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Nutritives Risiko und Ernährungstherapie bei Magen- und Kardiakarzinom

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Moderne Chirurgie des Magen- und Kardiakarzinoms

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Zusammenfassung

Bei Patienten mit Magenkarzinom ist ein nutritives, metabolisches Risiko für das Entstehen postoperativer Komplikationen prognostisch relevant. Die frühzeitige Erkennung und Beobachtung von Patienten mit Gewichtsverlust und eingeschränkter oraler Nahrungsaufnahme ist deswegen essenziell. Der Nutritional Risk Score ist hierfür gut validiert. Mit dem Ziel der raschen Rekonvaleszenz und Verminderung der postoperativen Morbidität bedarf es auch innerhalb eines ERAS-Konzepts („Enhanced Recovery after Surgery“) besonderer ernährungsmedizinischer Mitbetreuung. Hiermit sollte bereits in der Phase einer neoadjuvanten Therapie und im Intervall vor der Operation begonnen werden. Nach Gastrektomie ist eine längerfristig inadäquate orale Nahrungsaufnahme (>10 Tage) vorhersehbar und kann ein metabolisches Risiko für Komplikationen sowie eine verzögerte Rehabilitation im postoperativen Verlauf darstellen. Dies gilt besonders bei bereits präoperativ bestehendem ernährungsmedizinischem Defizit.

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Authors and Affiliations

  1. Klinik für Allgemein-Viszeral- und Onkologische Chirurgie, Klinikum St. Georg gGmbH, Delitzscher Str. 141, 04129, Leipzig, Deutschland

    A. Weimann

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  1. A. Weimann
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Editors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité Universitätsmedizin Berlin, Berlin, Berlin, Germany

    Martin E. Kreis

  2. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité Universitätsmedizin Berliin, Berlin, Berlin, Germany

    Hendrik Seeliger

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Weimann, A. (2017). Nutritives Risiko und Ernährungstherapie bei Magen- und Kardiakarzinom. In: Kreis, M., Seeliger, H. (eds) Moderne Chirurgie des Magen- und Kardiakarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53188-4_20

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  • DOI: https://doi.org/10.1007/978-3-662-53188-4_20

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