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Libri Oncologici : Croatian Journal of Oncology, Vol. 41 No. 1-3, 2013.

Review article

Assessment of malnutrition and nutritional therapy and support in patients with colorectal carcinoma

Ljilja Štefančić ; Department of Anaesthesiology and Intensive Medicine, University Hospital For Tumors,Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Katja Ćulav ; Department of Anaesthesiology and Intensive Medicine, University Hospital For Tumors,Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Srećko Ljubičić ; Department for Anaesthesiology and Intensive Medicine,General Hospital Dubrovnik, Dubrovnik, Croatia
Zvonimir Zore ; Department of Surgical Oncology, Oncoplastic Surgery, University Hospital For Tumors, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Gordana Brozović ; Department of Anaesthesiology and Intensive Medicine, University Hospital For Tumors,Sestre Milosrdnice University Hospital Center, Zagreb, Croatia

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Abstract

Introduction: Malnutrition is a common problem in oncological patients. Prevalence of malnutrition in patients with colorectal carcinoma ranges between 30%-50% at presentation. Nutritional status in patients with malignant tumours affects the quality of life and overall survival. Involuntary weight loss is common in these patients and is associated with poor postoperative outcome and longer hospital stay. Malnutrition is also associated with reduced tolerance and response to
systemic antineoplastic therapy.
Methods and Results: We describe the results of our studies which evaluated the effects of nutritional screening in indentifying patients at risk for malnutrition,for prompt nutritive support and careful follow up. The results show that proactive intervention and correction of malnutrition in an early stage reduces patient costs, length of hospital stay, improves response to treatment and improves functional status and quality of life.
Conclusion: Early routine nutrition screening, assessment and interventionsare effective in improving nutritional status and reduced complications, toxicities and improve clinical outcomes in colorectal carcinoma patients.

Keywords

malnutrition; cancer patients; nutrition screening; nutrition support

Hrčak ID:

200640

URI

https://hrcak.srce.hr/200640

Publication date:

27.12.2013.

Article data in other languages: croatian

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