Výživa v onkochirurgii // SOLEN

Onkológia 4/2018

Výživa v onkochirurgii

Nutrition in the oncosurgery

Surgical stress and malnutrition are the cause of a high risk of postoperative complications with potential treatment failure in surgical patients. Nutritional screening, nutrition and nutritional interventions must be part of a comprehensive treatment of cancer patients. Malnutrition causes many complications (impaired immune function, increased infectious complications, prolonged lenght of stay, impaired wound healing, increased toxicity in cancer patients and increased post-operative mortality) and there are confirmed adverse economic outcomes of malnutrition, such as increased costs of treatment and reduced long-term quality of life patients (1). Screening of cancer patients in Slovakia showed that 53% of patients had the risk of malnutrition and 19.7% of patients had severe malnutrition (2). Although we know that high-prevalence malnutrition causes death in cancer patients, nutrition is often neglected or under-evaluated, despite the availability of international guidelines for nutritional care in cancer patients.

Keywords: malnutrition, nutrition intervention, Enhanced Recovery After Surgery, mini-invasive surgery, complications