Modern Artificial Nutrition Products as a Part of Fast-Track Conception Used in Esophageal and Gastric Cancer Oncological Surgery – Application Analysis

Abstract

Introduction. The esophageal and gastric cancer cases according to European statistics and meta-analysis are now still an important clinical and epidemiological problem. Surgical resection is one of the most common methods of first choice treatment in operating cases. Patients with a cancerous tumor within the esophagus or stomach in various stages of clinical staging values of T and N, are usually characterized by a considerable degree of malnutrition, mostly of a protein - calorie type. Malnutrition in this patient group is a factor significantly influencing the quality of life and prognosis in the 5-year’s survival classification system. An important element of clinical nutrition in this case, is the introduction of specific elements of the artificial diet system based on modern methods and guidelines, for example under the “Fast - Track” surgery conception.

Objective: The analysis was designed to present the latest guidelines, recommendations and specific producer examples of the use of artificial diet system products in patients with esophagus or stomach cancer, with indications for non-palliative surgical tumor resection, based on Fast- Track system conception.

Material and methods: In the study, we analyzed a group of scientific publications, guidelines and recommendations, selected from international gastroenterological, surgical, nutritional and dietary literature as well as material obtained in the selection of published material about the artificial diet system and clinical supplementation international producers.

Conclusion . In our analysis and literature review we showed that the use of modern artificial diet products and systems under the Fast-Track conception in oncological surgery of patients operated due the esophagus and stomach cancer is important and has a positive clinical effect.