【作者】
李涛；
李宝生；
吕家华；
陈俊强；
陈克能；
陈媛媛；
丛明华；
傅剑华；
韩泳涛；
李杰；
李薇；
李增宁；
廖正凯；
刘明；
庞青松；
曲宝林；
孙新臣；
邢力刚；
许红霞；
赵仁；
石汉平；
【Author】
Li Tao;Li Baosheng;Lyu Jiahua;Chen Junqiang;Chen Keneng;Chen Yuanyuan;Cong Minghua;Fu Jian hua;Han Yongtao;Li Jie;Li Wei;Li Zengning;Liao Zhengkai;Liu Ming;Pang Qingsong;Qu Baolin;Sun Xinchen;Xing Ligang;Xu Hongxia;Zhao Ren;Shi Hanping;Department of Radiation Oncology,Sichuan Cancer Hospital;Department of Radiation Oncology,Shandong Cancer Hospital;Department of Gastrointestinal Surgery,The First Affiliated Hospital of Guangxi Medical University;Department of Thoracic Surgery,Beijing Cancer Hospital;Department of Radiation Oncology,Zhejiang Cancer Hospital;Department of General Diseases,Cancer Hospital Chinese Academy of Medical Sciences;Department of Thoracic Surgery,Sun Yat Sen University Cancer Center;Department of Thoracic Surgery,Sichuan Cancer Hospital;Department of Radiation Oncology,Shanxi Provincial Cancer Hospital;Cancer Center,The First Hospital of Jilin University;Department of Clinical Nutrition,The First Hospital of Hebei Medical University;Department of Radiation and Medical Oncology,Zhongnan Hospital of Wuhan University;Department of General Surgery,The Fourth Affiliated Hospital of Harbin Medical University;Department of Radiation Oncology,Tianjin Medical University Cancer Institute & Hospital;Department of Radiation Oncology,Chinese PLA General Hospital;Department of Radiation Oncology,The First Affiliated Hospital with Nanjing Medical University;Department of Clinical Nutrition,Daping Hospital,Army Medical University;Department of Radiation Oncology, General Hospital of Ningxia Medical University;Department of Gastrointestinal Surgery-Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University Beijing International Science and Technology Cooperation Base for Cancer Metabolism and Nutrition,Department of Oncology,Capital Medical University;China Society for Nutritional Oncology;Chinese Society for Parenteral and Enteral Nutrition,Nutrition;Supportive Therapy Group of Chinese Association for Therapeutic Radiation Oncologists;
【通讯作者】
石汉平;
【机构】
四川省肿瘤医院放疗中心；
山东省肿瘤医院放疗科；
广西医科大学第一附属医院胃肠腺体外科；
北京大学肿瘤医院胸外科；
浙江省肿瘤医院放疗科；
中国医学科学院肿瘤医院综合科；
中山大学肿瘤防治中心胸外科；
四川省肿瘤医院胸外科；
山西省肿瘤医院放疗科；
吉林大学第一医院肿瘤中心；
河北医科大学第一医院临床营养科；
武汉大学中南医院肿瘤放化疗科；
哈尔滨医科大学附属第四医院普外科；
天津医科大学肿瘤医院放疗科；
中国人民解放军总医院放疗科；
南京医科大学第一附属医院放疗科；
陆军特色医学中心大坪医院临床营养科；
宁夏医科大学总医院放疗科；
首都医科大学附属北京世纪坛医院胃肠外科 /临床营养科,肿瘤代谢与营养北京市国际科技合作基地,首都医科大学肿瘤学系；
中国抗癌协会肿瘤营养专业委员会；
中华医学会肠外肠内营养学分会；
中国医师协会放射肿瘤治疗医师分会营养与支持治疗学组；
【摘要】 食管癌是营养不良发病率最高的恶性肿瘤。营养不良会降低食管癌细胞对放化疗的敏感性,增加治疗不良反应,延长住院时间,延缓身体康复,增加医疗费用,降低患者治疗疗效和生活质量。因此,开展规范化的营养治疗对食管癌患者具有重要的意义。然而,迄今为止,国内外均没有专门针对食管癌患者的营养治疗指南。因此,中国抗癌协会肿瘤营养专业委员会、中华医学会肠外肠内营养学分会,中国医师协会放射肿瘤治疗医师分会营养与支持治疗学组的肿瘤营养专家,通过对食管癌营养治疗最新国内国外文献的全面检索与分析,并经过反复讨论与修改,制定了本指南。指南从食管癌患者的营养诊断、营养治疗适应证、治疗途径、治疗通路、营养素和疗效评价六个方面分别进行了证据论述和意见推荐。更多还原
【Abstract】 Esophageal cancer patients are at the highest incidence of malnutrition.Malnutrition will reduce the sensitivity of esophageal cancer cells to chemoradiotherapy,increase adverse reactions to treatment,prolong hospital stays,delay physical rehabilitation,increase medical costs,and reduce treatment efficacy and quality of life.Therefore,the standardized nutrition therapy is of great significance to patients with esophageal cancer.However,to date,there are no guidelines for nutritional treatment for esophageal cancer patients.Therefore,the tumor nutrition experts from China Society for Nutritional Oncology,Chinese Society for Parenteral and Enteral Nutrition and the Nutrition and Support Therapy Group of Chinese Association for Therapeutic Radiation Oncologists searched and analyzed the latest literature on nutritional treatment of esophageal cancer.After repeated discussions and modifications,they developed this guideline.The guideline discussed the evidence and recommendations from the six aspects of nutrition diagnosis,nutritional treatment indications,treatment access,treatment pathways,nutrients,and efficacy evaluations for patients with esophageal cancer.更多还原
【基金】 国家重点研发计划项目(2017YFC1309200)
