Application of nutritional intervention in perioperative gynecologic oncology patients
1 Department of Gynaecology and Obstetrics, the 157 Branch of General Hospital of Guangzhou Military Region, Guangzhou 510510, China; 2 Beijing Kancare Nutrition Technology Co., Ltd, Beijing 102206, China; 3 Department of Gynaecology and Obstetrics, Nanfang Hospital Southern Medical University, Guangzhou 510515, China
Abstract：Abstract: Cervical cancer, endometrial cancer and ovarian cancer are three types of gynecological cancer with high incidence, which seriously threaten human health. Nutritional problems happened normally in gynecological cancer patients because of intake less, which induced by tumor metabolic abnormalities and digestive tract oppression. Furthermore, nutritional status of the perioperative patients with gynecological cancer affect the clinical outcome, it has been reported that malnutrition may be responsible for 20% of gynecological cancer deaths. In this article, we reviewed the current methods and progress of nutrition screening, assessment, and intervention in perioperative patients with gynecological cancer through by searching in Pubmed, Embase and CNKI
database. Common nutrition screening tools include nutritional risk screening 2002 (NRS 2002), mini nutritional assessment (MNA), malnutrition universal screening tool (MUST), malnutrition screening tool (MST) and nutritional risk index (NRI). Common nutrition assessment tools include subjective global assessment (SGA) and patient-generated subjective global assessment (PG-SGA). Previous studies suggested that nutrition intervention by immune-enhanced enteral nutrition or oral supplement helps to shorten the hospital stay, reduce the postoperative complications, accelerate intestinal function recovery, improve immune function and nutritional status for perioperative patients with gynecological cancer. However, the effect of nutrition intervention on quality of life and long-term survival still need to be further studied.
2018, Vol. 5 
