Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
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Nutritional Assessment and Nutritional Management for GI Cancer Patients

  • Mi Hyang Um (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Yoo Kyoung Park (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University)
  • Received : 2014.05.19
  • Accepted : 2014.05.31
  • Published : 2014.06.30
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Abstract

Cancer, especially GI cancer itself and any associated treatments have profound effect on the patient's nutritional status. It is therefore very important to understand various nutritional issues in GI cancer patients for the cure and for increasing the compliance during the course of the treatment. Screening and identification of nutritional risk for the GI cancer patients is very essential and is plays a critical part of the treatment to help improve patient outcomes. Maintaining optimal nutritional status is an important goal in the management of individuals diagnosed, treated with cancer. Maintenance of adequate nutritional intake is important whether patients are undergoing active therapy, recovering from cancer therapy, or are in remission and striving to avoid cancer recurrence. The goals of nutrition therapy are to prevent or reverse nutrient deficiencies, preserve lean body mass, help patients better tolerate treatments and minimize nutrition-related side effects and complications, etc. Recent interest in clinical settings is also in maximizing quality of life of the patients which can also be modulated by appropriate nutrition.

Keywords

References

  1. Ottery FD. Supportive nutrition to prevent cachexia and improve quality of life. Semin Oncol 1995;22(2 suppl 3):98-111.
  2. Lees J. Incidence of weight loss in head and neck cancer patients on commencing radiotherapy treatment at a regional oncology centre. Eur J Cancer Care (Engl) 1999;8:133-136.
  3. Ferguson ML, Bauer J, Gallagher B, et al. Validation of a malnutrition screening tool for patients receiving radiotherapy. Australas Radiol 1999;43:325-327.
  4. Markides GA, Alkhaffaf B, Vickers J. Nutritional access routes following oesophagectomy--a systematic review. Eur J Clin Nutr 2011;65(5):565-573.
  5. Wang R, Guo L, Wang P, et al. Chemoprevention of cancers in gastrointestinal tract with cyclooxygenase 2 inhibitors. Curr Pharm Des 2013;19(l):115-125.
  6. Laviano A, Molfino A, Rossi Fanelli F. Cancer-treatment toxicity: can nutrition help? Nat Rev Clin Oncol 2012;9(106). Epub 2012 Sep 25.
  7. Lacey K, Pritchett E. Nutrition care process and model. ADA adopts road map to quality care and outcomes. J Am Diet Assoc 2003;103:1061-1072.
  8. Escott-Stump S, Krauss B, Pavlinac J, Robinson G. Joint Commission on Accreditation of Healthcare Organizations: friend, not foe. J Am Diet Assoc 2000; 100(7): 839-844.
  9. http://www.cms.hhs.gov/manuals/downloads/som107_Appendicestoc.pdf
  10. Watanabe M, Iwatsuki M, Iwagami S, et al. Prognostic nutritional index predicts outcomes of gastrectomy in the elderly. World J Surg 2012;36(7):1632-1639.
  11. van Bokhorst-de van der Schueren MA, Guaitoli PR, Jansma EP, de Vet HC. Nutrition screening tools: does one size fit all? A systematic review of screening tools for the hospital setting. Clin Nutr 2014;33(1):39-58.
  12. Width M, Reinhard T. The clinical dietitian's essential pocket guide. Philadelphia: Lippincott Williams &Wilkins, 2009.
  13. E Faramarzi, R Mahdavi, M Mohammad-Zadeh, B Nasirimotlagh. Validation of nutritional risk index method against patient-generated subjective global assessment in screening malnutrition in colorectal cancer patients. Chin J Cancer Res 2013;25(5):544-548.
  14. Gupta D, Vashi PG, Lammersfeld CA, Braun DP. Role of nutritional status in predicting the length of stay in cancer: a systematic review of the epidemiological literature. Ann Nutr Metab 2011;59(2-4):96-106.
  15. Bueche J, Charney P, Pavlinac J, et al. Nutrition Care Process and Model Part I: The 2008 Update. J Am Diet Assoc 2008;108(7):1113-1117.
  16. Bauer J, Capra S, Ferguson M. Use of the scored Patient-Ge-nerated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002;56:779-785.
  17. American Dietetic Association, Dietitians of Canada. Cancer. In: Manual of Clinical Dietetics. 6th ed. Chicago: III American Dietetic Association; 2000:235-252.
  18. Lopez MJ, Tehrani HY. Nutrition and the cancer patient. In: Lenhard RD, Osteen RT, Gansler T, eds. Ginical Oncology. Maiden, Mass: American Cancer Society; 2001:811-822.
  19. Shils ME Nutrition and diet in cancer management. In: Shills MD, Olson JA, Shike M, eds. Modern Nutrition in Health and Disease. 9th ed. Philadelphia, Pa: Lippincott Wiliams and Wilkins; 1994: 1317-1347.
  20. Grant A, DeHoog S. Physical signs in nutrient deficiency and toxicity. In: Grant A, DeHoog S, eds. Nutrition: Assessment, Support, and Management, 5th ed. Seattle, Wash: Grant/De Hoog; 1999:149-155.
  21. Joque L, Jatoi A. Total parenteral nutrition in cancer patients: why and when? Nutr Clin Care 2005;8(2): 89-92.
  22. Jin D, Phillips M, Byles J. Effects of parenteral nutrition support and chemotherapy on the phasic composition of tumor cells in gastrointestinal cancer. JPEN J Parenter Enteral Nutr 1999;23:237-241.
  23. Thompson C. Initiation, advancement, and transition of enteral feedings. In: Charney P, Malone A, eds. ADA Pocket Guide to Enteral Nutrition. Chkago, III: American Dietetic Association; 2005; 123-154.
  24. Decker GM. Glutamine: indicated in cancer care? Clin J Oncol Nurs 2002;6:112-115.
  25. Ripamonti C, Zecca E, Brunelli C, et al. A randomized, controlled clinical trial to evaluate the effects of zinc sulfate on cancer patients with taste alterations caused by head and neck irradiation. Cancer 1998;82:1938-1945.
  26. Kemper M, Stewart Haapoja I, Goodman M. Principles of chemotherapy. In: Gates RA, Fink RM, eds. Oncology Nursing Secrets. 2nd ed. Philadelphia, Pa: Hanley and Belfus; 2001:44-52.
  27. MacDonald N, Easson AM, Mazurak VC, Dunn GP, Baracos VE. Understanding and managing cancer cachexia. J Am Coll Surg 2003;197(1): 143-161.