Perioperative nutrition management for gastric cancer

• Published in: Nutrition (Burbank, Los Angeles County, Calif.) Vol. 93; p. 111492
• Main Authors: Xu, Rui, Chen, Xiao-Dong, Ding, Zhi
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.01.2022; Elsevier Limited
• Subjects: Body composition; Body mass index; Cancer; Cancer therapies; Complications; death; Enteral nutrition; Gastric cancer; Hospitals; Humans; Immune status; Immunological tolerance; Malnutrition; Malnutrition - diagnosis; Malnutrition - prevention & control; Morbidity; Nutrition; Nutrition Assessment; Nutrition screening; Nutrition Therapy; nutritional intervention; Nutritional Status; Nutritional Support; Parenteral nutrition; Patients; Perioperative nutrition support; Postoperative; Postoperative Complications - epidemiology; Postoperative Complications - prevention & control; risk; Society; stomach neoplasms; Stomach Neoplasms - surgery; Tumor necrosis factor-TNF; Nutrition assessment; Perioperative nutrition support; Nutrition screening; Malnutrition; Gastric cancer; Nutritional status
• ISSN: 0899-9007; 1873-1244; 1873-1244
• DOI: 10.1016/j.nut.2021.111492

Gastric cancer is one of the most frequently diagnosed and the leading cause of cancer death worldwide. Malnutrition is a substantial problem in patients with gastric cancer, associated with poor treatment tolerance and increased morbidity. It has also been recognized as an independent prognostic factor in individuals with cancer. Early detection of malnutrition and effective perioperative nutrition intervention play an important role in the treatment of gastric cancer. Nutrition screening and assessment are the first steps in nutrition management and provide a basis for further nutrition support. Several tools, including the Nutrition Risk Screening-2002 and Patient-Generated Subjective Global Assessment, have been developed for nutrition screening and assessment. Effective nutrition support can significantly improve nutritional and immune status, reduce the incidence of postoperative complications, and accelerate recovery. The aim of this review was to focus on preoperative nutrition risk screening and assessment, and perioperative nutrition support, which may serve as a framework of perioperative nutrition management for gastric cancer.