食管癌患者营养治疗指南

1李涛; 2李宝生; 1吕家华; 3陈俊强; 4陈克能; 5陈媛媛; 6丛明华; 7傅剑华; 8韩泳涛; 9李杰; 10李薇; 11李增宁; 12廖正凯; 13刘明; 14庞青松; 15曲宝

doi:10.16689/j.cnki.cn11-9349/r.2020.01.007

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肿瘤代谢与营养电子杂志 ›› 2020, Vol. 7 ›› Issue (1) : 32-42. DOI: 10.16689/j.cnki.cn11-9349/r.2020.01.007

共识、指南与标准

食管癌患者营养治疗指南

1李涛，2李宝生，1吕家华，3陈俊强，4陈克能，5陈媛媛，6丛明华，7傅剑华，8韩泳涛，9李杰，10李薇，11李增宁，12廖正凯，13刘明，14庞青松，15曲宝林，16孙新臣，2邢力刚，17许红霞，18赵仁，19石汉平；中国抗癌协会肿瘤营养专业委员会，中华医学会肠外肠内营养学分会，中国医师协会放射肿瘤治疗医师分会营养与支持治疗学组

作者信息 +

Guidelines for nutritional treatment of esophageal cancer patients

1Li Tao,2Li Baosheng,1Lyu Jiahua,3Chen Junqiang,4Chen Keneng,5Chen Yuanyuan,6Cong Minghua,7Fu Jian hua,8Han Yongtao,9Li Jie,10Li Wei,11Li Zengning,12Liao Zhengkai,13Liu Ming,14Pang Qingsong,15Qu Baolin,16Sun Xinchen,2Xing Ligang,17Xu Hongxia,18Zhao Ren,19Shi Hanping； China Society for Nutritional Oncology, Chinese Society for Parenteral and Enteral Nutrition, Nutrition and Supportive Therapy Group of Chinese Association for Therapeutic Radiation Oncologists

Author information +

1 Department of Radiation Oncology, Sichuan Cancer Hospital, Chengdu 610041, Sichuan, China； 2 Department of Radiation Oncology, Shandong Cancer Hospital, Jinan 250117, Shandong, China； 3 Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China； 4 Department of Thoracic Surgery, Beijing Cancer Hospital, Beijing 100142, China；5 Department of Radiation Oncology, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang, China；6 Department of General Diseases, Cancer Hospital Chinese Academy of Medical Sciences, Beijing 100021, China；7 Department of Thoracic Surgery, Sun Yat Sen University Cancer Center, Guangzhou 510060, Guangdong, China；8 Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu 610041, Sichuan, China；9 Department of Radiation Oncology, Shanxi Provincial Cancer Hospital, Taiyuan 030013, Shanxi, China；10Cancer Center, The First Hospital of Jilin University, Changchun 130021, Jilin, China；11 Department of Clinical Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang 050030, Hebei, China；12Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei, China；13Department of General Surgery, The Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China；14Department of Radiation Oncology, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China；15Department of Radiation Oncology, Chinese PLA General Hospital, Beijing 100036, China；16Department of Radiation Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, Jiangsu, China；17Department of Clinical Nutrition, Daping Hospital, Army Medical University, Chongqing 400042, China；18Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan 750003, Ningxia, China；19Department of Gastrointestinal Surgery-Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University Beijing International Science and Technology Cooperation Base for Cancer Metabolism and Nutrition, Department of Oncology, Capital Medical University, Beijing 100038, China

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文章历史 +

摘要

食管癌是营养不良发病率最高的恶性肿瘤。营养不良会降低食管癌细胞对放化疗的敏感性，增加治疗不良反应，延长住院时间，延缓身体康复，增加医疗费用，降低患者治疗疗效和生活质量。因此，开展规范化的营养治疗对食管癌患者具有重要的意义。然而，迄今为止，国内外均没有专门针对食管癌患者的营养治疗指南。因此，中国抗癌协会肿瘤营养专业委员会、中华医学会肠外肠内营养学分会，中国医师协会放射肿瘤治疗医师分会营养与支持治疗学组的肿瘤营养专家，通过对食管癌营养治疗最新国内国外文献的全面检索与分析，并经过反复讨论与修改，制定了本指南。指南从食管癌患者的营养诊断、营养治疗适应证、治疗途径、治疗通路、营养素和疗效评价六个方面分别进行了证据论述和意见推荐。

Abstract

Esophageal cancer patients are at the highest incidence of malnutrition. Malnutrition will reduce the sensitivity of esophageal cancer cells to chemoradiotherapy, increase adverse reactions to treatment, prolong hospital stays, delay physical rehabilitation, increase medical costs, and reduce treatment efficacy and quality of life. Therefore, the standardized nutrition therapy is of great significance to patients with esophageal cancer. However, to date, there are no guidelines for nutritional treatment for esophageal cancer patients. Therefore, the tumor nutrition experts from China Society for Nutritional Oncology, Chinese Society for Parenteral and Enteral Nutrition and the Nutrition and Support Therapy Group of Chinese Association for Therapeutic Radiation Oncologists searched and analyzed the latest literature on nutritional treatment of esophageal cancer. After repeated discussions and modifications, they developed this guideline. The guideline discussed the evidence and recommendations from the six aspects of nutrition diagnosis, nutritional treatment indications, treatment access, treatment pathways, nutrients, and efficacy evaluations for patients with esophageal cancer.

导出引用

1李涛，2李宝生，1吕家华，3陈俊强，4陈克能，5陈媛媛，6丛明华，7傅剑华，8韩泳涛，9李杰，10李薇，11李增宁，12廖正凯，13刘明，14庞青松，15曲宝. 食管癌患者营养治疗指南[J]. 肿瘤代谢与营养电子杂志. 2020, 7(1): 32-42 https://doi.org/10.16689/j.cnki.cn11-9349/r.2020.01.007

1Li Tao,2Li Baosheng,1Lyu Jiahua,3Chen Junqiang,4Chen Keneng,5Chen Yuanyuan,6Cong Minghua,7Fu Jian hua,8Han Yongtao,9Li Jie,10Li Wei,11Li Zengning,12Liao Zhengkai,13Liu Ming,14Pang Qingsong,15Qu Baoli. Guidelines for nutritional treatment of esophageal cancer patients[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2020, 7(1): 32-42 https://doi.org/10.16689/j.cnki.cn11-9349/r.2020.01.007

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