通过在食管胃癌的分期拉皮镜检查过程中放置的叶团静止术提供营养支持:一系列病例
Maria Tieri1, Claudia Sivieri2, Jacopo Viganò3
1Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
营养不良影响食道胃癌的结果. 这项研究发现,在分期腹腔镜检查 (SL) 过程中,食结节术 (FJ) 的放置通常被不足利用,这凸显了需要更好的患者选择标准的需要.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
背景情况:
- 营养不良是影响食道胃癌 (EGC) 临床结果的重要因素.
- 对这些患者来说,通过食结肠切除术 (FJ) 进行肠道营养是一种可行的选择.
- 目前缺乏在分期腹腔镜 (SL) 期间安置足关节的标准标准.
研究的目的:
- 描述一系列在SL期间接受FJ安置的EGC患者的病例系列.
- 为了产生关于FJ在这个人群中的利用和结果的初步证据.
- 确定未得到满足的需求,并突出营养支持策略需要改进的领域.
主要方法:
- 在SL期间接受FJ安置的EGC患者的医疗记录的回顾性审查.
- 纳入标准:具有可用的营养数据的患者,在诊断时没有已知的转移性疾病.
- 收集的数据包括患者人口统计,瘤特征,营养状况,FJ利用率和并发症.
主要成果:
- 包括14名EGC患者 (平均年龄66岁),体重显著下降,营养不良风险高.
- 只有29%的人接受了口服营养补充剂 (ONS),64%的人在FJ安置之前被营养学家评估.
- FJ经常被不足利用 (平均不使用时间为11天),其中35%的人实现了体重稳定/增加;21%的人经历了与FJ相关的并发症.
结论:
- 在这个EGC队列中,FJ的利用率低于最佳,有时使用时间延迟或不使用.
- 缺乏标准化的选择标准和手术前营养评估有助于低效的FJ使用.
- 实施常规的手术前营养评估和用于FJ安置的标准化标准对于优化营养支持和患者结果至关重要.
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