摘要
胆道恶性肿瘤(biliary tract cancer,BTC)恶性程度高、易复发转移且预后差,以手术为主结合放化疗的综合治疗是目前主要的治疗模式。BTC患者治疗周期长,营养不良的发生率较高,严重影响患者治疗的顺利实施及预后。因此,对BTC患者进行营养状态评估、以及贯穿于整个治疗过程的特定的营养支持和指导,通过合理规范的全程营养管理可以降低患者营养不良发生的风险,减少治疗中的不良反应和并发症率,缩短住院时间(length of stay,LOS),提高生活质量,并改善临床结局。本文提出了BTC治疗过程中全程营养管理的理念并作针对性的阐述,有助于为提高全程营养管理在BTC治疗领域的实施及规范临床实践提供参考。
Biliary tract cancer(BTC)is a highly malignant disease with poor prognosis and is prone to recurrence and metastasis.Radical surgery in combination with comprehensive treatment measures including chemotherapy and radiotherapy is the main treatment strategy currently.Malnutrition is common in BTC patients partially due to the long treatment cycle of this disease,which often impedes the implementation of treatment and negatively affects the prognosis.Nutrition support is one of the key components of comprehensive treatment regimen throughout the whole process of BTC management.Proper evaluation and standardized whole processing nutrition management can reduce the risk of malnutrition in patients,thereby shortening the postoperative length of stay(LOS),improving the quality of life as well as clinical outcomes.This paper will elaborate on the whole-course nutrition management during BTC treatment,in order to provide further insight into the clinical application of wholecourse nutritional management in the field of BTC treatment.
作者
熊逸晨
龚伟
XIONG Yichen;GONG Wei(Department of General Surgery,Xin Hua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai Key Laboratory of Biliary Tract Disease Research,Shanghai 200092,China)
出处
《肿瘤》
CAS
CSCD
北大核心
2022年第8期580-590,共11页
Tumor
基金
国家自然科学基金(81974371,82172628)
关键词
营养支持
胆道恶性肿瘤
全程化管理
Nutritional support
Biliary tract cancer
Whole-course management
作者简介
Correspondence to:龚伟,E-mail:gongwei@xinhuamed.com.cn
