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Nutritional Assessment of Palliative Patients with Intestinal Failure

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition Methodology & Assessment".

Deadline for manuscript submissions: closed (5 March 2024) | Viewed by 1973

Special Issue Editor


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Guest Editor
Intestinal Failure Unit, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK
Interests: intestinal failure; parenteral nutrition

Special Issue Information

Dear Colleagues,

Malnutrition has a high prevalence in cancer patients as well as patients with benign disease entering palliative management care paths. Malnutrition has a close relationship with mortality, morbidity and treatment-related problems and also quality of life. Improving the nutritional status of these patients is a major challenge for healthcare professionals. Generally, the treatment of patients with cancer depends on the stage the malignant disease is in and can be curative or palliative. In both situations malnutrition can negatively affect patients, their therapy, their outcome and their quality of life. Therefore, nutritional status assessment is essential for the diagnosis of malnutrition and the multidisciplinary management required. Equally—for patient suffering from Type 3 Intestinal failure due to benign disease and entering palliative management—the effects of malnutrition need to be recognised and acted up on with the aim to improve quality of life and ensure metabolic stability.

For this special issue, we welcome studies that use, evaluate, or critically discuss traditional and/or novel approaches to nutritional assessment related to the prevention and treatment of malnutrition in patients with palliative malignancies and intestinal failure or patients who have benign disease but being palliatively managed. We hope that this special issue will share valuable knowledge and encourage discussion of nutritional assessment, including but not limited to assessing patient dietary nutritional methods in clinical and home-based settings and infrastructure, to better guide care for patients with palliative Type 3 intestinal failure.

Dr. Antje Teubner
Guest Editor

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Keywords

  • malnutrition
  • cancer patients
  • nutritional support
  • palliative care
  • assessment
  • dietary
  • healthcare

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Published Papers (1 paper)

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12 pages, 4904 KiB  
Systematic Review
Feasibility of Home Parenteral Nutrition in Patients with Intestinal Failure Due to Neuroendocrine Tumours: A Systematic Review
by Dominique S. V. M. Clement, Sarah E. Brown, Mani Naghibi, Sheldon C. Cooper, Margot E. T. Tesselaar, Monique E. van Leerdam, John K. Ramage and Rajaventhan Srirajaskanthan
Nutrients 2023, 15(17), 3787; https://doi.org/10.3390/nu15173787 - 30 Aug 2023
Cited by 1 | Viewed by 1568
Abstract
Introduction: Maintaining adequate nutritional status can be a challenge for patients with small bowel neuroendocrine tumours (NETs). Surgical resection could result in short bowel syndrome (SBS), whilst without surgical resection there is a considerable risk of ischemia or developing an inoperable malignant bowel [...] Read more.
Introduction: Maintaining adequate nutritional status can be a challenge for patients with small bowel neuroendocrine tumours (NETs). Surgical resection could result in short bowel syndrome (SBS), whilst without surgical resection there is a considerable risk of ischemia or developing an inoperable malignant bowel obstruction (IMBO). SBS or IMBO are forms of intestinal failure (IF) which might require treatment with home parenteral nutrition (HPN). Limited data exist regarding the use of HPN in patients with small bowel neuroendocrine tumours, and it is not frequently considered as a possible treatment. Methods: A systematic review was performed regarding patients with small bowel NETs and IF to report on overall survival and HPN-related complications and create awareness for this treatment. Results: Five articles regarding patients with small bowel NETs or a subgroup of patients with NETs could be identified, mainly case series with major concerns regarding bias. The studies included 60 patients (range 1–41). The overall survival time varied between 0.5 and 154 months on HPN. However, 58% of patients were alive 1 year after commencing HPN. The reported catheter-related bloodstream infection rate was 0.64–2 per 1000 catheter days. Conclusion: This systematic review demonstrates the feasibility of the use of HPN in patients with NETs and IF in expert centres with a reasonable 1-year survival rate and low complication rate. Further research is necessary to compare patients with NETs and IF with and without HPN and the effect of HPN on their quality of life. Full article
(This article belongs to the Special Issue Nutritional Assessment of Palliative Patients with Intestinal Failure)
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