胃癌患者的营养治疗专家共识

被引：21

作者：

中国抗癌协会肿瘤营养专业委员会

中华医学会肠外肠内营养学分会

机构：

来源：

肿瘤代谢与营养电子杂志 | 2023年 / 10卷 / 02期

基金：

国家重点研发计划;

关键词：

胃癌; 营养不良; 营养治疗;

D O I：

10.16689/j.cnki.cn11-9349/r.2023.02.008

中图分类号：

R735.2 [胃肿瘤]; R459.3 [饮食疗法、临床营养学];

学科分类号：

100214 ; 100215 ;

摘要：

近年来世界范围内胃癌整体发病率在逐渐下降,但在我国仍为高发肿瘤,胃癌患者一旦发生营养不良,在围手术期因骨骼肌质量和功能下降,术后并发症、院内感染发生率及死亡率升高,住院时间延长,生活质量下降,医疗费用增加;在晚期胃癌患者将会因营养不良导致围放化疗期不良反应发生率增加,治疗耐受性下降,治疗完成度下降,影响疗效和生活质量,最终导致生存期缩短等。摄入不足、体重丢失、抗肿瘤治疗(包括手术、放疗、化疗)是选择营养干预适应证的考虑因素,现阶段针对胃癌患者进行营养支持,首要目标是维持瘦体组织,减少围手术期和围放化疗期并发症的发生,保证胃癌根治术的安全顺利完成,保证放化疗足剂量足疗程完成,最终改善疗效和预后,并从卫生经济学角度实现获益。

引用

页码：208 / 212

页数：5

共 15 条

[1] Advances in Immunonutrient Application to Treat Cancer Cachexia Syndrome [J].

Liang Zhang ;

Wen Lei Zhuo .

JournalofNutritionalOncology, 2020, 5 (01) :1-13

[2]

Incidence and mortality of stomach cancer in China;2014.[J].Lei Yang;Rongshou Zheng;Ning Wang;Yannan Yuan;Shuo Liu;Huichao Li;Siwei Zhang;Hongmei Zeng;Wanqing Chen;.Chinese Journal of Cancer Research.2018, 03

[3] 肿瘤营养疗法 [J].

石汉平 .

中国肿瘤临床, 2014, 41 (18) :1141-1144

[4] Nutritional status, the development and persistence of malnutrition and dietary intake in oesophago-gastric cancer: a longitudinal cohort study [J].

Grace, E. M. ;

Shaw, C. ;

Lalji, A. ;

Mohammed, K. ;

Andreyev, H. J. N. ;

Whelan, K. .

JOURNAL OF HUMAN NUTRITION AND DIETETICS, 2018, 31 (06) :785-792

[5]

Impact of omega-3 supplementation on the nutritional status; immune and inflammatory profile of gastric cancer patients: a randomized controlled trial.[J].P.M. Feijó;V.D. Rodrigues;M.S. Viana;M.P. dos Santos;E. Abdelhay;J.P. Viola;N.B. de Pinho;R.B. Martucci.Nutrition.2018,

[6] Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J].

Bray, Freddie ;

Ferlay, Jacques ;

Soerjomataram, Isabelle ;

Siegel, Rebecca L. ;

Torre, Lindsey A. ;

Jemal, Ahmedin .

CA-A CANCER JOURNAL FOR CLINICIANS, 2018, 68 (06) :394-424

[7] ESPEN expert group recommendations for action against cancer-related malnutrition [J].

Arends, J. ;

Baracos, V. ;

Bertz, H. ;

Bozzetti, F. ;

Calder, P. C. ;

Deutz, N. E. P. ;

Erickson, N. ;

Laviano, A. ;

Lisanti, M. P. ;

Lobo, D. N. ;

McMillan, D. C. ;

Muscaritoli, M. ;

Ockenga, J. ;

Pirlich, M. ;

Strasser, F. ;

de van der Schueren, M. ;

Van Gossum, A. ;

Vaupel, P. ;

Weimann, A. .

CLINICAL NUTRITION, 2017, 36 (05) :1187-1196

[8] ESPEN guideline: Clinical nutrition in surgery [J].

Weimann, Arved ;

Braga, Marco ;

Carli, Franco ;

Higashiguchi, Takashi ;

Huebner, Martin ;

Klek, Stanislaw ;

Laviano, Alessandro ;

Ljungqvist, Olle ;

Lobo, Dileep N. ;

Martindale, Robert ;

Waitzberg, Dan L. ;

Bischoff, Stephan C. ;

Singer, Pierre .

CLINICAL NUTRITION, 2017, 36 (03) :623-650

[9]

ASPEN-FELANPE Clinical Guidelines.[J].Vanessa J. Kumpf;Jose Eduardo de Aguilar-Nascimento;Jose Ignacio Diaz-Pizarro Graf;Amber M. Hall;Liam McKeever;Ezra Steiger;Marion F. Winkler;Charlene W. Compher.Journal of Parenteral and Enteral Nutrition.2017, 1

[10]

ESPEN guidelines on nutrition in cancer patients.[J].Jann Arends;Patrick Bachmann;Vickie Baracos;Nicole Barthelemy;Hartmut Bertz;Federico Bozzetti;Ken Fearon;Elisabeth Hütterer;Elizabeth Isenring;Stein Kaasa;Zeljko Krznaric;Barry Laird;Maria Larsson;Alessandro Laviano;Stefan Mühlebach;Maurizio Muscaritoli;Line Oldervoll;Paula Ravasco;Tora Solheim;Florian Strasser;Marian de van der Schueren;Jean-Charles Preiser.Clinical Nutrition.2016, 1

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