Perioperative nutritional support for patients with gastrointestinal cancer
GENG Shi-tao, WANG Kun-hua
1Department of Gastrointestinal and Hernia Surgery,The First Affiliated Hospital of Kunming Medical University, Kunming 650032,Yunnan, China；2Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, China
Abstract：At present, the incidence rate of gastrointestinal malignant tumor is increasing year by year, and its nutritional risks and malnutrition are more common. Although malnutrition has been proved to be related to the clinical outcomes of malnutrition, the implementation of nutritional support in China is still not ideal, especially during perioperative period, patients often suffer from malnutrition, resulting in complications such as postoperative infection, delayed wound healing, and even increased mortality, which seriously affects postoperative recovery. Therefore, nutritional therapy is particularly important in the perioperative period of gastrointestinal malignant tumors. With the development of enhanced recovery after surgery （ERAS）, the management of perioperative nutrition is more refined, especially for patients with gastrointestinal malignant tumors. Individualized nutritional therapy should be formulated for different patients to maintain a good nutritional status during the perioperative period, which can improve the nutritional status of patients, maintain the effective metabolism and immune function of the body, improve the tolerance of patients to surgery, reduce stress, thus reducing complications, accelerating the rehabilitation of patients and improving prognosis. This article mainly reviews the nutritional status and influence of patients with gastrointestinal malignant tumors, preoperative nutritional risk screening and assessment, preoperative and postoperative nutritional support and selection of nutritional preparations, so as to illustrate that perioperative nutritional support is one of the key factors for treatment of gastrointestinal malignant tumors.
耿仕涛，王昆华. 胃肠道恶性肿瘤患者围术期营养治疗[J]. 肿瘤代谢与营养电子杂志, 2019, 6(4): 415-420.
GENG Shi-tao, WANG Kun-hua. Perioperative nutritional support for patients with gastrointestinal cancer. Electron J Metab Nutr Cancer, 2019, 6(4): 415-420.
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