Non-surgical oncology – Guidelines on Parenteral Nutrition, Chapter 19

J. Arends, G. Zuercher, A. Dossett, R. Fietkau, M. Hug, I. Schmid, E. Shang, A. Zander & Working Group For Developing The Guidelines For Parenteral Nutrition Of The German Association For Nutritional Medicine
Reduced nutritional state is associated with unfavourable outcomes and a lower quality of life in patients with malignancies. Patients with active tumour disease frequently have insufficient food intake. The resting energy expenditure in cancer patients can be increased, decreased, or remain unchanged compared to predicted values. Tumours may result in varying degrees of systemic pro-inflammatory processes with secondary effects on all significant metabolic pathways. Therapeutic objectives are to stabilise nutritional state with oral/enteral nutrition and...