The management of neuroendocrine tumours: A nutritional viewpoint

Autor: Antongiulio Faggiano, Annamaria Colao, Marco Gallo, Luigi Barrea, Genoveffa Pizza, Giovanna Muscogiuri, Rosaria Maddalena Ruggeri
Přispěvatelé: Gallo, Marco, Muscogiuri, Giovanna, Pizza, Genoveffa, Ruggeri, Rosaria Maddalena, Barrea, Luigi, Faggiano, Antongiulio, Colao, Annamaria
Rok vydání: 2017
Předmět:
Diarrhea
medicine.medical_specialty
Malabsorption
030309 nutrition & dietetics
Hypercholesterolemia
Nutritional Status
Industrial and Manufacturing Engineering
Gastrointestinal Hormones
03 medical and health sciences
0404 agricultural biotechnology
Heartburn
Health care
neuroendocrine tumour
medicine
Humans
In patient
Intensive care medicine
Life Style
Socioeconomic status
Gastrointestinal Neoplasms
therapy
0303 health sciences
business.industry
Malnutrition
food and beverages
Nutritional status
Feeding Behavior
04 agricultural and veterinary sciences
General Medicine
Lifestyle
medicine.disease
symptom
040401 food science
Hypoglycemia
Diet
Steatorrhea
Pancreatic Neoplasms
Neuroendocrine Tumors
nutrition
Nutrition Assessment
neuroendocrine tumours
symptoms
Hyperglycemia
Cohort
medicine.symptom
business
Food Science
Zdroj: Critical Reviews in Food Science and Nutrition. 59:1046-1057
ISSN: 1549-7852
1040-8398
Popis: Nutritional status in patients with neuroendocrine tumours (NETs), especially of gastroenteropancreatic origin, can be deeply affected by excessive production of gastrointestinal hormones, peptides, and amines, which can lead to malabsorption, diarrhoea, steatorrhea, and altered gastrointestinal motility. Besides, the surgical and/or medical management of NETs can lead to alteration of gastrointestinal secretory, motor, and absorptive functions, with both dietary and nutritional consequences. Indeed, disease-related malnutrition is a frequently encountered yet both underrecognized and understudied clinical phenomenon in patients with NETs, with substantial prognostic and socioeconomic consequences. Most of these conditions can be alleviated by a tailored nutritional approach, also with the aim of improving the efficacy of cancer treatments. In this setting, skilled nutritionists can play a fundamental role in the multidisciplinary health care team in NETs management and their presence should be recommended. The aim of this review is to provide dietary advices for each specific condition in patients with NETs, underlining the importance of a nutritional approach to treat malnutrition in this setting. Further, we will provide preliminary evidence coming from our data on the assessment of nutritional status in a single cohort of patients with NETs.
Databáze: OpenAIRE
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