Place de l’assistance nutritionnelle en cancérologie

Abstract

Introduction Abstract Undernutrition is a common problem in patients monitored for cancer pathology, 30% to 50% of patients with cancer have undergone weight loss and are potentially undernourished even before the onset treatment. Artificial nutrition is a basic care for patients who are malnourished or at risk of undernutrition. Well-conducted nutritional assistance reduces morbidity and/or mortality postoperative. Materials and methods This is a prospective observational study of a series of cancer patients and hospitalized at the level of the onco-surgical department of Sétif PBC. The study lasted one and a half months, from April 17 to June 1. The computer tools used to calculate are EXCEL/GOOGLE SHEET. Results The number of patients studied is 51. The most affected age group is between 50 and 70 years with an average age of 57 years. The types of cancer most likely to cause undernutrition are digestive cancers. 35.3% of our patients do not have a body mass index-related undernutrition factor. Most patients who have benefited from nutritional assistance are assessed Nutritional Grade 2 and Nutritional Grade 3. Management is mostly of peripheral discontinuous parenteral infusions with Oliclinomel 2L. Discussion Based on data on weight loss, albuminemia, BMI and intake 37.2% of our patients, half of whom are severely malnourished, commonly suffering from cancer of the digestive system, which most often leads to malnutrition and surgery is also considered as a risk factor that can induce post-surgical complications and morbidities to which half of our population is exposed. In surgery, the majority of our population is GN 1 stratified. We note that some of our GN1 patients have benefited from parenteral nutritional management which is not in accordance with the recommendations. For those graded grade GN2 and GN3 who received nutritional assistance, parenteral nutrition is the most stressed although oral and enteral nutrition are to be preferred because of the lack of necessary medical products and devices. Regarding the GN 4 there is a management in all patients whether preoperative or postoperative which meets the recommendations .