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World Journal of Surgical Oncology
Published in: World Journal of Surgical Oncology 1/2018

Open Access 01-12-2018 | Review

Contemporary enteral and parenteral nutrition before surgery for gastrointestinal cancers: a literature review

Authors: Michal Jankowski, Manuela Las-Jankowska, Massaoud Sousak, Wojciech Zegarski

Published in: World Journal of Surgical Oncology | Issue 1/2018

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Abstract

Background

Gastrointestinal cancers are among the most recognised oncological diseases in well-developed countries. Tumours located in the digestive tract may cause the fast occurrence of malnutrition.

Main text

The perioperative period is a special time for systemic metabolism. Thanks to published guidelines, early universal control nutritional status before treatment, patients may have a chance to get suitable nutritional intervention. Although the first line of the intervention—nutritional consultation as well as the fortification of a diet and oral nutritional support (ONS)—is not debatable, in a case of inability of undergoing an oral feeding, the choice of the way of administration in patients before a surgery may represent a serious clinical obstacle.

Conclusions

Although there is broad agreement in the staging, classification, and role of surgery and nutritional status for outcomes of treatment of gastrointestinal cancers, there the way of nutritional intervention in patients with gastrointestinal cancer are still discussed.
Literature
1.
2.
Hébuterne X, Lemarié E, Michallet M, DE Montreuil CB, Schneider SM, et al. Prevalence of malnutrition and current use of nutrition support in patients with cancer. JPEN J Parenter Enteral Nutr. 2014;38:196–204.CrossRefPubMed
3.
Perioperative total parenteral nutrition in surgical patients. The veterans affairs total parenteral nutrition cooperative study group. N Engl J Med. 1991;325:525–32.CrossRef
4.
Meijerink WJ, von Meyenfeldt MF, Rouflart MM, Soeters PB. Efficacy of perioperative nutritional support. Lancet. 1992;340:187–8.CrossRefPubMed
5.
Hu WH, Cajas-Monson LC, Eisenstein S, Parry L, Cosman B, et al. Preoperative malnutrition assessments as predictors of postoperative mortality and morbidity in colorectal cancer: an analysis of ACS-NSQIP. Nutr J. 2015;14:91.CrossRefPubMedPubMedCentral
6.
Braga M, Ljungqvist O, Soeters P, Fearon K, Weimann A, Bozzetti F. ESPEN guidelines on parenteral nutrition: surgery. Clin Nutr. 2009;28:378–86.CrossRefPubMed
7.
Weimann A, Braga M, Harsanyi L, Laviano A, Ljungqvist O, et al. ESPEN guidelines on enteral nutrition: surgery including organ transplantation. Clin Nutr. 2006;25:224–44.CrossRefPubMed
8.
Weimann A, Braga M, CARLI F, Higashiguchi T, Hübner M, et al. ESPEN guideline: clinical nutrition in surgery. Clin Nutr. 2017;36:623–50.CrossRefPubMed
9.
Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, et al. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36:11–48.CrossRefPubMed
10.
KłęK S, Jankowski M, Kruszewski WJ, Fijuth J, Kapała A et al. Clinical nutrition in oncology: Polish recommendations. Nowotwory. Journal of Oncology. 2015; 65:320–337.
11.
Scott MJ, Baldini G, Fearon KC, Feldheiser A, Feldman LS, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations. Acta Anaesthesiol Scand. 2015;59:1212–31.CrossRefPubMedPubMedCentral
12.
Detsky AS, Baker JP, O'Rourke K, Goel V. Perioperative parenteral nutrition: a meta-analysis. Ann Intern Med. 1987;107:195–203.CrossRefPubMed
13.
Torosian MH. Perioperative nutrition support for patients undergoing gastrointestinal surgery: critical analysis and recommendations. World J Surg. 1999;23:565–9.CrossRefPubMed
14.
15.
Heyland DK, Drover JW, MacDonald S, Novak F, Lam M. Effect of postpyloric feeding on gastroesophageal regurgitation and pulmonary microaspiration: results of a randomized controlled trial. Crit Care Med. 2001;29:1495–501.CrossRefPubMed
16.
Klein S, Simes J, Blackburn GL. Total parenteral nutrition and cancer clinical trials. Cancer. 1986;58:1378–86.CrossRefPubMed
17.
Braunschweig CL, Levy P, Sheean PM, Wang X. Enteral compared with parenteral nutrition: a meta-analysis. Am J Clin Nutr. 2001;74:534–42.CrossRefPubMed
18.
Koretz RL, Lipman TO, Klein S. American Gastroenterological Association. AGA technical review on parenteral nutrition. Gastroenterology 2001;121:970–1001.
19.
Ljungqvist O, Thorell A, Gutniak M, Häggmark T, Efendic S. Glucose infusion instead of preoperative fasting reduces postoperative insulin resistance. J Am Coll Surg. 1994;178:329–36.PubMed
20.
21.
Shukla HS, Rao RR, Banu N, Gupta RM, Yadav RC. Enteral hyperalimentation in malnourished surgical patients. Indian J Med Res. 1984;80:339–46.PubMed
22.
Foschi D, Cavagna G, Callioni F, Morandi E, Rovati V. Hyperalimentation of jaundiced patients on percutaneous transhepatic biliary drainage. Br J Surg. 1986;73:716–9.CrossRefPubMed
23.
Flynn MB, Leightty FF. Preoperative outpatient nutritional support of patients with squamous cancer of the upper aerodigestive tract. Am J Surg. 1987;154:359–62.CrossRefPubMed
24.
von Meyenfeldt MF, Meijerink WJ, Rouflart MM, Builmaassen MT, Soeters PB. Perioperative nutritional support: a randomised clinical trial. Clin Nutr. 1992;11:180–6.CrossRefPubMed
25.
Braga M, Gianotti L, Gentilini O, Parisi V, Salis C, et al. Early postoperative enteral nutrition improves gut oxygenation and reduces costs compared with total parenteral nutrition. Crit Care Med. 2001;29:242–8.CrossRefPubMed
26.
Bozzetti F, Braga M, Gianotti L, Gavazzi C, Mariani L. Postoperative enteral versus parenteral nutrition in malnourished patients with gastrointestinal cancer: a randomised multicentre trial. Lancet. 2001;358:1487–92.CrossRefPubMed
27.
Cerantola Y, Hübner M, Grass F, Demartines N, Schäfer M. Immunonutrition in gastrointestinal surgery. Br J Surg. 2011;98:37–48.CrossRefPubMed
28.
Klek S, Sierzega M, Szybinski P, Szczepanek K, Scislo L, et al. Perioperative nutrition in malnourished surgical cancer patients—a prospective, randomized, controlled clinical trial. Clin Nutr. 2011;30:708–13.CrossRefPubMed
29.
30.
Heidegger CP, Berger MM, Graf S, Zingg W, Darmon P, et al. Optimisation of energy provision with supplemental parenteral nutrition in critically ill patients: a randomised controlled clinical trial. Lancet. 2013;381:385–93.CrossRefPubMed
31.
Jankowski M, Kapała A, Las-Jankowska M. Obecne zalecenia leczenia żywieniowego u chorych na nowotwory złośliwe [the current recommendations on nutritional therapy in patients with maligancies]. Medycyna Praktyczna Onkologia. 2016;65
Metadata
Title
Contemporary enteral and parenteral nutrition before surgery for gastrointestinal cancers: a literature review
Authors
Michal Jankowski
Manuela Las-Jankowska
Massaoud Sousak
Wojciech Zegarski
Publication date
01-12-2018
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2018
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-018-1393-7

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