The nutrition-related opinions highlighted in the guidelines relate to early enteral nutrition, accelerated rehabilitation surgery (ERAS), BCAA and the application of immune-enhancing preparations.
The guidelines mentioned that early enteral nutrition therapy is beneficial to the recovery of liver function in patients with liver cancer after partial hepatectomy, and can improve the nutritional metabolism of patients; accelerated rehabilitation surgery can reduce surgical complications and shorten the length of hospital stay to a certain extent; BCAA is effective It is especially used in patients with liver cancer and cirrhosis, which can improve the patient's innate immune status; immune-enhancing preparations such as omega-3, arginine and glutamine are added. The clinical effect depends on the actual situation and can improve the body's cellular immunity. The role of.
Recommendation
1. Patients with liver cancer should routinely undergo malnutrition risk screening and assessment.
2. Patients with moderate malnutrition should be given routine nutritional therapy during the perioperative period, and enteral nutrition therapy should be given early after the operation. Parenteral nutrition supplementation can be applied to the insufficient part.
3. Patients with liver cancer should follow the principles of accelerated rehabilitation surgery during the perioperative period.
4. Enteral nutrition is the first choice for nutritional treatment, and BCAA-containing preparations are recommended for nutrients.
5. Immune-enhancing preparations may benefit patients with liver cancer.
6. Appropriate nutritional therapy can improve the prognosis of liver cancer patients.