Effects of ω-3 Fatty Acid Supplementation in Patients with Bile Duct or Pancreatic Cancer Undergoing Chemotherapy

被引:31
作者
Abe, Kyohei [1 ]
Uwagawa, Tadashi [1 ]
Haruki, Koichiro [1 ]
Takano, Yuki [1 ]
Onda, Shinji [1 ]
Sakamoto, Taro [1 ]
Gocho, Takeshi [1 ]
Yanaga, Katsuhiko [1 ]
机构
[1] Jikei Univ, Sch Med, Dept Surg, Tokyo, Japan
关键词
Biliary-pancreatic cancer; omega-3 fatty acids; cancer cachexia; CELL LUNG-CANCER; FISH-OIL; EICOSAPENTAENOIC ACID; DOUBLE-BLIND; WEIGHT-LOSS; CACHEXIA; NUTRITION; TRIAL; OMEGA-3; HEART;
D O I
10.21873/anticanres.12485
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Aim: Omega-3 fatty acids may improve cancer cachexia, but only in patients with pancreatic and bile duct cancer. Patients with pancreatic cancer commonly suffer from exocrine pancreatic insufficiency, and the ingestion of digestive enzyme supplements may improve absorption. Patients and Methods: Racol (R), an enteral nutrient formulated with omega-3 fatty acids, was administered to patients with unresectable pancreatic and bile duct cancer. The skeletal muscle mass and blood test data were taken pre-administration and at 4 and 8 weeks after. Patients with pancreatic cancer were given the digestive enzyme supplement LipaCreon (R) from the fifth week after the start of administration. Results: In all 27 patients, skeletal muscle mass was significantly increased at both 4 and 8 weeks after the start of administration versus pre-administration (p= 0.006, p= 0.002, respectively). Conclusion: Omega-3 fatty acid supplementation in patients with unresectable pancreatic and bile duct cancer may improve cancer cachexia.
引用
收藏
页码:2369 / 2375
页数:7
相关论文
共 24 条
[1]   Fish oil-enriched nutritional supplement attenuates progression of the acute-phase response in weight-losing patients with advanced pancreatic cancer [J].
Barber, MD ;
Ross, JA ;
Preston, T ;
Shenkin, A ;
Fearon, KCH .
JOURNAL OF NUTRITION, 1999, 129 (06) :1120-1125
[2]   The effect of an oral nutritional supplement enriched with fish oil on weight loss in patients with pancreatic cancer [J].
Barber, MD ;
Ross, JA ;
Voss, AC ;
Tisdale, MJ ;
Fearon, KCH .
BRITISH JOURNAL OF CANCER, 1999, 81 (01) :80-86
[3]   Compliance with nutrition prescription improves outcomes in patients with unresectable pancreatic cancer [J].
Bauer, J ;
Capra, S ;
Battistutta, D ;
Davidson, W ;
Ash, S .
CLINICAL NUTRITION, 2005, 24 (06) :998-1004
[4]   Effect of fish oil on appetite and other symptoms in patients with advanced cancer and anorexia/cachexia: A double-blind, placebo-controlled study [J].
Bruera, E ;
Strasser, F ;
Palmer, JL ;
Willey, J ;
Calder, K ;
Amyotte, G ;
Baracos, V .
JOURNAL OF CLINICAL ONCOLOGY, 2003, 21 (01) :129-134
[5]   n-3 Fatty acids, cancer and cachexia:: a systematic review of the literature [J].
Colomer, Ramon ;
Moreno-Nogueira, Jose M. ;
Garcia-Luna, Pedro P. ;
Garcia-Peris, Pilar ;
Garcia-de-Lorenzo, Abelardo ;
Zarazaga, Antonio ;
Quecedo, Luis ;
del Llano, Juan ;
Usan, Luis ;
Casimiro, Cesar .
BRITISH JOURNAL OF NUTRITION, 2007, 97 (05) :823-831
[6]  
Concetta F, 2012, BR J NUTR, V108, P327
[7]   Fish Oil and Heart Health [J].
de Leiris, Joel ;
de Lorgeril, Michel ;
Boucher, Francois .
JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 2009, 54 (05) :378-384
[8]   A randomized clinical trial with oral immunonutrition (ω3-enhanced formula vs. arginine-enhanced formula) in ambulatory head and neck cancer patients [J].
de Luis, DA ;
Izaola, O ;
Aller, R ;
Cuellar, L ;
Terroba, MC .
ANNALS OF NUTRITION AND METABOLISM, 2005, 49 (02) :95-99
[9]   Effect of a protein and energy dense n-3 fatty acid enriched oral supplement on loss of weight and lean tissue in cancer cachexia: a randomised double blind trial [J].
Fearon, KCH ;
von Meyenfeldt, MF ;
Moses, AGW ;
van Geenen, R ;
Roy, A ;
Gouma, DJ ;
Giacosa, A ;
Van Gossum, A ;
Bauer, J ;
Barber, MD ;
Aaronson, NK ;
Voss, AC ;
Tisdale, MJ .
GUT, 2003, 52 (10) :1479-1486
[10]   Double-blind, placebo-controlled, randomized study of eicosapentaenoic acid diester in patients with cancer cachexia [J].
Fearon, Kenneth C. H. ;
Barber, Matthew D. ;
Moses, Alastair G. ;
Ahmedzai, Sam H. ;
Taylor, Gillian S. ;
Tisdale, Michael J. ;
Murray, Gordon D. .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (21) :3401-3407