Nutritional support of the cancer patient

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Nutritional support of the cancer patient.

Malnutrition, a common problem in cancer patients, adversely affects survival and quality of life. It results from several factors that alter nutritional intake and cause massive metabolic disturbances. Anticancer therapies may compound the malnutrition. Optimal nutrition improves therapeutic modalities and the clinical course and outcome. Oral nutrition should be used whenever possible; in pat...

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Nutritional support of the cancer patient: issues and dilemmas.

Malnutrition in cancer patients results from multifactorial events and is associated with an alteration of quality of life and a reduced survival. A simple nutritional assessment program and early counselling by a dietitian are essential to guide nutritional support and to alert the physician to the need for enteral (EN) or parenteral nutrition (PN). A daily intake of 20-35 kcal/kg, with a bala...

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Nutritional support of the hospitalized patient.

Comprehensive care of patients in hospitals includes assessment of nutritional status and provision of appropriate support. This approach is facilitated by knowledge of the essential differences in metabolism between starved and stressed states. Nutritional assessment and care of patients in a hospital are based on answers to the following questions: Who gets it? When do they get it? How much d...

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Nutritional Support of the Stressed ICU Patient

A variety of conditions that require ICU care lead to a stereotyped metabolism response which is called the “injury stress response”. Traditionally, this has been viewed to be a CNS mediated endocrine response that increases circulating levels of the counter-regulatory hormones (catecholamines, corticosteroids, and glucagon). More recently, the systemic inflammatory response syndrome (SIRS) has...

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Nutritional support of the surgical oncology patient.

Malnutrition is a common manifestation of cancer patients and has a significant negative impact on treatment and survival. The metabolic aberrations associated with tumor growth are complex, and nutritional repletion cannot always be accomplished with nutritional support. Ultimate survival depends upon the primary lesion. Oral nutrition should be used whenever patients can eat and are able to t...

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ژورنال

عنوان ژورنال: CA: A Cancer Journal for Clinicians

سال: 1998

ISSN: 0007-9235

DOI: 10.3322/canjclin.48.2.69