Nutrition in peri-operative esophageal cancer management
| Autor: | Elles Steenhagen, Anne M. May, Jonna K. van Vulpen, Peter D. Siersema, Richard van Hillegersberg |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Esophageal Neoplasms medicine.medical_treatment Psychological intervention Nutritional Status Gastroenterology Enteral administration Early initiation Perioperative Care 03 medical and health sciences Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] 0302 clinical medicine Weight loss Internal medicine Preoperative Care medicine Humans Intensive care medicine Hepatology Nutritional Support business.industry Malnutrition Nutritional status Perioperative Esophageal cancer medicine.disease Esophagectomy Nutrition Assessment 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Expert Review of Gastroenterology & Hepatology, 11, 7, pp. 663-672 Expert Review of Gastroenterology & Hepatology, 11, 663-672 |
| ISSN: | 1747-4124 |
| Popis: | Contains fulltext : 174821.pdf (Publisher’s version ) (Open Access) INTRODUCTION: Nutritional status and dietary intake are increasingly recognized as essential areas in esophageal cancer management. Nutritional management of esophageal cancer is a continuously evolving field and comprises an interesting area for scientific research. Areas covered: This review encompasses the current literature on nutrition in the pre-operative, peri-operative, and post-operative phases of esophageal cancer. Both established interventions and potential novel targets for nutritional management are discussed. Expert commentary: To ensure an optimal pre-operative status and to reduce peri-operative complications, it is key to assess nutritional status in all pre-operative esophageal cancer patients and to apply nutritional interventions accordingly. Since esophagectomy results in a permanent anatomical change, a special focus on nutritional strategies is needed in the post-operative phase, including early initiation of enteral feeding, nutritional interventions for post-operative complications, and attention to long-term nutritional intake and status. Nutritional aspects of pre-optimization and peri-operative management should be incorporated in novel Enhanced Recovery After Surgery programs for esophageal cancer. |
| Databáze: | OpenAIRE |
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