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Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action

1
Department of Endocrinology and Nutrition, Miguel Servet Hospital, 50009 Zaragoza, Spain
2
Instituto de Investigación Sanitaria Aragón (IIS Aragon), 50009 Zaragoza, Spain
3
Department of Oncology, Miguel Servet Hospital, 50009 Zaragoza, Spain
4
Department of Oncology, University Clinic Hospital, 50009 Zaragoza, Spain
5
Department of Endocrinology and Nutrition, University Clinic Hospital, 50009 Zaragoza, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(8), 1888; https://doi.org/10.3390/nu11081888
Received: 16 July 2019 / Revised: 9 August 2019 / Accepted: 9 August 2019 / Published: 13 August 2019
(This article belongs to the Special Issue Update of Enteral Nutrition)
PDF [897 KB, uploaded 13 August 2019]
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Abstract

Oncology treatment-related diarrhea and malnutrition appear together in oncological patients because of the disease itself, or the treatments that are administered for it. Therefore it is essential to carry out a nutritional treatment. Enteral nutrition formulas, containing peptides and medium chain triglycerides, can facilitate absorption in cases of malabsorption. There are few references to the use of enteral nutrition in the clinical society guidelines of patient management with oncology treatment-related diarrhea (OTRD). A bibliographic review of the studies with oligomeric enteral nutrition in OTRD found only nine studies with chemotherapy (all with the same oligomeric formula in which oral mucositis improves, while the rest of the outcomes show different results), and eight studies with radiotherapy (with different products and very heterogeneous results). We hereby present our action algorithm to supplement the diet of OTRD patients with an oligomeric enteral nutrition formula. The first step is the nutritional assessment, followed by the assessment of the functional capacity of the patient’s intestine. With these two aspects evaluated, the therapeutic possibilities available vary in degrees of complexity: These will range from the usual dietary recommendations, to supplementation with oral oligomeric enteral nutrition, along with complete enteral nutrition with oligomeric formula, and up to potentially total parenteral nutrition.
Keywords: oncology treatment related diarrhea; review; nutritional algorithm; oligomeric enteral nutrition formula oncology treatment related diarrhea; review; nutritional algorithm; oligomeric enteral nutrition formula
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Sanz-Paris, A.; Martinez-García, M.; Martinez-Trufero, J.; Lambea-Sorrosal, J.; Calvo-Gracia, F.; López-Alaminos, M.E. Oligomeric Enteral Nutrition in Undernutrition, due to Oncology Treatment-Related Diarrhea. Systematic Review and Proposal of An Algorithm of Action. Nutrients 2019, 11, 1888.

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