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Abstracts


結腸、直腸和肛門癌仍位居國人10大癌症死亡之第3位,常因下消化道機械性阻塞,出現腹脹、食慾不振與體重下降等,造成營養不良,而營養不良易導致術後併發症發生、死亡率增加及生活品質下降。近年發展術後加速康復照護模式(enhanced recovery after surgery, ERAS),建議營養不良者於術前7-10天需接受營養支持;術前2小時前仍能喝等滲透壓且含12.5%碳水化合物的清流質液體,縮短禁食時間;術後4小時後即可開始嘗試固體食物。術後熱量建議為每日每公斤體重25-30大卡及蛋白質1-1.5公克,以促進術後傷口癒合,此外在手術全期可善用腸道免疫營養配方,以降低感染性、非感染性併發症與縮短住院天數。

References


Wang WL, Huang YJ, Lu YJ, et al. Implementation of Modified Early Recovery after Surgery in Minimally Invasive Colorectal Surgery at a Single Community Hospital. J Soc Colon Rectal Surgeon (Taiwan) 2020; 31(1):32-40
Feng YL, Shu L, Zheng PF, et al. Dietary patterns and colorectal cancer risk: a meta-analysis. Eur J Cancer Prev. 2017;26(3):201-211.
Burden ST, Hill J, Shaffe JL, et al. Nutritional status of preoperative colorectal cancer patients. J Hum Nutr Diet 2010;23:402-7.
Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018. World J Surg 2019;43:659-95.
De Vries MC, Koekkoek WK, Opdam MH, et al. Nutritional assessment of critically ill patients: validation of the modified NUTRIC score. Eur J Clin Nutr 2018;72(3):428-435.

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