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Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action

Oncology treatment-related diarrhea and malnutrition appear together in oncological patients because of the disease itself, or the treatments that are administered for it. Therefore it is essential to carry out a nutritional treatment. Enteral nutrition formulas, containing peptides and medium chain...

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Autores principales: Sanz-Paris, Alejandro, Martinez-García, María, Martinez-Trufero, Javier, Lambea-Sorrosal, Julio, Calvo-Gracia, Fernando, López-Alaminos, María Elena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722903/
https://www.ncbi.nlm.nih.gov/pubmed/31412681
http://dx.doi.org/10.3390/nu11081888
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author Sanz-Paris, Alejandro
Martinez-García, María
Martinez-Trufero, Javier
Lambea-Sorrosal, Julio
Calvo-Gracia, Fernando
López-Alaminos, María Elena
author_facet Sanz-Paris, Alejandro
Martinez-García, María
Martinez-Trufero, Javier
Lambea-Sorrosal, Julio
Calvo-Gracia, Fernando
López-Alaminos, María Elena
author_sort Sanz-Paris, Alejandro
collection PubMed
description Oncology treatment-related diarrhea and malnutrition appear together in oncological patients because of the disease itself, or the treatments that are administered for it. Therefore it is essential to carry out a nutritional treatment. Enteral nutrition formulas, containing peptides and medium chain triglycerides, can facilitate absorption in cases of malabsorption. There are few references to the use of enteral nutrition in the clinical society guidelines of patient management with oncology treatment-related diarrhea (OTRD). A bibliographic review of the studies with oligomeric enteral nutrition in OTRD found only nine studies with chemotherapy (all with the same oligomeric formula in which oral mucositis improves, while the rest of the outcomes show different results), and eight studies with radiotherapy (with different products and very heterogeneous results). We hereby present our action algorithm to supplement the diet of OTRD patients with an oligomeric enteral nutrition formula. The first step is the nutritional assessment, followed by the assessment of the functional capacity of the patient’s intestine. With these two aspects evaluated, the therapeutic possibilities available vary in degrees of complexity: These will range from the usual dietary recommendations, to supplementation with oral oligomeric enteral nutrition, along with complete enteral nutrition with oligomeric formula, and up to potentially total parenteral nutrition.
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spelling pubmed-67229032019-09-10 Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action Sanz-Paris, Alejandro Martinez-García, María Martinez-Trufero, Javier Lambea-Sorrosal, Julio Calvo-Gracia, Fernando López-Alaminos, María Elena Nutrients Review Oncology treatment-related diarrhea and malnutrition appear together in oncological patients because of the disease itself, or the treatments that are administered for it. Therefore it is essential to carry out a nutritional treatment. Enteral nutrition formulas, containing peptides and medium chain triglycerides, can facilitate absorption in cases of malabsorption. There are few references to the use of enteral nutrition in the clinical society guidelines of patient management with oncology treatment-related diarrhea (OTRD). A bibliographic review of the studies with oligomeric enteral nutrition in OTRD found only nine studies with chemotherapy (all with the same oligomeric formula in which oral mucositis improves, while the rest of the outcomes show different results), and eight studies with radiotherapy (with different products and very heterogeneous results). We hereby present our action algorithm to supplement the diet of OTRD patients with an oligomeric enteral nutrition formula. The first step is the nutritional assessment, followed by the assessment of the functional capacity of the patient’s intestine. With these two aspects evaluated, the therapeutic possibilities available vary in degrees of complexity: These will range from the usual dietary recommendations, to supplementation with oral oligomeric enteral nutrition, along with complete enteral nutrition with oligomeric formula, and up to potentially total parenteral nutrition. MDPI 2019-08-13 /pmc/articles/PMC6722903/ /pubmed/31412681 http://dx.doi.org/10.3390/nu11081888 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Sanz-Paris, Alejandro
Martinez-García, María
Martinez-Trufero, Javier
Lambea-Sorrosal, Julio
Calvo-Gracia, Fernando
López-Alaminos, María Elena
Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action
title Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action
title_full Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action
title_fullStr Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action
title_full_unstemmed Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action
title_short Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action
title_sort oligomeric enteral nutrition in undernutrition, due to oncology treatment-related diarrhea. systematic review and proposal of an algorithm of action
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722903/
https://www.ncbi.nlm.nih.gov/pubmed/31412681
http://dx.doi.org/10.3390/nu11081888
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