Review of ESPEN-2021 Practice Guidelines for Patients with Cancer. Part 2: Interventions Relevant to Specific Patient Categories

封面

如何引用文章

全文:

详细

This study further discussed the 2021 ESPEN practical recommendations for nutritional support in oncology. 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 significant to both oncologists and allied specialists working in oncology. The second part of the review discusses particular issues of nutritional support for patients with cancer and analyzes the domestic experience of their use. The review provides the main protocols for artificial nutrition in surgery, during irradiation, and in drug therapy in patients in remission and at the palliative stage and proves the need to maintain physical activity in patients with cancer. The presented practical guidance allows organizing an adequate supply of nutrient substrates to patients with cancer receiving various types of anticancer treatment, in remission, and at the stage of palliative care.

作者简介

Anastasia Ivanova

Lomonosov Moscow State University

Email: i.anastasia@hotmail.com
ORCID iD: 0000-0001-7321-4323
SPIN 代码: 2179-2310
俄罗斯联邦, Moscow

Olga Obukhova

N.N. Blokhin National Medical Research Center of Oncology

编辑信件的主要联系方式.
Email: obukhova0404@yandex.ru
ORCID iD: 0000-0003-0197-7721
SPIN 代码: 6876-7701

MD, Cand. Sci. (Med.)

俄罗斯联邦, Moscow

Ildar Kurmukov

N.N. Blokhin National Medical Research Center of Oncology

Email: kurmukovia@gmail.com
ORCID iD: 0000-0001-8463-2600
SPIN 代码: 3692-5202

MD, Cand. Sci. (Med.)

俄罗斯联邦, Moscow

Larisa Volf

Nutricia LLC

Email: larisa.volf@danone.com
ORCID iD: 0000-0002-6025-8420
SPIN 代码: 3590-9746
俄罗斯联邦, Moscow

参考

  1. Muscaritoli M, Arends J, Bachmann P, et al. ESPEN practical guideline: Clinical Nutrition in cancer. Clin Nutr. 2021;40(5): 2898–2913. doi: 10.1016/j.clnu.2021.02.005
  2. Ivanova AS, Obukhova OA, Kurmukov IA, Volf LY. Review of ESPEN-2021 Practice Guidelines for Cancer Patients: Part 1. Clinical nutrition and metabolism. 2022;3(3):140–152. (In Russ). doi: 10.17816/clinutr111900
  3. Lobo DN, Gianotti L, Adiamah A, et al. Perioperative nutrition: Recommendations from the ESPEN expert group. Clin Nutr. 2020; 39(11):3211–3227. doi: 10.1016/j.clnu.2020.03.038
  4. Melnikov PV, Zabelin MV, Savenkov SV, et al. Prospects and development of the Fast track — Enhanced Recovery Programm in oncoproctological practice (literature review and population study). Coloproctology. 2014;(4):68–75. (In Russ).
  5. Rasulov AO, Gordeev SS, Ovchinnikova AI, Kovaleva YuYu. Results of ERAS protocol in patients with colorectal cancer. Pelvic Surgery and Oncology. 2016;6(2):18–23. (In Russ). doi: 10.17650/2220-3478-2016-6-2-18-23
  6. Sizonenko NA, Surov DA, Solovyov IA, et al. Application of the Fast Track concept in the surgical treatment of patients with colorectal cancer complicated by acute obstructive ileus. Bulletin of the Pirogov National Medical and Surgical Center. 2018;13(2):62–67. (In Russ).
  7. Fedyanin MYu, Achkasov SI, Bolotina LV, et al. Practical recommendations for the drug treatment of colon cancer and rectosigmoid junction. Malignant Tumors. 2021;11(3s2-1):330–372. (In Russ). doi: 10.18027/2224-5057-2021-11-3s2-22
  8. Porkhanov VA, Zhikharev VA, Polyakov IS, et al. Strategy for implementing the principles of ERAS (Enhanced Recovery After Surgery) after surgery in the treatment of patients with lung cancer. Anesthesiology and Reanimatology. 2017;62(5):352–357. (In Russ).
  9. Ilyina OV, Ruchkin DV, Kozyrin IA, Stepanova YuA. Influence of the completeness of compliance with the accelerated recovery program on the results of surgical treatment of gastric cancer. High-Tech Medicine. 2021;8(2):31–45. (In Russ). doi: 10.52090/2542-1646_2021_8_2_31
  10. Drozdov ES, Koshel AP, Klokov SS, Provotorov AS. Accelerated rehabilitation protocols in surgical pancreatology: experience of one center. Siberian Medical Review. 2020;(2):80–86. (In Russ).
  11. Sergienko AD, Obukhova OA. The prevalence of nutritional deficiencies among cancer patients who completed anticancer treatment, and its impact on the quality of life. Issues of Oncology. 2022;68(S3):395–396. (In Russ).
  12. Korytova LI, Sokurenko VV, Vasiliev GL, Kuznetsov AD. Nutritional support and radiation therapy in patients with cancer of the head and neck, esophagus. Bulletin of Intensive Therapy. 2012;(2):33–37. (In Russ).
  13. Karpenko AV, Sibgatullin RR, Boyko AA, et al. Dynamics of quality of life of head and neck cancer patients after treatment. Clinical significance. Head and Neck Tumors. 2018;8(4):39–47. (In Russ). doi: 10.17650/2222-1468-2018-8-4-39-47
  14. Obukhova OA, Kashiya ShR, Kurmukov IA, et al. The use of supplementary oral nutrition during anticancer chemotherapy. Prospective randomized controlled trial. Bulletin of Intensive Therapy. 2009;(3):47–52. (In Russ).
  15. Obukhova OA, Kurmukov IA, Yunaev GS. The Role of Nutritional Support in the Treatment of Liver Malignancies. Clinical Nutrition and Metabolism. 2020;1(3):117–126. (In Russ). doi: 10.17816/clinutr54419
  16. Krasavina EA, Choynzonov EL, Kulbakain DE, Aleekseev VA. Correction of eating disorders in patients with oral and oropharyngeal cancer after reconstructive plastic surgery. Head and Neck Tumors. 2021;11(2):41–49. (In Russ.) doi: 10.17650/2222-1468-2021-11-2-41-49
  17. Brish NA, Semiglazova TY, Karachun AM, et al. Influence of correction of nutritive deficiency on the effectiveness of neoadjuvant chemotherapy in patients with locally advanced gastric cancer. Journal of Modern Oncology. 2021;23(3):519–524. (In Russ). doi: 10.26442/18151434.2021.3.201075
  18. Manikhas GM, Luft VM, Dreval RO, et al. The impact of therapeutic enteral nutrition on quality of life in cancer patients in need of palliative care. P.A. Herzen Journal of Oncology. 2022;11(2):33–39. (In Russ). doi: 10.17116/onkolog20221102133

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Structure of the ESPEN practical guideline “Clinical nutrition in cancer”. Modified from [1].

下载 (430KB)
索引源数据
3. Fig. 2. General concepts of treatment relevant to all cancer patients: screening and assessment, energy and substrate requirements). Modified from [1].Note: ИМТ — body mass index; МТ — body mass; НП — nutritional support.

下载 (695KB)
索引源数据
4. Fig. 3. Particular issues of nutritional support: surgery. Modified from [1].Note: НН — nutritional deficiency; ЗНО — malignant neoplasms; ЖКТ — gastrointestinal tract.

下载 (597KB)
索引源数据
5. Fig. 4. Particular issues of nutritional support: radiation therapy. Modified from [1].Note: ЛТ — radiation therapy; ЖКТ — gastrointestinal tract; ЗНО — malignant neoplasms; ПП — parenteral nutrition; ЭП — enteral nutrition; ЧЭГ — percutaneous endoscopic gastrostomy.

下载 (695KB)
索引源数据
6. Fig. 5. Particular issues of nutritional support: chemotherapy. Modified from [1].Note: ХТ — chemotherapy; ПП — parenteral nutrition; ЭП — enteral nutrition; ВДХТ — high-dose chemotherapy; ТГСК — hematopoietic stem cell transplantation; ТПХ — graft versus host; НП — nutritional support; ЛФК — therapeutic physical culture.

下载 (723KB)
索引源数据
7. Fig. 6. Particular issues of nutritional support: patients in remission and receiving palliative care. Modified from [1].Note: ИМТ — body mass index; МТ — body weight; НН — nutritional deficiency; НП — nutritional support; ПП — parenteral nutrition.

下载 (758KB)
索引源数据

版权所有 © Eco-Vector, 2023

Creative Commons License
此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。

##common.cookie##