General perioperative management of gastric cancer patients at high-volume centers

Ahn, Hye Young; Yook, Jeong Hwan; Park, Cho Hyun; Yu, Wansik; Lee, Moon Soo; Han, Sang‐Uk; Ryu, Keun Won; Sohn, Tae Sung; Kim, Hyung‐Ho; Choi, Seung Ho; Noh, Sung Hoon; Hiki, Naoki; Sano, Takeshi; Yang, Han Kwang

doi:10.1007/s10120-011-0012-x

Cited by 32 publications

(26 citation statements)

References 21 publications

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“…However, several institutions in Asia and Europe still adhere to 3-4 days of postoperative fasting after gastrectomy due to concerns about the feasibility and safety of an early postoperative oral diet [10,11]. Nonetheless, the present study shows that early postoperative oral nutrition can be initiated as early as on the first postoperative day after gastrectomy without increasing postoperative morbidity, including gastrointestinal-related complications or aspiration pneumonia.…”

Section: Discussionmentioning

confidence: 63%

“…According to surveys conducted in Asia and Europe, many institutions still adhere to 3-4 days of postoperative fasting after gastrectomy, which is often accompanied by decompression of the stomach and the administration of a large amount of intravenous fluid [10,11]. Furthermore, proponents of traditional postoperative fasting after gastrectomy often cite concerns of anastomosis safety and aspiration pneumonia.…”

Section: Introductionmentioning

confidence: 99%

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The safety and feasibility of early postoperative oral nutrition on the first postoperative day after gastrectomy for gastric carcinoma

et al. 2013

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Background Unlike the wide acceptance of early enteral nutrition after colorectal surgery, little information is available regarding the feasibility of immediate oral nutrition after gastric cancer surgery. This study evaluated the feasibility and safety of oral nutrition on the first postoperative day after gastrectomy. Methods From September 2010 to March 2011, 74 consecutive gastric cancer patients received an oral diet on the first postoperative day after gastrectomy. Surgical outcomes, including hospital stay, morbidity, and mortality, were compared with a conventional diet group (n = 96, before September 2010), in which an oral diet was started on the third or fourth postoperative day.Results No significant differences were found in the clinicopathological characteristics or operation types between the two groups. Average diet start times in the early diet (ED) and conventional diet (CD) groups were 1.8 and. 3.2, respectively (p \ 0.001). The mean hospital stay was significantly shorter in the ED group (7.4 vs. 8.9 days, p = 0.004). There was no significant difference in postoperative morbidity (p = 0.947) between the two groups. Gastrointestinal-related complications, such as anastomosis leakage or postoperative ileus, were also similar in the two groups. Overall compliance to early oral nutrition in the ED group was 78.5 %, and an old age (C70 years) was found to affect the compliance to early postoperative oral nutrition. Conclusions Postoperative oral nutrition is safe and feasible on the first postoperative day after gastrectomy. However, elderly patients require careful monitoring when applying early oral nutrition after gastrectomy.

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Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

The safety and feasibility of early postoperative oral nutrition on the first postoperative day after gastrectomy for gastric carcinoma

et al. 2013

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“…North American series have reported 14 or 15 gastric cancer cases per year as a marker of a high-volume gastric cancer center [27,34]. In Asia, 200 cases per year are considered a marker of a high-volume institution [37][38][39]. Gastric cancer surgery has been centralized in some countries such as the UK, Denmark, The Netherlands, Sweden, and Finland [40].…”

Section: Discussionmentioning

confidence: 99%

Treatment results of curative gastric resection from a specialist Australian unit: low volume with satisfactory outcomes

et al. 2013

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Background The incidence of gastric cancer is decreasing in Australia, yet it remains a common cause of cancerrelated mortality. Surgical resection remains the cornerstone of curative treatment. High-volume specialized units have reported superior perioperative and oncological outcomes. The role of D2 lymphadenectomy has been controversial as a result of concerns over increased morbidity. Our aim is to report the perioperative and oncological outcomes of curative gastric resection from a specialist Australian upper GI unit. Methods Data from a prospectively maintained database were reviewed for all patients undergoing curative resection for gastric adenocarcinoma from a single unit during a 12-year period. Perioperative and long-term outcomes were compiled. Results There were 255 curative gastric resections during 12 years. An R0 resection was performed in 96 % with a perioperative mortality rate of 1.6 %. A D2 dissection was performed in 85 % of cases in the past 6 years, with no increase in perioperative morbidity or mortality detected. The 5-year overall survival was 53 %. Conclusion Our results demonstrate that both short-and long-term outcomes of surgical resection in gastric cancer patients, comparable to international high-volume centers, can be achieved in an Australian upper GI unit. A D2 lymph node dissection can be performed safely without any increase in perioperative risk in a specialist unit that has the necessary training but also the perioperative support structures to manage these complex patients.

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“…9 No tratamento cirúrgico de câncer GI, recomendações asiáticas e européias relatam 3 a 4 dias de jejum pós-operatório, que é acompanhada muitas vezes por descompressão do estômago e da administração de uma grande quantidade de líquido intravenoso 10,11 . No entanto, o jejum prolongado no pós-operatório agrava a desnutrição.…”

Section: 34unclassified

Terapia nutricional em pacientes com câncer do aparelho digestivo

Godoi¹,

Fernandes²

2018

Int J Nutrol

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Terapia nutricional em pacientes com câncer do aparelho digestivoNutritional therapy in patients with cancer in the digestive system RESUMO O estado nutricional é um determinante crítico do sucesso do tratamento e qualidade de vida dos pacientes com câncer. As terapias contra o câncer, incluindo cirurgia, quimioterapia e radioterapia estão associadas à desnutrição, além do que, as drogas utilizadas no tratamento para combater o câncer muitas vezes resultam em vômitos, mucosite, diarréia e disfagia. Esta pesquisa tem como objetivo principal compreender o efeito das intervenções nutricionais em pacientes com câncer no trato digestivo, analisando diversos estudos. Para a realização deste estudo foi utilizado o método de revisão da bibliografia, pesquisando-se artigos científicos das bases de dados PubMed, Bireme e Google acadêmico. Os resultados mostraram que a caquexia neoplásica é uma manifestação clínica muito comum em pacientes com câncer no trato gastrointestinal. A terapia nutricional precoce proporciona resultados benéficos em termos de minimizar a perda de peso, reduzir a deterioração do estado nutricional e da função física. Sempre que possível a primeira escolha deve ser a via oral. Porém, pacientes desnutridos ou que não conseguem ingerir a oferta calórica e proteica calculada por via oral, podem ser candidatos à nutrição enteral (NE) ou nutrição parenteral (NP). Estudos recentes têm sugerido a associação das terapias enteral e parenteral na redução das complicações pós-operatórias e na diminuição da permanência hospitalar. Palavras-chave:Enteral. Parenteral. Terapia Nutricional. Câncer. Sistema digestivo. ABSTRACTNutritional status in patients with cancer is a critical determinant of treatment success and life quality. Therapeutic approaches in cancer, including surgery, chemotherapy and radiation, are associated with malnutrition, and drugs used to treat cancer often result in vomiting, mucositis, diarrhea, and dysphagia. The main objective of this research is to understand the effect of nutritional interventions in GI cancer patients, analyzing several studies. For the accomplishment of this study we performed a systematic review of the literature, searching for scientific articles of the following databases PubMed, Bireme and Google academic. Results showed that neoplastic cachexia is a very common clinical manifestation in patients with GI cancer. Early nutritional therapy provides beneficial results in terms of minimizing weight

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General perioperative management of gastric cancer patients at high-volume centers

Cited by 32 publications

References 21 publications

The safety and feasibility of early postoperative oral nutrition on the first postoperative day after gastrectomy for gastric carcinoma

The safety and feasibility of early postoperative oral nutrition on the first postoperative day after gastrectomy for gastric carcinoma

Treatment results of curative gastric resection from a specialist Australian unit: low volume with satisfactory outcomes

Terapia nutricional em pacientes com câncer do aparelho digestivo

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