理策略.
- 突出EN在改善GC患者的治疗结果中的作用.
主要方法:
- 对GC患者营养状况和管理的当前数据的文献综述.
- 对肠道营养 (EN) 对外科手术后期结果的影响分析.
- 对营养缺乏和胃切除术后综合征的评估.
主要成果:
- 术后EN与减少并发症和更短的住院时间有关,但不致死.
- 手术后的口腔EN有助于减轻胃切除术后的体重减轻.
- 恩支持接受新辅助或辅助抗瘤治疗的患者.
结论:
- 肠道营养 (EN) 对于经过胃切除术的胃癌 (GC) 患者的管理至关重要.
- 在手术后,解决铁和维生素B12等营养缺乏症至关重要.
- 包括EN在内的综合营养管理对于最佳的患者结果至关重要.
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