PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERY
The purpose of this review was to analyze current data on nutritional support (Ns) in gastric cancer patients undergoing radical surgery. Material and methods. a literature search was conducted in the electronic databases eLIBRaRY.Ru, PubMed using the keywords «surgery», «stomach cancer», «nutrition...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Russian Academy of Sciences, Tomsk National Research Medical Center
2020-01-01
|
| Series: | Сибирский онкологический журнал |
| Subjects: | |
| Online Access: | https://www.siboncoj.ru/jour/article/view/1251 |
| _version_ | 1826563722151198720 |
|---|---|
| author | A. L. Potapov A. D. Dorozhkin S. V. Gamayunov V. Yu. Skoropad I. P. Kostjuk D. D. Kudryavtsev S. A. Ivanov A. D. Kaprin |
| author_facet | A. L. Potapov A. D. Dorozhkin S. V. Gamayunov V. Yu. Skoropad I. P. Kostjuk D. D. Kudryavtsev S. A. Ivanov A. D. Kaprin |
| author_sort | A. L. Potapov |
| collection | DOAJ |
| description | The purpose of this review was to analyze current data on nutritional support (Ns) in gastric cancer patients undergoing radical surgery. Material and methods. a literature search was conducted in the electronic databases eLIBRaRY.Ru, PubMed using the keywords «surgery», «stomach cancer», «nutrition», «ERas». Emphasis was placed on studies with a high level of evidence (systematic reviews, meta-analyses) and updated clinical recommendations of the European society of Parenteral and Enteral Nutrition (EsPEN, 2017) and the Federation of anesthesiologists and reanimatologists of Russia (FaR, 2018). Results. Nutritional support before surgery is recommended for most patients with gastric cancer. In all cases, priority should be given to nutrients that support immunity. Immunonutrition should commence at least 57 days prior to surgery and continue postoperatively. Patients with severe malnutrition should receive preoperative Ns for 7–14 days with the use of enteral immune mixtures. supplementation of missing calories by parenteral nutrition (PN) is then recommended. In the postoperative period, renewal of Ns during the first 6–12 hours after surgery is indicated. In patients with severe malnutrition, the installation of a nutrient probe beyond distal anastomosis and the early onset of enteral nutrition with supplemental parenteral nutrition are recommended. Conclusion. Nutritional management of patients with gastric cancer represents a challenge. For patients undergoing surgery, the preoperative nutritional condition directly affects postoperative prognosis, overall survival and disease-specific survival. Perioperative nutritional support is recommended for all patients. Nutritional support should be considered as a part of the strategy of accelerated rehabilitation after surgery (ERas), and it should be combined with moderate physical activity. In patients receiving neoadjuvant chemoradiotherapy, the use of full range of pre-rehabilitation measures is recommended. |
| first_indexed | 2024-04-10T01:53:05Z |
| format | Article |
| id | doaj.art-3640b1305cc843459d7157eb504e2c73 |
| institution | Directory Open Access Journal |
| issn | 1814-4861 2312-3168 |
| language | Russian |
| last_indexed | 2025-03-14T10:08:29Z |
| publishDate | 2020-01-01 |
| publisher | Russian Academy of Sciences, Tomsk National Research Medical Center |
| record_format | Article |
| series | Сибирский онкологический журнал |
| spelling | doaj.art-3640b1305cc843459d7157eb504e2c732025-03-02T11:16:12ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682020-01-0118611412110.21294/1814-4861-2019-18-6-114-121697PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERYA. L. Potapov0A. D. Dorozhkin1S. V. Gamayunov2V. Yu. Skoropad3I. P. Kostjuk4D. D. Kudryavtsev5S. A. Ivanov6A. D. Kaprin7A. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationLeningrad Regional Clinical Oncologic DispensaryA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationA. Tsyb Medical Radiological Research Centre – Branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationThe purpose of this review was to analyze current data on nutritional support (Ns) in gastric cancer patients undergoing radical surgery. Material and methods. a literature search was conducted in the electronic databases eLIBRaRY.Ru, PubMed using the keywords «surgery», «stomach cancer», «nutrition», «ERas». Emphasis was placed on studies with a high level of evidence (systematic reviews, meta-analyses) and updated clinical recommendations of the European society of Parenteral and Enteral Nutrition (EsPEN, 2017) and the Federation of anesthesiologists and reanimatologists of Russia (FaR, 2018). Results. Nutritional support before surgery is recommended for most patients with gastric cancer. In all cases, priority should be given to nutrients that support immunity. Immunonutrition should commence at least 57 days prior to surgery and continue postoperatively. Patients with severe malnutrition should receive preoperative Ns for 7–14 days with the use of enteral immune mixtures. supplementation of missing calories by parenteral nutrition (PN) is then recommended. In the postoperative period, renewal of Ns during the first 6–12 hours after surgery is indicated. In patients with severe malnutrition, the installation of a nutrient probe beyond distal anastomosis and the early onset of enteral nutrition with supplemental parenteral nutrition are recommended. Conclusion. Nutritional management of patients with gastric cancer represents a challenge. For patients undergoing surgery, the preoperative nutritional condition directly affects postoperative prognosis, overall survival and disease-specific survival. Perioperative nutritional support is recommended for all patients. Nutritional support should be considered as a part of the strategy of accelerated rehabilitation after surgery (ERas), and it should be combined with moderate physical activity. In patients receiving neoadjuvant chemoradiotherapy, the use of full range of pre-rehabilitation measures is recommended.https://www.siboncoj.ru/jour/article/view/1251surgerygastric cancererasnutritive failurenutritive supportenteral immune mixtures |
| spellingShingle | A. L. Potapov A. D. Dorozhkin S. V. Gamayunov V. Yu. Skoropad I. P. Kostjuk D. D. Kudryavtsev S. A. Ivanov A. D. Kaprin PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERY Сибирский онкологический журнал surgery gastric cancer eras nutritive failure nutritive support enteral immune mixtures |
| title | PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERY |
| title_full | PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERY |
| title_fullStr | PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERY |
| title_full_unstemmed | PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERY |
| title_short | PERIOPERATIVE NUTRITIONAL SUPPORT IN GASTRIC CANCER PATIENTS UNDERGOING RADICAL SURGERY |
| title_sort | perioperative nutritional support in gastric cancer patients undergoing radical surgery |
| topic | surgery gastric cancer eras nutritive failure nutritive support enteral immune mixtures |
| url | https://www.siboncoj.ru/jour/article/view/1251 |
| work_keys_str_mv | AT alpotapov perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery AT addorozhkin perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery AT svgamayunov perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery AT vyuskoropad perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery AT ipkostjuk perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery AT ddkudryavtsev perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery AT saivanov perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery AT adkaprin perioperativenutritionalsupportingastriccancerpatientsundergoingradicalsurgery |