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Effects of a Nutrition Support Team with Parenteral Nutrition on Gastrointestinal Cancer Patients Who Underwent Surgery
정맥 영양을 시행한 위장관암 수술 환자에서 영양집중지원팀의 중재 효과
JOURNAL OF CLINICAL NUTRITION 2014;6:79-86
Published online August 30, 2014
© 2014 The Korean Society for Parenteral and Enteral Nutrition.

Hyun Jung Lee1, Jung-Tae Kim1, Byung Koo Lee2
이현정1, 김정태1, 이병구2

1Department of Pharmacy, Kyung Hee University Hospital at Gangdong, 2College of Pharmacy, Ewha Womans University, Seoul, Korea
1강동경희대학교병원 약제부, 2이화여자대학교 약학대학
Received August 11, 2014; Revised August 18, 2014; Accepted August 18, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: Cancer patients are frequently malnourished, and malnutrition can increase morbidity and mortality. Postoperative malnutrition can cause poor wound healing and failure of the immune response. Administration of parenteral nutrition (PN) after surgery may decrease complication and hospital length of stay. Intervention of a Nutrition Support Team (NST) improves patient outcomes through nutritional assessment and proper nutrition support. In this study we investigated effects of NST intervention with PN on gastrointestinal cancer patients who underwent surgery.Methods: This retrospective study was conducted at Kyung Hee University Hospital at Gangdong from 2012 January to 2013 December. This study reviewed gastrointestinal cancer patients who were administered PN for more than seven days. The patients were divided into two groups: NST group versus non-NST group. Results: In this study, 53 patients with malnutrition were administered PN for more than seven days. Nutrition support between the NST group and non-NST group was not statistically significant, except multivitamin and trace element. Changes in nutritional index were not statistically significant. No difference in incidence of complication, monitoring performance rate was observed between the two groups.Conclusion: Due to a small number of patients and lack of severity of disease in this study, no significant difference in improvement of nutritional index was observed between the NST group and non-NST group. For safe and effective PN, conduct of additional study is necessary in order to determine the effects of NST.
Keywords : Gastrointestinal neoplasms, Parenteral nutrition, Nutrition support team
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