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Enteral and parenteral nutrition in terminally ill cancer patients: a review of the literature.

机译:绝症癌症患者的肠内和肠外营养:文献综述。

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摘要

Many terminally ill patients who are able to eat appear to be eating less than they should, losing weight, and becoming malnourished, and many others develop difficulties with eating. These symptoms and signs are usually a marker of advanced cancer, rather than the cause of decreasing functional status, and providing supplemental nutrition rarely changes the course of the disease. This article reviews evidence on issues relevant to enteral and parenteral nutrition in patients with advanced cancer, including benefits, risks, and discomforts; how these types of nutrition are used and perceived, and how decisions are made; and how decision-making might be improved.
机译:许多能够进食的绝症患者似乎进食不足,体重减轻,营养不良,还有许多其他进食困难。这些症状和体征通常是晚期癌症的标志,而不是功能状态下降的原因,并且提供补充营养很少改变疾病的进程。本文回顾了与晚期癌症患者肠内和肠外营养有关的问题的证据,包括益处,风险和不适;如何使用和感知这些类型的营养,以及如何做出决定;以及如何改善决策。

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