Perioperative Nutritional Support of Patients With Colorectal Cancer

Овчинникова, А. И.; Гордеев, С. С.; Ковалева, Ю. Ю.; Иванов, В. А.; Байчоров, А. Б.; Расулов, А. О.

doi:10.17650/2220-3478-2016-6-4-9-12

Cited by 2 publications

(5 citation statements)

References 20 publications

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“…These results, most likely, are due to the preservation of parietal digestion in the gastrointestinal tract, the preservation of a relatively satisfactory passage of the intestine with the possibility of absorption of nutrients in the intestine while maintaining or activating its functional activity in the early postoperative period [1], [3], [6], [12], [18].…”

Section: Discussionmentioning

confidence: 99%

“…In most cases, patients continue to enter specialized hospitals only with the development of various complications of cancer of the organs of the hepatopancreatoduodenal zone. Violation of nutritional status has a significant impact on the outcome and prognosis of the disease, increases the duration of treatment and the cost of treatment, and also increases mortality and the number of complications [1], [2], [3], [4].…”

Section: Introductionmentioning

confidence: 99%

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Nutritional Support for Patients with Diseases of Hepatopancreotoduodenal Zone in the Early After the Operational Period

Kurbanalievich¹,

Vladimirovich²,

Kabildina³

2020

Open Access Maced J Med Sci

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AIM: Analysis of the effectiveness of nutritive nutrition in cancer patients in the early post-operative period. MATERIALS AND METHODS: The examination included 80 patients with an average age of more than 20 years (men – 35, and women – 4 5). All patients for analysis were divided into two groups: The first, the main-receiving strictly enteral and/or probe nutrition (n = 41), the second, control-isolated parenteral nutrition (n = 39). The dynamics of laboratory examination results was assessed – the level of total blood protein, including albumin, the number of lymphocytes, the values of alanine aminotransferase, aspartate aminotransferase, total blood bilirubin, and serum ferritin. In addition, the duration of the use of enteral and parenteral nutrition, the number of patient days in the intensive care unit, the nutritional status of patients on the subjective global assessment (SGA), and nutritional risk index (NRI) scales were evaluated. RESULTS: Most patients in the control group (n = 31) on the 10–12th days of the post-operative period, according to the SGA and NRI estimates, were in a state of normal nutritional status (n = 8) – in a state of moderate malnutrition. Since the introduction of parenteral nutrition with enteral nutrition (13–15 days), patients with signs of malnutrition have not been identified in this group. The assessment of the dynamics of total blood protein values in patients showed a significant difference between the average values of indicators in the clinical groups throughout the study period (p < 0.05). In the main group, the average content of total blood protein was 62.5 ± 10.0 g/l, in the control group – 57.5 ± 10.1 g/l by 8 days of the post-operative period. The dynamics of specific indicators of the biochemical composition of blood is determined by the methods of surgical intervention, the volume, duration, and nature of the operation. CONCLUSIONS: When carrying out nutritional support in cancer patients operated on for tumors, hepatopancreatoduodenal region, in the early post-operative period, the enteral route to the action of nutrient mixtures may be preferable, provided there is a pronounced intestinal paresis and congestive discharge from the stomach.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nutritional Support for Patients with Diseases of Hepatopancreotoduodenal Zone in the Early After the Operational Period

Kurbanalievich¹,

Vladimirovich²,

Kabildina³

2020

Open Access Maced J Med Sci

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“…The malnutritional indicator is evaluated in cancer patients using screening protocols: NRS 2002 (Nutritional Risk Screening), SGA (Subjective Global Assessment), and NRI (Nutritional Risk Index) [3,4].…”

Section: Methodsmentioning

confidence: 99%

“…5. Mixed vessels "two in one" (amino acid solution+ glucose) and "three in one" (amino acid solution+glu-cose+fat emulsion) [1,3,20 Mixed food.…”

Section: Methodsmentioning

confidence: 99%

“…Eating disorders significantly affect the outcome and prognosis of the disease, dramatically increase the duration and cost of treatment, and contribute to an increase in the number of deaths and complications. Complications include a decrease in immunity, secondary infection of the body, slow wound healing, a decrease in the concentration of blood plasma proteins, changes in drug metabolism, and a decrease in the body's tolerability to surgical treatment [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Nutritional Support for Cancer Patients in the Early Postoperative Period

Davanov,

Musina

2023

Onkol. radiol. Kaz.

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Relevance: The modern medicine, evaluating patients’ nutritional status is a priority for many specialists. The incidence of nutritional deficiency in cancer pathology increases annually by 65-85%. The nutritional status of patients is represented by a decrease in life expectancy, deterioration of immediate and long-term treatment results, a decrease in the tolerability of therapy, and a decrease in the quality of life. Early detection of nutritional insufficiency and evaluation of the patient’s nutritional status makes it possible for early provision of nutritional therapy and has a positive effect before the operation, during and after the operating period, reduces postoperative complications, and reduces the duration of stay in the hospital. This article reflects on the features of evaluating the nutritional status and methods of correction of clinical nutrition. The study aimed to analyze the effectiveness of cancer patients’ nutrition in the early postoperative period and determine the optimal method of its implementation. Methods: We compared the clinical effectiveness of enteral and parenteral nutrition methods in the complex of postoperative therapeutic measures on the hepato-pancreatic-duodenal zone. Results: On Days 10-12 after surgery, 12 out of 17 control group patients had normal nutritional status judging by their Subjective Global Assessment (SGA) and Nutritional Risk Index (NRI), and five had moderate malnutrition. After enteral nutrition was added (on Days 13-15), no malnutrition cases in this group were detected. The total blood protein in the subjects showed a significant difference between the average values of indicators in clinical groups for the entire study period (p<0.05). The average total blood protein by Day 8 after surgery was 62.5±10.0 g/L in the leading group and 57.5±10.1 g/L in the control group. The change in the blood biochemical composition was due to the volume, duration, and nature of the surgical intervention. Conclusion: When using nutritional therapy in cancer patients operated on for tumors of the hepato-pancreatic-duodenal zone in the early postoperative period, the enteral route of administration of nutrient mixtures is preferred, provided there is no pronounced intestinal paresis and purulent discharge from the stomach.

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Perioperative Nutritional Support of Patients With Colorectal Cancer

Cited by 2 publications

References 20 publications

Nutritional Support for Patients with Diseases of Hepatopancreotoduodenal Zone in the Early After the Operational Period

Nutritional Support for Patients with Diseases of Hepatopancreotoduodenal Zone in the Early After the Operational Period

Nutritional Support for Cancer Patients in the Early Postoperative Period

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