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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2000 December;159(6):209-16
Therapeutic strategies in pulmonary oncology. importance of nutritional therapy
Lo Giudice V.
Azienda Ospedaliera di Cosenza - Ospedale M. Santo, I Divisione di Pneumologia
Malnutrition is “a pathological condition which occurs when, in the course of time, qualitative/quantitative food demands from the body are not met” (A. Zangara). This situation is regularly observed in the course of neoplasia. The purpose of the present researches is, therefore, to determine role and possibility of therapeutical from neoplasia. The author reports on the present state of knowledge on the subject and proves that the suggestion from nutrition experts are not always followed by a proper layout of food therapy, which is often considered as a support, and therefore accessory to surgical pharmacological therapy. The author proposes to demonstrate the importance of nutrition and on daily energetic physiological needs, he examines the possible causes of neoplastic cachexia; gives information on the alterations of intermediate metabolisms in the course of neoplasia; proposes strategies of nutritional dietetical intervention in the prevention and treatment of the possible, subsequent malnutrition. He emphasizes the advisability of nutritional interventions (orally, by using common nourishment; entrally, by using sounds and handmade food mixtures, and parentally) which can provide a proper nutritional condition, the intensification of current therapies, the reduction of surgical risk. In conclusion, an appropriate nutritional intervention, carried out by skilled staff, ensures gratification to the patient and psychological support to operators; improves the performance status and the quality of life.