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- W3113649411 abstract "El cáncer gástrico supone la tercera causa de mortalidad por cáncer y se asocia con frecuencia a alteraciones nutricionales cuya detección y apropiado manejo pueden contribuir a mejorar la calidad de vida y la supervivencia. Conocer las consecuencias y complicaciones de los distintos tratamientos de esta neoplasia permite ofrecer un adecuado apoyo nutricional. En candidatos a cirugía, cada vez es más frecuente la integración en programas tipo ERAS (Enhanced Recovery After Surgery), que contemplan el abordaje nutricional prequirúrgico y el inicio de la tolerancia precoz, entre otros. Tras la gastrectomía, la nueva situación anatómica y funcional del tracto digestivo puede conllevar a la aparición de «síndromes postgastretomía» cuyo manejo puede requerir modificaciones de la dieta y tratamientos médicos. Aquellos que reciben terapia antineoplásica neoadyuvante o adyuvante se benefician de recomendaciones dietéticas específicas según la sintomatología intercurrente y/o de nutrición artificial. En pacientes en situación paliativa, el tratamiento nutricional se debe realizar respetando el principio de autonomía y sopesando el riesgo-beneficio de la intervención. El objetivo de esta revisión es destacar la importancia y el papel de la nutrición en los pacientes con cáncer gástrico y facilitar unas pautas de manejo nutricional según la evidencia actual. Gastric cancer is the third leading cause of cancer mortality and is frequently associated with nutritional disorders, the detection and proper management of which can contribute to improving quality of life and survival. Being aware of the consequences and of the different treatments for this neoplasm allows us to offer an adequate nutritional approach. In surgical candidates, integration into ERAS-type programs (Enhanced Recovery after Surgery) is increasingly frequent, and includes a pre-surgical nutritional approach and the initiation of early oral tolerance. After gastrectomy, the new anatomical and functional state of the digestive tract may lead to the appearance of «post-gastrectomy syndromes», the management of which may require diet modification and medical treatment. Those who receive neoadjuvant or adjuvant antineoplastic therapy benefit from specific dietary recommendations based on intercurrent symptoms and/or artificial nutrition. In palliative patients, the nutritional approach should be carried out while respecting the principle of autonomy and weighing the risks and benefits of the intervention. The objective of this review is to highlight the importance and role of nutrition in patients with gastric cancer and to provide guidelines for nutritional management based on the current evidence." @default.
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- W3113649411 date "2021-06-01" @default.
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- W3113649411 title "Manejo nutricional del paciente con cáncer gástrico" @default.
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