Nutrition in advanced digestive cancer

Current Opinion in Clinical Nutrition and Metabolic Care

Volumn 6, Issue 5, 2003, Pages 577-580

  Echenique, Miguel ^a   Correia, Maria Isabel T D ^b  

^a UNIVERSITY OF PUERTO RICO   (Puerto Rico)

^b FEDERAL UNIVERSITY OF MINAS GERAIS   (Brazil)

Author keywords

Terminally ill patientsgastrointestinal malignancynutritional therapyenteral nutritionparenteral nutritionquality of life

Indexed keywords

ANTIEMETIC AGENT; CHOLINERGIC RECEPTOR BLOCKING AGENT; GLYCOPYRRONIUM BROMIDE; NARCOTIC ANALGESIC AGENT; OCTREOTIDE; SCOPOLAMINE BUTYL BROMIDE; SOMATOSTATIN DERIVATIVE;

ADVANCED CANCER; DIGESTIVE SYSTEM CANCER; ENTERIC FEEDING; ETHICS; FAMILY; HUMAN; INTESTINE OBSTRUCTION; MALNUTRITION; MEDICAL DECISION MAKING; NAUSEA AND VOMITING; NUTRITION; PARENTERAL NUTRITION; PATIENT RIGHT; QUALITY OF LIFE; REVIEW; STARVATION; TERMINALLY ILL PATIENT; COST BENEFIT ANALYSIS; DECISION MAKING; GASTROINTESTINAL TUMOR; NUTRITIONAL SUPPORT; PALLIATIVE THERAPY; PERSONAL AUTONOMY; RISK ASSESSMENT;

COST-BENEFIT ANALYSIS; DECISION MAKING; GASTROINTESTINAL NEOPLASMS; HUMANS; INTESTINAL OBSTRUCTION; NUTRITIONAL SUPPORT; PALLIATIVE CARE; PERSONAL AUTONOMY; QUALITY OF LIFE; RISK ASSESSMENT;

EID: 1542571120     PISSN: 13631950     EISSN: None     Source Type: Journal    
DOI: 10.1097/00075197-200309000-00012     Document Type: Review

References (14)

1. Baines M. In: Doyle D, Hanks GWC, MacDonald N, editors. Oxford Textbook of palliative medicine. Oxford: Oxford University Press; 1988. pp. 526-534.
2. Feuer DJ, Broadley KE, Sherpherd JH, Barton DPJ. Surgery for the resolution of symptoms in malignant bowel obstruction in advanced gynecological and gastrointestinal cancer (Cochrane Review). In: The Cochrane Library 2002:3. Oxford:Update software.
3. Blair SL, Chu DZ, Scharz RE. Outcome of palliative operations for malignant bowel obstruction in patients with peritoneal carcinomatosis from nongynecological cancer. Ann Surg Oncol 2001; 8:632-637.
4. Ripamonti C, Bruera E. Palliative management of malignant bowel obstruction. Int J Gynecol Cancer 2002; 12:135-143.
5. Brooksbank MA. Palliative venting gastrostomy in malignant intestinal obstruction. Palliat Med 2002; 16:520-526. This retrospective clinical study reports on the experience of palliative venting gastrostomy in an integrated acute teaching hospital and hospice-based palliative care service over a 7-year period (1989-1997). All patients had advanced and incurable cancer with intra-abdominal spread. Palliative venting gastrostomy was shown to be a well tolerated and effective means of abolishing, or substantially alleviating, vomiting.
6. Ripamonti C, Mercadante S, Groff L, et al. Role of octreotide, scopolamine butylbromide, and hydration in symptom control of patients with inoperable bowel obstruction and nasogastric tubes: a prospective randomized trial. J Pain Symptom Manage 2000; 19:23-34.
7. American Society for Parenteral and Enteral Nutrition (ASPEN). ASPEN Board of Directors Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. J Parent Ent Nutr 2002;26(S1):82-83. The American Society for Parenteral and Enteral Nutrition guidelines should be read by those interested in evaluating nutritional consensus achieved by a board of experts.
8. Bozzetti F, Cozzaglio L, Biganzoli E, et al. Quality of life and length of survival in advanced cancer patients on home parenteral nutrition. Clin Nutr 2002; 21:281-288. Sixty-nine patients with advanced cancer enrolled in a program of HPN in six different Italian centers were prospectively studied as regards nutritional status, length of survival and quality of life. All of these patients were severely malnourished, almost aphagic and beyond any possibility of cure. The authors concluded that HPN may benefit the limited percentage of patients who may survive longer than the time allowed by a condition of starvation and depletion. The quality of life of those patients who survive longer than 3 months seems to remain stable.
9. Allison SP. Malnutrition, disease, and outcome. Nutrition 2000; 16:590-591.
10. Gemio B, Rayner A, Lewis B, et al. Home support of patients with end-stage malignant bowel obstruction using hydration and venting gastrostomy. Am J Surg 1986; 152:100-104.
11. Pasanisi F, Orban A, Scalfi L, et al. Predictors of survival in terminal-cancer patients with irreversible bowel obstruction receiving Home Parenteral Nutrition. Nutrition 2001; 17:581-584.
12. Gwilliam B, Bailey C. The nature of terminal malignant bowel obstruction and its impact on patients with advanced cancer. Int J Palliat Nurs 2001; 7:474-481.
13. Waitzberg DL, Caiaffa WT, Correia MITD. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition 2001; 17:575-580.
14. Barrocas A, Yarbrough G, Becnel PA, Nelson JE. Ethical and legal issues in nutrition support of the geriatric patient: the can, should and must of nutrition support. Nutrition in Clinical Practice 2003; 18:37-47. This is an excellent review paper covering nutritional aspects in the geriatric patient. Although not directed at cancer patients, many of the ethical issues discussed in this article should also be discussed for cancer patients.