胃肠道癌症手术的预康复方法:叙事性审查
Sergii Girnyi1, Luigi Marano1,2, Jaroslaw Skokowski1,2
1Department of General Surgery and Surgical Oncology, "Saint Wojciech" Hospital, "Nicolaus Copernicus" Health Center, Gdansk, Poland.
概括
结合营养,运动和心理支持的预康复计划对胃肠道 (GI) 癌症手术患者有希望. 需要进一步的研究来优化这些多学科干预措施,以获得更好的外科治疗结果.
科学领域:
- 在瘤学瘤学.
- 手术营养是指手术营养.
- 康复医学 康复医学 康复医学
背景情况:
- 经过手术的胃肠道 (GI) 癌症患者面临营养不良的高风险,影响手术结果.
- 预康复,一种多式模式的方法,正在引起人们的注意,以减轻这些风险.
- 在胃肠道癌症手术中多学科预康复的有效性需要进一步研究.
研究的目的:
- 评估预康复干预措施在改善经过手术的胃肠道癌症患者的治疗结果方面的有效性.
- 综合现有关于营养,身体和心理社会预康复组件的文献.
- 为了确定这个人群的术后护理的缺口和未来的研究方向.
主要方法:
- 现有文献的叙述性审查.
- 对预康复干预措施的证据进行全面分析.
- 综合营养,身体和心理社会支持策略的检查.
主要成果:
- 预康复干预措施显示,有可能改善肠道癌症手术患者的治疗结果.
- 标准化的协议和跨学科的合作对于优化预康复至关重要.
- 在理解联合干预和免疫营养等创新策略的协同效应方面存在差距.
结论:
- 多模式预康复对于胃肠道癌症患者来说很重要,但研究缺口仍然存在.
- 需要进行更大规模的研究来评估多模式预康复的有效性,并标准化结果指标.
- 进一步的研究和跨学科的合作伙伴关系可以提高预康复和优化术后护理.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
26
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
26
Peptic Ulcer Disease V: Surgical Management and Nursing Care
143
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
143
Inflammatory Bowel Disease V: Surgical Management
55
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
55
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
44
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...
44
Endoscopic Procedures I: Esophagogastroduodenoscopy
27
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
27
Appendicitis-II: Diagnostic Studies and Management
47
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
47


