Nutrition support in surgical oncology.
This review article, the second in a series of articles to examine the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients, evaluates the evidence related to the use of nutrition support in surgical oncology patients. Cancer patients develop complex nutrition issues. Nutrition support may be indicated in malnourished cancer patients undergoing surgery, depending on individual patient characteristics. As with the first article in this series, this article provides background concerning nutrition issues in cancer patients, as well as discusses the role of nutrition support in the care of surgical cancer patients. The goal of this review is to enrich the discussion contained in the clinical guidelines as they relate to recommendations made for surgical patients, cite the primary literature more completely, and suggest updates to the guideline statements in light of subsequently published studies.
Huhmann
Maureen B
MB
University of Medicine and Dentistry of New Jersey, Cancer Institute of New Jersey, New Brunswick, NJ 08903, USA. huhmanma@umdnj.edu
August
David A
DA
D004750:Enteral Nutrition; D006801:Humans; D044342:Malnutrition / Q000628:therapy; D009369:Neoplasms / Q000601:surgery / Q000628:therapy*; D010288:Parenteral Nutrition; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic