Introduction. In the presented work, the discussion of the 2021 ESPEN practical recommendations for nutritional support in oncology is continued.
Methods: The updated version of the 2021 ESPEN practice guidelines differs slightly from the 2017 version and contains flowcharts to facilitate the use of the guidelines in clinical practice, which is also relevant for domestic healthcare. ESPEN-2021 Clinical Guidelines, which offer practical solutions in all areas of oncology, are of particular interest to both oncologists and allied specialists working in oncology.
Results. The second part of the review discusses particular issues of nutritional support for cancer patients, and also analyzes the domestic experience of their use. The review provides the main protocols for artificial nutrition in surgery, during irradiation, drug therapy, in patients in remission and at the palliative stage, and also proves the need to maintain physical activity in cancer patients.
Conclusion: The presented practical guidance allows organizing an adequate supply of nutrient substrates to cancer patients receiving various types of anticancer treatment, in remission and at the stage of palliative care.