Zusammenfassung

Die Kachexie des Tumorpatienten beschreibt ein Syndrom, bei dem es allmählich zur Auszehrung, zum Kräfteverfall und einem allgemein schlechten Ernährungszustand kommt. Im Rahmen der Anorexie (Appetitlosigkeit) geht immer mehr das Bedürfnis, etwas zu essen, verloren, sei es, weil ein äußerst rasches Sättigungsgefühl eintritt und sämtliche Geruchs- und Geschmacksempfindungen abnehmen oder, weil die ständige Angst vor Übelkeit und Erbrechen vorherrscht.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

Literatur zu 6.1

  1. Cangiano C, Laviano A, Meguid MM et al. (1996) Effects of administration of oral branched-chain amino acids on anorexia and caloric intake in cancer patients. J Natl Cancer Inst 88: 550–551PubMedCrossRefGoogle Scholar
  2. Cangiano C, Laviano A, Muscaritoli M et al (1996) Cancer anorexia: New pathogenic and therapeutic insights. Nutrition 12 (Suppl): S48–S51PubMedGoogle Scholar
  3. Cutie AJ, Altman E, Lenkel L (1983) Compatibility of enteral products with commonly employed drug additives. JPEN 7: 186–191CrossRefGoogle Scholar
  4. Dreizen S, McCredie KB, Keating MJ, Andersson BS (1990) Nutritional deficiencies in patients receiving cancer chemotherapy. Postgrad Med 87: 163–170PubMedGoogle Scholar
  5. Kocan MJ, Hickisch SM (1986) A comparison of continuous and intermittent enteral nutrition in NICU Patients. J Neurosci Nurs 18: 333–337PubMedCrossRefGoogle Scholar
  6. Kohn CL, Keithley JK (1987) Techniques for evaluating and managing diarrhea in the tube-fed patients. Nutr Clin Pract 2: 250–257Google Scholar
  7. Kuhn KS, Stehle P, Fürst P (1996) Glutamine content of protein and peptide-based enteral products. JPEN 20: 292–295CrossRefGoogle Scholar
  8. Lissoni P, Paolorossi F, Tancini G et al. (1996) Is there a role for melatonin in the treatment of neoplastic cachexia? Eur J Cancer 32 A, 1340–1343Google Scholar
  9. Loprinzi CL, Kugler J, Sloan J et al (1997) Phase III randomized comparison of megestrol acetate, dexamethasone and fluoxymesterone for the treatment of cancer and anorexia/cachexia. Proc Am Soc Clin Oncol 16: 48a, #167 (abstr.)Google Scholar
  10. Ollenschläger G (1995) Ernährungsprobleme des internistischen Tumorpatienten unter Berücksichtigung der Vitaminversorgung. Med Klin 90: 96–102Google Scholar
  11. Probst W (1997) Arzneimitteltherapie bei Patienten mit Ernährungssonde. PZ Prisma 1997 4: 31–41Google Scholar
  12. Richter G, Dehnert J (1990) Sondenernährung in der Onkologie. Infusionstherapie 17: 291–299PubMedGoogle Scholar
  13. Ripamonti C, Gemlo BT, Bozzetti F, De-Conno F (1996) Role of enteral nutrition in advanced cancer patients: indications and contraindications of the different techniques employed. Tumori 82: 302–308PubMedGoogle Scholar
  14. Silk DBA (1987) Towards the optimization of enteral nutrition. Clin Nutr 6: 61–74CrossRefGoogle Scholar
  15. Souba WW (1997) Nutritional support. N Engl J Med 336: 41–48PubMedCrossRefGoogle Scholar
  16. Strang P (1997) The effect of megestrol acetate on anorexia, weight loss and cachexia in cancer and AIDS patients (Review). Anticancer Res. 17: 657–662PubMedGoogle Scholar
  17. Szeluga DJ, Stuart RK, Brookmeyer R, Utermohlen V, Santos GW (1987) Nutritional support of bone marrow transplant recipients: a prospective randomized clinical trial comparing total parenteral nutrition to an enteral program. Cancer Res 47: 3309–3316PubMedGoogle Scholar
  18. Tchekmedyian NS (1993) Behandlung von Anorexie mit Megestrolacetat. Nutr Clin Pract 8: 115–118PubMedCrossRefGoogle Scholar
  19. Tchekmedyian NS, Zahyna D, Halpert C, Heber D (1992) Clinical aspects of nutrition in advanced cancer. Oncology 49 (Suppl 2): 3–7PubMedCrossRefGoogle Scholar
  20. Testa A, Gebbia V, Borsellino N et al. (1996) Usefulness of oral medroxyprogesterone acetate in the management of cancer-related cachexia-anorexia syndrome. Oncol Rep 3: 493–496PubMedGoogle Scholar
  21. Thomas JA (1995) Drug-Nutrient Interactions. Nutr Rev 53: 271–282PubMedCrossRefGoogle Scholar

Literatur zu 6.2

  1. Archer SB, Burnett RJ, Fischer JE (1996) Current uses and abuses of total parenteral nutrition. Adv Surg 29: 165–89PubMedGoogle Scholar
  2. Braga M, Vignali A, Gianotti L, Cestari A, Profili M, DiCarlo V (1995) Benefits of early postoperative enteral feeding in cancer patients. Infusionsther Transfusionsmed 22: 280–284PubMedGoogle Scholar
  3. Chen MK, Souba WW, Copeland EM (1991) Nutritional support of the surgical oncology patient. Hematol OncolClin North Am 5: 125–142Google Scholar
  4. Chlebowski RT (1991) Nutritional support of the medical oncology patient. Hematol OncolClin North Am 5: 147–160Google Scholar
  5. Grindel CG, Whitmer K, Barsevick A (1996) Quality of life and nutritional support in patients with cancer. Cancer Pract 4: 81–87PubMedGoogle Scholar
  6. Hackl JM (1992) Leitfaden der parenteralen Ernährung. Zuckerschwerdt, MünchenGoogle Scholar
  7. Lipman TO (1991) Clinical trials of nutritional support in cancer — Parenteral and enteral therapy. Hematol OncolClin North Am 5: 91–120Google Scholar
  8. Mattox TW (1993) Drug use evaluation approach to monitoring use of total parenteral nutrition: A review of criteria for use in cancer patients. NCP 8: 233–237Google Scholar
  9. Ollenschläger G (1995) Ernährungsprobleme des internistischen Tumorpatienten unter Berücksichtigung der Vitaminversorgung. Med Klin 90: 96–102Google Scholar
  10. Schley G (1990) Grundlagen der Intensivmedizin. Thieme, Stuttgart New YorkGoogle Scholar
  11. Shike M (1996) Nutrition therapy for the cancer patient. Hematol Oncol Clin North Am 10: 221–34PubMedCrossRefGoogle Scholar
  12. Tchekmedyian NS (1995) Costs and benefits of nutrition support in cancer. Oncology (Huntington) 9 (Suppl): 79–84Google Scholar
  13. Weilemann LS, Schuster H-P (1993) Parenterale Ernährung. Thieme, Stuttgart New YorkGoogle Scholar
  14. Zaanen HCT van, Lelie H van der, Timmer JG, Fürst P, Sauerwein HP (1994) Parenteral glutamine dipeptide supplementary does not ameliorate chemotherapy-induced toxicity. Cancer 74: 2879–2884PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • H.-P. Lipp
  • K.-E. Grund
  • C. Bokemeyer

There are no affiliations available

Personalised recommendations