Nutritional interventions in female patient with the cancer of pancreatic head. Case report
Abstract
Nutrition is the requirement sine qua non for human’s life, and lack of nutritional support during illness may have negative influence on outcome of its treatment. In this work female patient with pancreatic head cancer is presented. Initially, diet modification helped this patient to control the symptoms of early dumping syndrome after palliative surgery, and next, nutritional intervention with oligomeric artificial diet given by noso-gastric tube helped this woman to improve functional condition and probably to save a life in the course of sudden exacerbation of gastrointestinal symptoms after chemotherapy. The importance of nutritional support, screening and surveillance in patients with neoplasmatic disease were presented. The rules of nutritional intervention were shortly described. Criteria for withholding artificial nutrition in cancer patients were discussed.
Keywords: pancreatic cancernutritional supportenteral nutritionchemotherapy toxicitydiarrhea
References
- Bachmann J, Heiligensetzer M, Krakowski-Roosen H, et al. Cachexia worsens prognosis in patients with resectable pancreatic cancer. J Gastrointest Surg. 2008; 12(7): 1193–1201.
- Tan CR, Yaffee PM, Jamil LH, et al. Pancreatic cancer cachexia: a review of mechanisms and therapeutics. Front Physiol. 2014; 5: 88.
- Mueller TC, Burmeister MA, Bachmann J, et al. Cachexia and pancreatic cancer: are there treatment options? World J Gastroenterol. 2014; 20(28): 9361–9373.
- Afaneh C, Gerszberg D, Slattery E, et al. Pancreatic cancer surgery and nutrition management: a review of the current literature. Hepatobiliary Surg Nutr. 2015; 4(1): 59–71.
- Del Fabbro E. Current and future care of patients with the cancer anorexia-cachexia syndrome. Am Soc Clin Oncol Educ Book. 2015: e229–e237.
- Pertkiewicz M. Standardy żywienia pozajelitowego i żywienia dojelitowego. PZWL, Warszawa 2005.
- Jarosz M. Zasady prawidłowego żywienia chorych w szpitalach. Instytut Żywności i Żywienia. 2011.
- Sobotka L. Podstawy żywienia klinicznego. Krakowskie Wydawnictwo Scientifica. . II polskie, z org. Krakowskie Wydawnictwo Scientifica. wyd. II polskie z org. wyd. IV., Kraków 2013.
- Bozzetti F, Arends J, Lundholm K, et al. ESPEN. ESPEN Guidelines on Parenteral Nutrition: non-surgical oncology. Clin Nutr. 2009; 28(4): 445–454.
- Gianotti L, Meier R, Lobo DN, et al. ESPEN. ESPEN Guidelines on Parenteral Nutrition: pancreas. Clin Nutr. 2009; 28(4): 428–435.
- Aprile G, Rihawi K, De Carlo E, et al. Treatment-related gastrointestinal toxicities and advanced colorectal or pancreatic cancer: A critical update. World J Gastroenterol. 2015; 21(41): 11793–11803.
- Budzyński J, Tojek K, Czerniak B, et al. Scores of nutritional risk and parameters of nutritional status assessment as predictors of in-hospital mortality and readmissions in the general hospital population. Clin Nutr. 2016; 35(6): 1464–1471.
- Chow R, Bruera E, Chiu L, et al. Enteral and parenteral nutrition in cancer patients: a systematic review and meta-analysis. Ann Palliat Med. 2016; 5(1): 30–41.
- Cotogni P. Enteral versus parenteral nutrition in cancer patients: evidences and controversies. Ann Palliat Med. 2016; 5(1): 42–49.
- Budzyński J. Biegunka.. In: Krajnik M, Malec-Milewska M, Wordliczek J. ed. Chory na nowotwór: kompendium leczenia somatycznych objawów towarzyszących. Medical Education Warszawa, Warszawa 2015: 75–116.
