Taiwan Society of Colon and Rectum Surgeons (TSCRS) Consensus for Anti-Inflammatory Nutritional Intervention in Colorectal Cancer

Frontiers in Oncology

Oncology

Huann-Sheng Wang¹  Jy-Ming Chiang²  Pao-Shiu Hsieh²  Wan-Hsiang Hu³  Jaw-Yuan Wang⁴  Cheng-Jen Ma⁵  Chou-Chen Chen⁶  Meng-Chuan Huang⁷  Chien-Ling Chiang⁸  Hui-Min Hsieh⁹ 

[1]Division of Colon & Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan

[2]Division of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital–Linkou, Taoyuan, Taiwan

[3]Division of Colorectal Surgery, Department of Surgery, Chang Gung Memorial Hospital–Kaohsiung, Kaohsiung, Taiwan

[4]Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

[5]Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

[6]Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

[7]Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

[8]Center for Cancer Research, Kaohsiung Medical University, Kaohsiung, Taiwan

[9]Center for Liquid Biopsy and Cohort Research, Kaohsiung Medical University, Kaohsiung, Taiwan

[10]Clinical Pharmacogenomics and Pharmacoproteinomics, College of Pharmacy, Taipei Medical University, Taipei, Taiwan

[11]Pingtung Hospital, Ministry of Health and Welfare, Pingtung, Taiwan

[12]Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

[13]Division of General and Digestive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

[14]Division of Colorectal Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan

[15]Division of Nutrition and Dietetics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

[16]Division of Nutrition, Chang Gung Memorial Hospital–Linkou, Taoyuan, Taiwan

[17]Division of Nutrition, Taichung Veterans General Hospital, Taichung, Taiwan

关键词: anti-inflammation;    systemic inflammatory response;    neutrophil-to-lymphocyte ratio;    malnutrition;    colorectal cancer;   

DOI  :  10.3389/fonc.2021.819742

 received in 2021-11-22, accepted in 2021-12-22,  发布年份 2022

来源: Frontiers

【 摘 要 】

Malnutrition and systemic inflammatory response (SIR) frequently occur in patients with colorectal cancer (CRC) and are associated with poor prognosis. Anti-inflammatory nutritional intervention is not only a way to restore the malnourished status but also modulate SIR. Nine experts, including colorectal surgeons, physicians and dieticians from 5 hospitals geographically distributed in Taiwan, attended the consensus meeting in Taiwan Society of Colon and Rectum Surgeons for a 3-round discussion and achieved the consensus based on a systematic literature review of clinical studies and published guidelines. The consensus recommends that assessment of nutritional risk and SIR should be performed before and after CRC treatment and appropriate nutritional and/or anti-inflammatory intervention should be adapted and provided accordingly.

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Copyright © 2022 Ma, Hu, Huang, Chiang, Hsieh, Wang, Chiang, Hsieh, Chen and Wang