Email this article Remote multimodal prehabilitation in the presence of cachexia and resectable gastric cancer: a clinical case
- Authors: Lyadov V.K.1,2,3, Boldyreva T.S.1, Achkasov E.E.4, Gorshkov A.Y.5, Chashchin M.G.5, Protsenko E.V.3, Starodubova V.V.6, Galkin V.N.3
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Affiliations:
- Russian Medical Academy of Continuous Professional Education
- Novokuznetsk State Institute for Postgraduate Medical Education – branch of the Russian Medical Academy of Continuous Professional Education
- City Clinical Oncology Hospital №1
- Sechenov First Moscow State Medical University (Sechenov University)
- National Medical Research Center for Therapy and Preventive Medicine
- Federal Research Center of Nutrition, Biotechnology and Food Safety
- Issue: Vol 24, No 4 (2022)
- Pages: 464-467
- Section: CLINICAL ONCOLOGY
- URL: https://journals.rcsi.science/1815-1434/article/view/132980
- DOI: https://doi.org/10.26442/18151434.2022.4.201986
- ID: 132980
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Abstract
Background. The high frequency of cachexia and sarcopenia (skeletal muscle depletion) in patients with cancer led to the development of “prehabilitation” concept. Multimodal prehabilitation includes physical training, nutritional and psychological support before anticancer treatment.
Aim. To present the results of treatment of a patient with cachexia who underwent a multimodal prehabilitation program before surgery for gastric cancer.
Materials and methods. A 74-year-old woman with early stage cancer of the gastric antrum had lost 28% of total body weight in the previous 6 months because of a dysphoric disorder. The patient underwent a multimodal prehabilitation for 2 weeks prior to surgery, which included nutritional (600 ml siping per day) and psychological support as well as a supervised remote physical exercise program based on nordic walking.
Results. The patient increased functional walking capacity from low to medium, grip strength and gait speed. The postoperative period went uneventfully and the patient was discharged home 8 days after surgery.
Conclusion. Multimodal remote prehabilitation is a potentially beneficial option in cachectic patients with gastric cancer who need surgery.
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##article.viewOnOriginalSite##About the authors
Vladimir K. Lyadov
Russian Medical Academy of Continuous Professional Education; Novokuznetsk State Institute for Postgraduate Medical Education – branch of the Russian Medical Academy of Continuous Professional Education; City Clinical Oncology Hospital №1
Author for correspondence.
Email: vlyadov@gmail.com
ORCID iD: 0000-0002-7281-3591
SPIN-code: 5385-7889
D. Sci. (Med.)
Russian Federation, Moscow; Novokuznetsk; MoscowTatyana S. Boldyreva
Russian Medical Academy of Continuous Professional Education
Email: dikovatatyanasergeevna@gmail.com
ORCID iD: 0000-0003-4174-6637
SPIN-code: 7597-3600
Russian Federation, Moscow
Evgeny E. Achkasov
Sechenov First Moscow State Medical University (Sechenov University)
Email: 2215.g23@rambler.ru
ORCID iD: 0000-0001-9964-5199
D. Sci. (Med.), Prof.
Russian Federation, MoscowAlexander Yu. Gorshkov
National Medical Research Center for Therapy and Preventive Medicine
Email: Aygorshkov@gmail.com
ORCID iD: 0000-0002-1423-214X
SPIN-code: 6786-8438
Cand. Sci. (Med.)
Russian Federation, MoscowMikhail G. Chashchin
National Medical Research Center for Therapy and Preventive Medicine
Email: dr.chaschin@gmail.com
ORCID iD: 0000-0001-6292-3837
SPIN-code: 4511-5960
Res. Officer
Russian Federation, MoscowElena V. Protsenko
City Clinical Oncology Hospital №1
Email: elena-procenco@mail.ru
Clinical Psychologist
Russian Federation, MoscowValentina V. Starodubova
Federal Research Center of Nutrition, Biotechnology and Food Safety
Email: vlyadov@gmail.com
SPIN-code: 3538-6196
D. Sci. (Med.), Assoc. Prof.
Russian Federation, MoscowVsevolod N. Galkin
City Clinical Oncology Hospital №1
Email: vlyadov@gmail.com
SPIN-code: 3148-4843
D. Sci. (Med.), Prof.
Russian Federation, MoscowReferences
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