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| Perioperative nutrition in patients undergoing gastrectomy with enhanced recovery after surgery |
| 1 CHEN Jun-qiang, 2 SHI Bo |
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Abstract The core idea of ERAS is to reduce trauma and stress, its aim is to promote early rehabilitation of organ function
and to improve the patient prognosis and the quality of life effectively. In recent years, domestic and foreign relevant organizations
and experts who explore the research of gastrectomy and ERAS have released the relevant guidelines and consensus, advocating the
establishment of a standardized management team, including surgeon, anesthesiologists and nurses. On the basis of evidence-based
medicine, we should respect patients' objective reality and work out individualized ERAS program. This paper focuses on the issues
of controversy in the ERAS clinical practice, such as the timing of the preoperative and postoperative nutritional implementation,
scheme selection and immune nutrition preparation and clinical application of ONS. Combining with the latest research progress at
home and abroad that has been thoroughly analyzed and summarized, we came to the following conclusions. Preoperative nutrition
assessment and nutritional therapy are important contents for improving perioperative nutrition and body function of gastric cancer
patients. According to the preoperative nutrition status of the patients, the corresponding preoperative nutrition treatment plans,
such as the oral administration, ONS, immunotherapy, parenteral nutrition or multi-channel combined nutrition therapy, should be
selected. After operation, the patients should resume eating and drinking water as soon as possible, to minimize the occurrence of
postoperative enteroplegia. For patients with no oral intake or insufficient oral intake, they can be supplemented through enteral or
parenteral pathways. At the same time, this paper elaborates the treatment measures of the nutrition related issues at all stages in
the ERAS of gastrectomy, aiming at promoting postoperative gastric cancer patients recover quickly and securely and providing an
important basis to carry out ERAS widely in clinical practice for gastrectomy in China.
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| [1] |
ZHAO Xiang，WANG Wen-jing. ONS improves nutritional status of esophageal cancer patients under radiotherapy treatment[J]. Electronic Journal of Metabolism and Nutrition of, 2019, 6(3): 357-360. |
| [2] |
1TENG Wen-hao, 1WEI Cheng, 2JIANG Wen-wen, 1XIAO Jun, 1ZANG Wei-dong . Application of “single-incision plus one” combined with ERAS for upper rectal and sigmoid colon cancer[J]. Electronic Journal of Metabolism and Nutrition of, 2019, 6(1): 53-57. |
| [3] |
1ZHANG Xin,?1WU Xiao-jun,?2LUO Ming,?3XIONG Li-long,?4DU Chi,?5SHI Han-ping. Medical Supervision for Cancer Patients' Healthy Lifestyle (MCL) improves postoperative rehabilitation[J]. Electronic Journal of Metabolism and Nutrition of, 2019, 6(1): 89-93. |
| [4] |
1WEI Cheng, 1XIAO Jun,1TENG Wen-hao,2LIAO Ling-hong,. Application of single incision laparoscopic surgery plus one assist port (SILS+1-AP) for distal gastric cancer for accelerated rehabilitation surgery[J]. Electronic Journal of Metabolism and Nutrition of, 2018, 5(4): 403-406. |
| [5] |
JIANG Wen-juan, XIA Jing, MA Xia. Application of enhanced recovery after sugery in perioperative period of colorectal cancer patients JIANG Wen-juan, XIA Jing, MA Xia[J]. Electronic Journal of Metabolism and Nutrition of, 2018, 5(4): 407-410. |
| [6] |
TANG Xiao-li, ZHANG Ting, WANG Guo-rong, XU Rui, WANG Jing, LI Yin-feng, LV Jia-hua . The effects of goal-directed nutrition therapy model on nutritional status and postoperative rehabilitation in gastric cancer patients [J]. Electronic Journal of Metabolism and Nutrition of, 2018, 5(3): 297-302. |
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