Volume 22 Issue 1
Jan.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(1): 112-116
YANG Sen, GE Xuhua, MA Le, JIN Hua, ZHAO Huaxin, BAI Zhaohui, YU Dehua. Research progress and reflections on the management of postoperative patients with gastrointestinal neoplasms[J]. Chinese Journal of General Practice, 2024, 22(1): 112-116. doi: 10.16766/j.cnki.issn.1674-4152.003344
Citation: YANG Sen, GE Xuhua, MA Le, JIN Hua, ZHAO Huaxin, BAI Zhaohui, YU Dehua. Research progress and reflections on the management of postoperative patients with gastrointestinal neoplasms[J]. Chinese Journal of General Practice, 2024, 22(1): 112-116. doi: 10.16766/j.cnki.issn.1674-4152.003344
shu

Research progress and reflections on the management of postoperative patients with gastrointestinal neoplasms

doi: 10.16766/j.cnki.issn.1674-4152.003344
  • 1.

    Department of General Practice, Research Center for General Practice, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200090, China

Funds:

 72104183

 20YF1444900

 Se1201924

  • Received Date: 2023-09-11
    Available Online: 2024-03-09
    Abstract
  • The management of postoperative patients with gastrointestinal neoplasms has always been an important hotspot in clinical care. During postoperative recovery, patients may experience a variety of complications, such as infection, bleeding, bowel obstruction, etc. The management of these complications has become a key aspect of postoperative recovery. In addition to the management of complications, nutritional support and dietary management are also important aspects of postoperative patient recovery. As gastrointestinal neoplasm surgery involves partial or total resection of the digestive system, patients' nutritional absorption and dietary intake will be affected. Rehabilitation and functional recovery of postoperative patients are also at the forefront of postoperative management. Surgery for a gastrointestinal neoplasm will have a greater impact on the patient's body, such as affecting digestive function, motor ability, etc. Therefore, the patient's rehabilitation and functional recovery will take longer. During this process, doctors must provide patients with personalized rehabilitation plans, appropriate medication and psychological counselling, etc. to help patients gradually return to normal life. Although research into the management of postoperative patients with gastrointestinal neoplasms has made some progress, it still faces many challenges. For example, unbalanced distribution of medical resources, lack of standardized management mode and lack of patient self-management, which will prevent patients from receiving timely and effective treatment and management, leading to deterioration or complications. In conclusion, the management of postoperative patients with gastrointestinal neoplasms requires comprehensive management and support in many aspects. In the future, it is necessary to further strengthen the development of research related to the management of postoperative patients with gastrointestinal neoplasms and to explore better management methods and approaches that will hopefully improve the rehabilitation outcomes, enhance quality of life, and reduce the incidence of complications in postoperative patients.

     

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    • References(39)
  • [1]
    金莉. 新型伤口敷料湿性理念换药护理在术后伤口感染护理中的应用效果观察[J]. 中华养生保健, 2022, 40(7): 55-57.

    JIN L. Observation on the application effect of new wound dressing wet concept dressing change care in postoperative wound infection care[J]. Chinese Health Care, 2022, 40(7): 55-57.
    [2]
    丁昆, 李锐. 老年患者胃肠肿瘤根治手术术前衰弱与术后并发症的相关性[J]. 临床麻醉学杂志, 2021, 37(12): 1246-1249. doi: 10.12089/jca.2021.12.003

    DING K, LI R. Association between preoperative frailty and postoperative complications in elderly patients undergoing radical surgery of gastrointestinal tumor[J]. Journal of Clinical Anesthesiology, 2021, 37(12): 1246-1249. doi: 10.12089/jca.2021.12.003
    [3]
    顾磊, 安勇博, 任明扬, 等. 中国经肛全直肠系膜切除术后吻合口漏发生情况及其危险因素: 基于全国协作研究数据库的回顾性分析[J]. 中华胃肠外科杂志, 2021, 24(6): 505-512. doi: 10.3760/cma.j.cn.441530-20210226-00084

    GU L, AN Y G, REN M Y, et al. Incidence and risk factors of anastomotic leak after transanal total mesorectal excision in China: a retrospective analysis based on national database[J]. Chinese Journal of Gastroenterology, 2021, 24(6): 505-512. doi: 10.3760/cma.j.cn.441530-20210226-00084
    [4]
    刘家欢, 韩雨, 杨洋, 等. "H2H"营养管理模式对胃癌根治术后病人营养状况和生活质量的影响[J]. 肠外与肠内营养, 2022, 29(2): 116-120. https://www.cnki.com.cn/Article/CJFDTOTAL-CWCN202202011.htm

    LIU J H, HAN Y, YANG Y, et al. "H2H"nutrition management mode on the nutritional status and quality of life of patients with gastric cancer after radical surgery[J]. Parenteral & Enteral Nutrition, 2022, 29(2): 116-120. https://www.cnki.com.cn/Article/CJFDTOTAL-CWCN202202011.htm
    [5]
    李永利, 黄慧凡, 丑靖, 等. 老年胃肠道肿瘤切除术患者术后认知功能障碍的危险因素分析[J]. 中国现代医学杂志, 2021, 31(14): 13-19. doi: 10.3969/j.issn.1005-8982.2021.14.003

    LI Y L, HUANG H F, CHOU J, et al. Analysis of risk factors for postoperative cognitive dysfunction in elderly patients undergoing gastrointestinal tumor resection[J]. China Journal of Modern Medicine, 2021, 31(14): 13-19. doi: 10.3969/j.issn.1005-8982.2021.14.003
    [6]
    吴欣妮, 刘海棠, 叶晓谊, 等. 银离子敷料结合负压引流对胃肠肿瘤患者手术部位感染的预防[J]. 中华医院感染学杂志, 2017, 27(17): 3936-3939. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201717027.htm

    WU X N, LIU H T, YE X Y, et al. Effect of silver ion dressing combined with vacuum sealing drainage on treatment of gastrointestinal tumor patients with surgical site infections[J]. Chinese Journal of Nosocomiology, 2017, 27(17): 3936-3939. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201717027.htm
    [7]
    张芳芳, 胡雅静, 黄华勇, 等. 基于CT诊断的肌少症对结直肠癌患者发生手术部位感染的影响因素分析[J]. 中国全科医学, 2022, 25(29): 3658-3663. doi: 10.12114/j.issn.1007-9572.2022.0429

    ZHANG F F, HU Y J, HUANG H Y, et al. Association of CT-assessed sarcopenia with postoperative surgical site infections in patients with colorectal cancer[J]. Chinese General Practice, 2022, 25(29): 3658-3663. doi: 10.12114/j.issn.1007-9572.2022.0429
    [8]
    TOKUNAGA M, KUROKAWA Y, MACHIDA R, et al. Impact of postoperative complications on survival outcomes in patients with gastric cancer: exploratory analysis of a randomized controlled JCOG1001 trial[J]. Gastric Cancer, 2021, 24(1): 214-223. doi: 10.1007/s10120-020-01102-3
    [9]
    WENG L, JIN F, SHI J, et al. Antibiotics use and risk of colorectal neoplasia: an updated meta-analysis[J]. Int J Colorectal Dis, 2022, 37(11): 2291-2301. doi: 10.1007/s00384-022-04276-7
    [10]
    邱迪, 王星明, 刘清仁, 等. 急性术后疼痛危险因素和疼痛程度预测方法的研究进展[J]. 临床麻醉学杂志, 2022, 38(2): 194-198. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202202017.htm

    QIU D, WANG X M, LIU Q R, et al. Research progress on risk factors and pain degree prediction methods of acute postoperative pain[J]. Journal of Clinical Anesthesiology, 2022, 38(2): 194-198. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202202017.htm
    [11]
    范玉涵, 陈立婷, 余娜, 等. 药师参与肠外营养个体化处方设计对胃癌患者术后恢复的影响[J]. 肿瘤药学, 2022, 12(5): 671-675. https://www.cnki.com.cn/Article/CJFDTOTAL-LIYX202205017.htm

    FAN Y H, CHEN L T, YU N, et al. Effects of individualized parenteral nutrition designed by pharmacists on the recovery of postoperative gastric cancer patients[J]. Anti-Tumor Pharmacy, 2022, 12(5): 671-675. https://www.cnki.com.cn/Article/CJFDTOTAL-LIYX202205017.htm
    [12]
    赵松, 童卫东. 结直肠手术吻合口漏的预测模型及预防策略[J]. 中华胃肠外科杂志, 2022, 25(11): 987-991. doi: 10.3760/cma.j.cn441530-20220927-00393

    ZHAO S, TONG W D. Predictive models and prophylactic strategies for anastomotic leakage in colorectal surgery[J]. Chinese Journal of Gastroenterology, 2022, 25(11): 987-991. doi: 10.3760/cma.j.cn441530-20220927-00393
    [13]
    SERRA-PLA S, PALLISERA-LLOVERAS A, MORA-LÓPEZ L, et al. Multidisciplinary management and optimization of frail or high surgical risk patients in colorectal cancer surgery: prospective observational analysis[J]. Cir Esp (Engl Ed), 2020, 98(7): 389-394. doi: 10.1016/j.ciresp.2020.01.004
    [14]
    DOU L, WANG X, CAO Y, et al. Relationship between postoperative recovery and nutrition risk screened by NRS 2002 and nutrition support status in patients with gastrointestinal cancer[J]. Nutr Cancer, 2020, 72(1): 33-40. doi: 10.1080/01635581.2019.1612927
    [15]
    王晓波. 营养风险筛查及个体化干预对胃肠恶性肿瘤患者围术期生活质量的影响[J]. 中外女性健康研究, 2021(21): 11-13, 26. doi: 10.3969/j.issn.2096-0417.2021.21.zwnxjkyj202121006

    WANG X B. The effect of nutritional risk screening and individualized intervention on the perioperative quality of life of patients with gastrointestinal malignant tumors[J]. Women's Health Research, 2021(21): 11-13, 26. doi: 10.3969/j.issn.2096-0417.2021.21.zwnxjkyj202121006
    [16]
    王玉静, 金郁. 肠外营养对肝癌手术患者胃肠功能恢复与免疫功能及感染的影响[J]. 中华医院感染学杂志, 2022, 32(7): 1050-1054. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY202207020.htm

    WANG Y J, JIN Y. Effect of parenteral nutrition on gastrointestinal function recovery, immune function and infection in patients undergoing liver cancer surgery[J]. Chinese Journal of Nosocomiology, 2022, 32(7): 1050-1054. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY202207020.htm
    [17]
    NOVELLI I R, ARAÚJO BAD, GRANDISOLI L F, et al. Nutritional counseling protocol for colorectal cancer patients after surgery improves outcome[J]. Nutr Cancer, 2021, 73(11-12): 2278-2286. doi: 10.1080/01635581.2020.1819345
    [18]
    AOYAMA T, NAKAZONO M, NAGASAWA S, et al. Clinical impact of perioperative oral nutritional treatment for body composition changes in gastrointestinal cancer treatment[J]. Anticancer Res, 2021, 41(4): 1727-1732. doi: 10.21873/anticanres.14937
    [19]
    祝金城, 黄虹, 张浩然, 等. 家庭营养支持对胃癌患者术后营养状况和心理痛苦的影响[J]. 中华全科医学, 2021, 19(6): 986-989. doi: 10.16766/j.cnki.issn.1674-4152.001967

    ZHU J C, HUANG H, ZHANG H R. Effect of home nutrition support on nutritional status and psychological pain of patients with gastric cancer after surgery[J]. Chinese Journal of General Practice, 2021, 19(6): 986-989. doi: 10.16766/j.cnki.issn.1674-4152.001967
    [20]
    严燕燕, 吴婉英, 付欢英, 等. 胃癌术后全胃肠外营养治疗中患者出现低血糖的影响因素研究[J]. 中华全科医学, 2022, 20(3): 493-497. doi: 10.16766/j.cnki.issn.1674-4152.002385

    YAN Y Y, WU W Y, FU H Y. Influencing factors of hypoglycaemia in post-operative total parenteral nutrition therapy for gastric cancer[J]. Chinese Journal of General Practice, 2022, 20(3): 493-497. doi: 10.16766/j.cnki.issn.1674-4152.002385
    [21]
    何水莲. 术前营养支持与早期康复训练在结直肠癌患者围手术期的应用效果观察[J]. 中国肛肠病杂志, 2020, 40(7): 55-57. doi: 10.3969/j.issn.1000-1174.2020.07.028

    HE S L. Efficacy observation on preoperative nutrition support and early conditioning at perioperation of colorectal cancer patients[J]. Chinese Journal of Coloproctology, 2020, 40(7): 55-57. doi: 10.3969/j.issn.1000-1174.2020.07.028
    [22]
    CARLI F, BOUSQUET-DION G, AWASTHI R, et al. Effect of multimodal prehabilitation vs postoperative rehabilitation on 30-day postoperative complications for frail patients undergoing resection of colorectal cancer: a randomized clinical trial[J]. JAMA Surg, 2020, 155(3): 233-242. doi: 10.1001/jamasurg.2019.5474
    [23]
    RASO K L, SUEN M, TURNER J, et al. Prehabilitation before gastrointestinal cancer surgery: protocol for an implementation study[J]. JMIR Res Protoc, 2023, 12: e41101. DOI: 10.2196/41101.
    [24]
    徐海红, 王永利, 闫巍. 老年衰弱共病患者: 紧密医联体模式下全科医学面临的挑战与应对策略[J]. 中国全科医学, 2021, 24(24): 3026-3031. doi: 10.12114/j.issn.1007-9572.2021.00.509

    XU H H, WANG Y L, YAN W. Frailty and multimorbidity in the elderly: challenges for general medical services delivered by healthcare facilities in a compact medical consortium and recommended solutions[J]. Chinese General Practice, 2021, 24(24): 3026-3031. doi: 10.12114/j.issn.1007-9572.2021.00.509
    [25]
    刘以法, 王婷婷, 廖刚. 胃肠道肿瘤ERAS患者术后恢复室滞留原因分析[J]. 重庆医科大学学报, 2021, 46(1): 19-21. https://www.cnki.com.cn/Article/CJFDTOTAL-ZQYK202101006.htm

    LIU Y F, WANG T T, LIAO G. Analysis of postoperative recovery room retention in gastrointestinal cancer patients with enhanced recovery after surgery[J]. Journal of Chongqing Medical University, 2021, 46(1): 19-21. https://www.cnki.com.cn/Article/CJFDTOTAL-ZQYK202101006.htm
    [26]
    SAUR N M, MONTRONI I, AUDISIO R A. Considerations in surgical management of gastrointestinal cancer in older patients[J]. Curr Oncol Rep, 2021, 23(1): 8. doi: 10.1007/s11912-020-00991-y
    [27]
    蒋枋利, 章程, 高静, 等. 胃肠道肿瘤精准治疗一体化研究体系的建设[J]. 中国肿瘤临床, 2021, 48(17): 865-869. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZL202117001.htm

    JIANG F L, ZHANG C, GAO J, et al. Construction of an integrated research system for precision treatment of gastrointestinal tumors[J]. Chinese Journal of Clinical Oncology, 2021, 48(17): 865-869. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZL202117001.htm
    [28]
    孙琛, 孙晓杰, 王家林, 等. 肿瘤多学科协作诊疗模式的发展现状及评价研究进展[J]. 中国医院管理, 2022, 42(8): 53-56. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGL202208014.htm

    SUN C, SUN X J, WANG J L, et al. Development status and evaluation research progress of multidisciplinary treatment model of tumor[J]. Chinese Hospital Management, 2022, 42(8): 53-56. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGL202208014.htm
    [29]
    SOHL S J, BEFUS D, TOOZE J A, et al. Feasibility of systems support mapping to guide patient-driven health self-management in colorectal cancer survivors[J]. Psychol Health, 2023, 38(5): 602-622. doi: 10.1080/08870446.2021.1979549
    [30]
    LO P S, LIN Y P, HSU H H, et al. Health self-management experiences of colorectal cancer patients in postoperative recovery: a qualitative study[J]. Eur J Oncol Nurs, 2021, 51: 101906. DOI: 10.1016/j.ejon.2021.101906.
    [31]
    LIN W L, SUN J L, CHANG S C, et al. Effectiveness of the multidisciplinary team model in treating colorectal cancer[J]. Gastroenterol Nurs, 2018, 41(6): 491-496. doi: 10.1097/SGA.0000000000000348
    [32]
    HOLDEN C A, POPRAWSKI D, SINGHAL N, et al. A systematic scoping review of determinants of multidisciplinary cancer team access and decision-making in the management of older patients diagnosed with colorectal cancer[J]. J Geriatr Oncol, 2020, 11(6): 909-916. doi: 10.1016/j.jgo.2019.11.002
    [33]
    ROLLET Q, BOUVIER V, MOUTEL G, et al. Multidisciplinary team meetings: are all patients presented and does it impact quality of care and survival-a registry-based study[J]. BMC Health Serv Res, 2021, 21(1): 1032.
    [34]
    杨宇飞. 晚期消化道恶性肿瘤中医优势人群特征及诊疗路径研究[J]. 北京中医药大学学报, 2022, 45(5): 433-437. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYB202205001.htm

    YANG Y F. Study on the characteristics of the traditional Chinese medicine dominant population and the optimal dynamic intervention strategy in advanced digestive tract cancers[J]. Journal of Beijing University of Traditional Chinese Medicine, 2022, 45(5): 433-437. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYB202205001.htm
    [35]
    KELLER D S, BERHO M, PEREZ R O, et al. The multidisciplinary management of rectal cancer[J]. Nat Rev Gastroenterol Hepatol, 2020, 17(7): 414-429.
    [36]
    季加孚, 沈琳, 王杉, 等. 恶性肿瘤相关急腹症多学科管理中国专家共识[J]. 中华胃肠外科杂志, 2020, 23(5): 421-437.

    JI J F, SHEN L, WANG S, et al. Chinese expert consensus on multidisciplinary management of malignant tumor-associated acute abdomen[J]. Chinese Journal of Gastroenterology, 2020, 23(5): 421-437.
    [37]
    徐维维, 侯冷晨, 张戟, 等. 基于人工智能的临床路径管理及其对诊疗质量的影响[J]. 中国医院管理, 2019, 39(12): 34-35, 41. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGL201912015.htm

    XU W W, HOU L C, ZHANG J, et al. Management of clinical pathway based on artificial intelligence and its impact on medical quality[J]. Chinese Hospital Management, 2019, 39(12): 34-35, 41. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGL201912015.htm
    [38]
    周岩冰. 我国胃肠道肿瘤围手术期加速康复外科路径管理的思考与建议[J]. 中华胃肠外科杂志, 2022, 25(7): 568-574.

    ZHOU Y B. Thinking and suggestions on pathway management of perioperative enhanced recovery after surgery in gastrointestinal tumors in China[J]. Chinese Journal of Gastroenterology, 2022, 25(7): 568-574.
    [39]
    李心群, 孙彩霞, 林碎钗, 等. 基于微信平台的知信行健康教育在PICC肿瘤置管患者中的应用研究[J]. 中国全科医学, 2020(S01): 99-102. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2020S1029.htm

    LI X Q, SUN C X, LIN S C. A study on the patient education of knowledge-attitude-practice based on wechat interventions in peripherally inserted central catheter in china adult oncology patients[J]. Chinese General Practice, 2020(S01): 99-102. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2020S1029.htm
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