Effects of altering intake managing symptoms dietary intervention on nutritional status for patients after gastrectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Fang , ZHANG Linying ,  LIU Jing

Department of Hepartobiliary and Pancreatic Surgery, the First Affiliated Hospital, Air Force Military Medical University, Xi’an 710032, P. R. China;

Corresponding?author：

LIU Jing, Email: 13201661597@163.com

Keywords：

radical gastrectomy; altering intake managing symptoms; nutritional and functional status

DOI：

10.7507/1007-9424.201812062

Video：

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Objective To develop altering intake managing symptoms (AIMS) dietary intervention and evaluate its effects on nutritional status and dietary compliance for patients after gastrectomy.Methods From April 2017 to July 2018, 176 patients underwent the gastrectomy in the Xijing Hospital of Air Force Military Medical University were selected, then were divided into an AIMS group and a control group by the Excel 2007 random function method. The AIMS group was intervened by the AIMS dietary intervention, the control group was given the routine diet management. The body mass, body mass index (BMI), albumin, and dietary intake at the admission, on the 2nd week and the 3rd month after the discharge were compared between the two groups. The nutritional status of the two groups was assessed by the PG-SGA scale. The diet-related symptoms and dietary compliance of the two groups were assessed by the dietary related symptoms scale and the dietary compliance scale.Results A total of 176 eligible patients were enrolled in this study, including 92 patients in the AIMS group and 84 patients in the control group. There were no significant differences in the baseline data such as the gender, age, educational level, occupation, disease type, surgical method, tumor TNM stage, and pathological differentiated type between the two groups (P>0.050). There were no significant differences in the body mass, BMI, and albumin between the AIMS group and the control group before and after the dietary intervention (P>0.050). The PG-SGA score, diet-related symptom score, and dietary compliance score had significant differences between on the 2nd week or the 3rd month after the discharge and at the admission in the AIMS group and the control group (P<0.050), which had significant differences on the 2nd week or the 3rd month after the discharge between the AIMS group and the control group (P<0.001). The dietary intake of the AIMS group was significantly higher than that of the control group on the 3rd month after the discharge (P<0.001). The complications incidences of total diet-related symptoms was 5.5% (5/91) and 14.6% (12/82) in the AIMS group and the control group, respectively, the difference was statistically significant (P=0.047).Conclusion Using AIMS dietary intervention for patients after radical gastrectomy can significantly improve their overall nutritional status and improve dietary compliance.

Citation： WANG Fang, ZHANG Linying, LIU Jing. Effects of altering intake managing symptoms dietary intervention on nutritional status for patients after gastrectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(5): 551-556. doi: 10.7507/1007-9424.201812062 Copy

1.	季加孚. 我國胃癌防治研究三十年回顧. 中國腫瘤臨床, 2013, 40(22): 1345-1351.
2.	Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
3.	Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer, 2015, 136(5): E359-E386.
4.	Rahman R, Asombang AW, Ibdah JA. Characteristics of gastric cancer in Asia. World J Gastroenterol, 2014, 20(16): 4483-4490.
5.	Oh CA, Kim DH, Oh SJ, et al. Nutritional risk index as a predictor of postoperative wound complications after gastrectomy. World J Gastroenterol, 2012, 18(7): 673-678.
6.	Sun V, Grant M, Wendel CS, et al. Dietary and behavioral adjustments to manage bowel dysfunction after surgery in long-term colorectal cancer survivors. Ann Surg Oncol, 2015, 22(13): 4317-4324.
7.	Lynn PB, Renfro LA, Carrero XW, et al. Anorectal function and quality of life in patients with early stage rectal cancer treated with chemoradiation and local excision. Dis Colon Rectum, 2017, 60(5): 459-468.
8.	Hardcastle SJ, Maxwell-Smith C, Hagger MS, et al. Exploration of information and support needs in relation to health concerns, diet and physical activity in colorectal cancer survivors. Eur J Cancer Care (Engl), 2018, 27(1).
9.	Wiltink LM, Marijnen CA, Meershoek-Klein Kranenbarg E, et al. A comprehensive longitudinal overview of health-related quality of life and symptoms after treatment for rectal cancer in the TME trial. Acta Oncol, 2016, 55(4): 502-508.
10.	McCorkle R, Ercolano E, Lazenby M, et al. Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin, 2011, 61(1): 50-62.
11.	Czajkowski SM, Powell LH, Adler N, et al. From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychol, 2015, 34(10): 971-982.
12.	顧愛萍, 黃佳穎, 姜娜. 3日飲食日記干預在腹膜透析患者中的應用效果. 中華護理雜志, 2014, 49(2): 157-160.
13.	Ottery FD. Rethinking nutritional support of the cancer patient: the new field of nutritional oncology. Semin Oncol, 1994, 21(6): 770-778.
14.	石英英, 張曉偉, 袁凱濤, 等. PG-SGA操作標準介紹. 中華腫瘤防治雜志, 2013, 20(22): 1779-1782.
15.	汪丹丹, 鄭蔚, 喬婷婷, 等. 胃癌術后患者參與飲食管理對其營養狀況影響的研究. 中華護理雜志, 2017, 52(4): 389-394.
16.	高俊, 邱秀娟, 王琦三. 營養風險篩查對胃癌手術并發癥發生率的預測價值. 中國腫瘤臨床, 2015, 42(5): 271-276.
17.	李綺雯, 李桂超, 王亞農, 等. 胃癌輔助放化療患者的營養狀態與放化療不良反應及治療耐受性的關系. 中華胃腸外科雜志, 2013, 16(6): 529-533.
18.	Shridhar R, Almhanna K, Hoffe SE, et al. Increased survival associated with surgery and radiation therapy in metastatic gastric cancer: a Surveillance, Epidemiology, and End Results database analysis. Cancer, 2013, 119(9): 1636-1642.
19.	Martella L, Bertozzi S, Londero AP, et al. Surgery for liver metastases from gastric cancer: a meta-analysis of observational studies. Medicine (Baltimore), 2015, 94(31): e1113.
20.	叢明華, 宋晨鑫, 鄒寶華, 等. 谷氨酰胺、EPA、支鏈氨基酸對食管癌同步放化療及胃癌術后輔助化療患者的影響. 中華醫學雜志, 2015, 95(10): 766-769.
21.	郝龍, 洪曉明, 沙洪存. 腹腔鏡胃癌根治術對腸道屏障功能的影響. 中華普通外科雜志, 2013, 28(12): 938-940.
22.	劉寧波, 崔建功, 張增強, 等. 生理能力與手術應激評分系統和改良的生理能力與手術應激評分系統在預測胃癌術后死亡率和手術風險中的價值. 中華腫瘤雜志, 2015, 37(10): 753-758.
23.	Basch E, Deal AM, Kris MG, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. J Clin Oncol, 2016, 34(6): 557-565.
24.	Dayal S, Battersby N, Cecil T. Evolution of surgical treatment for rectal cancer: a review. J Gastrointest Surg, 2017, 21(7): 1166-1173.
25.	Thomson C, Foster GD. Dietary behaviors: Promoting healthy eating//The Handbook of Health Behavior Change. Springer, 2017.
26.	Sun V, Crane TE, Slack SD, et al. Rationale, development, and design of the Altering Intake, Managing Symptoms (AIMS) dietary intervention for bowel dysfunction in rectal cancer survivors. Contemp Clin Trials, 2018, 68: 61-66.
27.	Lim SC, Duong HQ, Parajuli KR, et al. Pro-apoptotic role of the MEK/ERK pathway in ursodeoxycholic acid-induced apoptosis in SNU601 gastric cancer cells. Oncol Rep, 2012, 28(4): 1429-1434.
28.	Cohen E, Botti M. Cancer patients’ perceptions of the barriers and facilitators to patient participation in symptom management during an episode of admission. Cancer Nurs, 2015, 38(6): 458-465.
29.	零春潤, 葉州, 白麗芬, 等. 胃癌患者術前營養相關血液生化指標與PG-SGA評分的相關性研究. 中國普外基礎與臨床雜志, 2017, 24(8): 958-962.

1. 季加孚. 我國胃癌防治研究三十年回顧. 中國腫瘤臨床, 2013, 40(22): 1345-1351.
2. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
3. Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer, 2015, 136(5): E359-E386.
4. Rahman R, Asombang AW, Ibdah JA. Characteristics of gastric cancer in Asia. World J Gastroenterol, 2014, 20(16): 4483-4490.
5. Oh CA, Kim DH, Oh SJ, et al. Nutritional risk index as a predictor of postoperative wound complications after gastrectomy. World J Gastroenterol, 2012, 18(7): 673-678.
6. Sun V, Grant M, Wendel CS, et al. Dietary and behavioral adjustments to manage bowel dysfunction after surgery in long-term colorectal cancer survivors. Ann Surg Oncol, 2015, 22(13): 4317-4324.
7. Lynn PB, Renfro LA, Carrero XW, et al. Anorectal function and quality of life in patients with early stage rectal cancer treated with chemoradiation and local excision. Dis Colon Rectum, 2017, 60(5): 459-468.
8. Hardcastle SJ, Maxwell-Smith C, Hagger MS, et al. Exploration of information and support needs in relation to health concerns, diet and physical activity in colorectal cancer survivors. Eur J Cancer Care (Engl), 2018, 27(1).
9. Wiltink LM, Marijnen CA, Meershoek-Klein Kranenbarg E, et al. A comprehensive longitudinal overview of health-related quality of life and symptoms after treatment for rectal cancer in the TME trial. Acta Oncol, 2016, 55(4): 502-508.
10. McCorkle R, Ercolano E, Lazenby M, et al. Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin, 2011, 61(1): 50-62.
11. Czajkowski SM, Powell LH, Adler N, et al. From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases. Health Psychol, 2015, 34(10): 971-982.
12. 顧愛萍, 黃佳穎, 姜娜. 3日飲食日記干預在腹膜透析患者中的應用效果. 中華護理雜志, 2014, 49(2): 157-160.
13. Ottery FD. Rethinking nutritional support of the cancer patient: the new field of nutritional oncology. Semin Oncol, 1994, 21(6): 770-778.
14. 石英英, 張曉偉, 袁凱濤, 等. PG-SGA操作標準介紹. 中華腫瘤防治雜志, 2013, 20(22): 1779-1782.
15. 汪丹丹, 鄭蔚, 喬婷婷, 等. 胃癌術后患者參與飲食管理對其營養狀況影響的研究. 中華護理雜志, 2017, 52(4): 389-394.
16. 高俊, 邱秀娟, 王琦三. 營養風險篩查對胃癌手術并發癥發生率的預測價值. 中國腫瘤臨床, 2015, 42(5): 271-276.
17. 李綺雯, 李桂超, 王亞農, 等. 胃癌輔助放化療患者的營養狀態與放化療不良反應及治療耐受性的關系. 中華胃腸外科雜志, 2013, 16(6): 529-533.
18. Shridhar R, Almhanna K, Hoffe SE, et al. Increased survival associated with surgery and radiation therapy in metastatic gastric cancer: a Surveillance, Epidemiology, and End Results database analysis. Cancer, 2013, 119(9): 1636-1642.
19. Martella L, Bertozzi S, Londero AP, et al. Surgery for liver metastases from gastric cancer: a meta-analysis of observational studies. Medicine (Baltimore), 2015, 94(31): e1113.
20. 叢明華, 宋晨鑫, 鄒寶華, 等. 谷氨酰胺、EPA、支鏈氨基酸對食管癌同步放化療及胃癌術后輔助化療患者的影響. 中華醫學雜志, 2015, 95(10): 766-769.
21. 郝龍, 洪曉明, 沙洪存. 腹腔鏡胃癌根治術對腸道屏障功能的影響. 中華普通外科雜志, 2013, 28(12): 938-940.
22. 劉寧波, 崔建功, 張增強, 等. 生理能力與手術應激評分系統和改良的生理能力與手術應激評分系統在預測胃癌術后死亡率和手術風險中的價值. 中華腫瘤雜志, 2015, 37(10): 753-758.
23. Basch E, Deal AM, Kris MG, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. J Clin Oncol, 2016, 34(6): 557-565.
24. Dayal S, Battersby N, Cecil T. Evolution of surgical treatment for rectal cancer: a review. J Gastrointest Surg, 2017, 21(7): 1166-1173.
25. Thomson C, Foster GD. Dietary behaviors: Promoting healthy eating//The Handbook of Health Behavior Change. Springer, 2017.
26. Sun V, Crane TE, Slack SD, et al. Rationale, development, and design of the Altering Intake, Managing Symptoms (AIMS) dietary intervention for bowel dysfunction in rectal cancer survivors. Contemp Clin Trials, 2018, 68: 61-66.
27. Lim SC, Duong HQ, Parajuli KR, et al. Pro-apoptotic role of the MEK/ERK pathway in ursodeoxycholic acid-induced apoptosis in SNU601 gastric cancer cells. Oncol Rep, 2012, 28(4): 1429-1434.
28. Cohen E, Botti M. Cancer patients’ perceptions of the barriers and facilitators to patient participation in symptom management during an episode of admission. Cancer Nurs, 2015, 38(6): 458-465.
29. 零春潤, 葉州, 白麗芬, 等. 胃癌患者術前營養相關血液生化指標與PG-SGA評分的相關性研究. 中國普外基礎與臨床雜志, 2017, 24(8): 958-962.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Effects of altering intake managing symptoms dietary intervention on nutritional status for patients after gastrectomy

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