Clinical nutrition and metabolismClinical nutrition and metabolismКлиническое питание и метаболизм2658-44332782-2974Eco-Vector62448910.17816/clinutr624489NewsНовостиMiscellaneousNutritional support is an effective tool in the hands of an oncologistНутритивная поддержка — эффективный инструмент в руках онкологаhttps://orcid.org/0000-0003-0197-77216876-7701ObukhovaOlga A.ОбуховаОльга Аркадьевна
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

obukhova0404@yandex.ruhttps://orcid.org/0000-0001-6481-17249093-8296KukoshMariya Yu.КукошМария Юрьевна
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

manja70@inbox.ruhttps://orcid.org/0000-0002-9181-78114561-1466GevorkovArtem R.ГеворковАртем Рубенович
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

torsurg@mail.ruhttps://orcid.org/0000-0001-8463-26003692-5202KurmukovIldar A.КурмуковИлдар Анварович
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

kurmukovia@gmail.comhttps://orcid.org/0000-0002-0042-11505400-1301Ter-OvanesovMikhail D.Тер-ОванесовМихаил Дмитриевич
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

micu5@ronc.ruN.N. Blokhin National Medical Research Center of OncologyНациональный медицинский исследовательский центр онкологии имени Н.Н. БлохинаPeoples’ Friendship University of RussiaРоссийский университет дружбы народов имени Патриса ЛумумбыP. Hertsen Moscow Oncology Research InstituteМосковский научно-исследовательский онкологический институт им. П.А. ГерценаRussian University of MedicineРоссийский университет медицины0502202415072023431972061312202313122023Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-Вектор2023Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://journals.eco-vector.com/2658-4433/article/view/624489

As part of the XXVII Russian Oncology Congress, a section “Nutritional support — an underestimated tool in the hands of an oncologist. How to ensure successful continuous antitumor therapy?” was held. The presented message outlines the abstracts of the reports of the section participants.

Report by A.R. Gevorkov concerned the relevance of nutritional support in oncology, the negative impact of nutritional deficiency on the results of surgical, drug and radiation treatment of cancer patients at all stages. Report by O.A. Obukhova was devoted to the effectiveness of nutritional support during surgical treatment of cancer patients, based on the results of well-planned and executed clinical studies, including the first domestic prospective multicenter randomized trial of perioperative high-protein enteral nutrition NUTRILUNC. Report by M.Yu. Kukosh reflected the role of rehabilitation in the continuity of antitumor treatment and the place of nutritional support in the corresponding rehabilitation program.

The authors concluded that nutritional support at all stages of antitumor treatment is relevant, effective and safe, and called on oncologists to widely introduce artificial nutrition into clinical practice.

В рамках XXVII Российского онкологического конгресса состоялась секция «Нутритивная поддержка — недооценённый инструмент в руках онколога. Как обеспечить успешную непрерывную противоопухолевую терапию?» В представленном сообщении изложены тезисы докладов участников секции.

Доклад Геворкова А.Р. касался актуальности нутритивной поддержки в онкологии, негативного влияния нутритивной недостаточности на результаты хирругического, лекарственного и лучевого лечения онкологических больных на всех его этапах. Доклад Обуховой О.А. был посвящён эффективности нутритивной поддержки при проведении хирургического лечения онкологических больных, опирался на результаты хорошо спланированных и выполненных клинических исследований, в том числе первого отечественного проспективного многоцентрового рандомизированного исследования периоперационного высокобелкового энтерального питания NUTRILUNC. Доклад Кукош М.Ю. отразил роль реабилитации в непрерывности противоопухолевого лечения и место нутритивной поддержки в соответствующей программе реабилитации.

Авторы сделали вывод, что проведение нутритивной поддержки на всех этапах противоопухолевого лечения актуально, эффективно и безопасно и призвали онкологов к широкому внедрению искусственного питания в клиническую практику.

oncologymalnutritionenteral nutritionantitumor treatmentонкологиянедостаточность питанияэнтеральное питаниепротивоопухолевое лечениеPressoir M, Desné S, Berchery D, et al. Prevalence, risk factors and clinical implications of malnutrition in French Comprehensive Cancer Centres. Br J Cancer. 2010;102(6):966–971. doi: 10.1038/sj.bjc.6605578Pressoir M., Desné S., Berchery D., et al. Prevalence, risk factors and clinical implications of malnutrition in French Comprehensive Cancer Centres // Br J Cancer. 2010. Vol. 102, N 6. P. 966–971. doi: 10.1038/sj.bjc.6605578Laviano A, Meguid MM. Nutritional issues in cancer management. Nutrition. 1996;12(5):358–371. doi: 10.1016/s0899-9007(96)80061-xLaviano A., Meguid M.M. Nutritional issues in cancer management // Nutrition. 1996. Vol. 12, N 5. P. 358–371. doi: 10.1016/s0899-9007(96)80061-xDel Fabbro E, Hui D, Shalini D, et al. Clinical outcomes and contributors to weight loss in a cancer cachexia clinic. J Palliat Med. 2011;14:1004–1008. doi: 10.1089/jpm.2011.0098Del Fabbro E., Hui D., Shalini D., et al. Clinical outcomes and contributors to weight loss in a cancer cachexia clinic // J Palliat Med. 2011. Vol. 14. P. 1004–1008. doi: 10.1089/jpm.2011.0098Baracos VE, Martin L, Korc M, Guttridge DC, Fearon KCH. Cancer-associated cachexia. Nat Rev Dis Primers. 2018;4. doi: 10.1038/nrdp.2017.105Baracos V.E., Martin L., Korc M., Guttridge D.C., Fearon K.C.H. Cancer-associated cachexia // Nat Rev Dis Primers. 2018. Vol. 4. doi: 10.1038/nrdp.2017.105Muscaritoli M, Lucia S, Farcomeni A, et al. PreMiO Study Group. Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study. Oncotarget. 2017;8(45):79884–79896. doi: 10.18632/oncotarget.20168Muscaritoli M., Lucia S., Farcomeni A., et al. PreMiO Study Group. Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study // Oncotarget. 2017. Vol. 8, N 45. P. 79884–79896. doi: 10.18632/oncotarget.20168Sonneborn-Papakostopoulos M, Dubois C, Mathies V, et al. Quality of life, symptoms and dietary habits in oncology outpatients with malnutrition: A cross-sectional study. Med Oncol. 2021;38(2):20. doi: 10.1007/s12032-021-01460-7Sonneborn-Papakostopoulos M., Dubois C., Mathies V., et al. Quality of life, symptoms and dietary habits in oncology outpatients with malnutrition: A cross-sectional study // Med Oncol. 2021. Vol. 38, N 2. P. 20. doi: 10.1007/s12032-021-01460-7Spotten LE, Corish CA, Lorton CM, et al. Subjective and objective taste and smell changes in cancer. Ann Oncol. 2017;28(5):969–984. doi: 10.1093/annonc/mdx018Spotten L.E., Corish C.A., Lorton C.M., et al. Subjective and objective taste and smell changes in cancer // Ann Oncol. 2017. Vol. 28, N 5. P. 969–984. doi: 10.1093/annonc/mdx018Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017;36(3):623–650. doi: 10.1016/j.clnu.2017.02.013Weimann A., Braga M., Carli F., et al. ESPEN guideline: Clinical nutrition in surgery // Clin Nutr. 2017. Vol. 36, N 3. P. 623–650. doi: 10.1016/j.clnu.2017.02.013Muscaritoli M, Arends J, Bachmann P, et al. ESPEN practical guideline: Clinical Nutrition in cancer. Clin Nutr. 2021;40(5): 2898–2913. doi: 10.1016/j.clnu.2021.02.005Muscaritoli M., Arends J., Bachmann P., et al. ESPEN practical guideline: Clinical Nutrition in cancer // Clin Nutr. 2021. Vol. 40, N 5. P. 2898–2913. doi: 10.1016/j.clnu.2021.02.005Cespedes Feliciano EM, Lee VS, Prado CM, et al. Muscle mass at the time of diagnosis of nonmetastatic colon cancer and early discontinuation of chemotherapy, delays, and dose reductions on adjuvant FOLFOX: The C-SCANS study. Cancer. 2017;123(24): 4868–4877. doi: 10.1002/cncr.30950Cespedes Feliciano E.M., Lee V.S., Prado C.M., et al. Muscle mass at the time of diagnosis of nonmetastatic colon cancer and early discontinuation of chemotherapy, delays, and dose reductions on adjuvant FOLFOX: The C-SCANS study // Cancer. 2017. Vol. 123, N 24. P. 4868–4877. doi: 10.1002/cncr.30950Jatoi A, Kaasa S, Strijbos M, editors. ESMO handbook of nutrition and cancer, 2nd edition. ESMO Press; 2023.Jatoi A., Kaasa S., Strijbos M., editors. ESMO handbook of nutrition and cancer, 2nd edition. ESMO Press, 2023.Dort JC, Farwell DG, Findlay M, et al. Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction: a consensus review and recommendations from the enhanced recovery after surgery society. JAMA Otolaryngol Head Neck Surg. 2017;143(3):292–303. doi: 10.1001/jamaoto.2016.2981Dort J.C., Farwell D.G., Findlay M., et al. Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction: a consensus review and recommendations from the enhanced recovery after surgery society // JAMA Otolaryngol Head Neck Surg. 2017. Vol. 143, N 3. P. 292–303. doi: 10.1001/jamaoto.2016.2981Ballesteros-Pomar MD, Cortés GB, Romero BF, et al. Continuity of care in disease-related malnutrition and nutritional medical treatment. Endocrinol Diabetes Nutr (Engl Ed). 2022;69(10):897–909. doi: 10.1016/j.endien.2022.11.013Ballesteros-Pomar M.D., Cortés G.B., Romero B.F., et al. Continuity of care in disease-related malnutrition and nutritional medical treatment // Endocrinol Diabetes Nutr (Engl Ed). 2022. Vol. 69, N 10. P. 897–909. doi: 10.1016/j.endien.2022.11.013Kabata P, Jastrzębski T, Kąkol M, et al. Preoperative nutritional support in cancer patients with no clinical signs of malnutrition — prospective randomized controlled trial. Support Care Cancer. 2015;23(2):365–370. doi: 10.1007/s00520-014-2363-4Kabata P., Jastrzębski T., Kąkol M., et al. Preoperative nutritional support in cancer patients with no clinical signs of malnutrition — prospective randomized controlled trial // Support Care Cancer. 2015. Vol. 23, N 2. P. 365–370. doi: 10.1007/s00520-014-2363-4Maňásek V, Bezděk K, Foltys A, et al. The impact of high protein nutritional support on clinical outcomes and treatment costs of patients with colorectal cancer. Klin Onkol. 2016;29(5):351–357.Maňásek V., Bezděk K., Foltys A., et al. The impact of high protein nutritional support on clinical outcomes and treatment costs of patients with colorectal cancer // Klin Onkol. 2016. Vol. 29, N 5. P. 351–357.García NM, Peña IN, Pizarro SPO, et al. Pre-surgical nutrition support reduces the incidence of surgical wound complications in oncological patients. Nutr Cancer. 2020;72(5):801–807. doi: 10.1080/01635581.2019.1653473García N.M., Peña I.N., Pizarro S.P.O., et al. Pre-surgical nutrition support reduces the incidence of surgical wound complications in oncological patients // Nutr Cancer. 2020. Vol. 72, N 5. P. 801–807. doi: 10.1080/01635581.2019.1653473Bargetzi L, Brack C, Herrmann J, et al. Nutritional support during the hospital stay reduces mortality in patients with different types of cancers: secondary analysis of a prospective randomized trial. Ann Oncol. 2021;32(8):1025–1033. doi: 10.1016/j.annonc.2021.05.793Bargetzi L., Brack C., Herrmann J., et al. Nutritional support during the hospital stay reduces mortality in patients with different types of cancers: secondary analysis of a prospective randomized trial // Ann Oncol. 2021. Vol. 32, N 8. P. 1025–1033. doi: 10.1016/j.annonc.2021.05.793Cereda E, Turri A, Klersy C, et al. Whey protein isolate supplementation improves body composition, muscle strength, and treatment tolerance in malnourished advanced cancer patients undergoing chemotherapy. Cancer Med. 2019;8(16):6923–6932. doi: 10.1002/cam4.2517Cereda E., Turri A., Klersy C., et al. Whey protein isolate supplementation improves body composition, muscle strength, and treatment tolerance in malnourished advanced cancer patients undergoing chemotherapy // Cancer Med. 2019. Vol. 8, N 16. P. 6923–6932. doi: 10.1002/cam4.2517Kim SH, Lee SM, Jeung HC, et al. The effect of nutrition intervention with oral nutritional supplements on pancreatic and bile duct cancer patients undergoing chemotherapy. Nutrients. 2019;11(5):1145. doi: 10.3390/nu11051145Kim S.H., Lee S.M., Jeung H.C., et al. The effect of nutrition intervention with oral nutritional supplements on pancreatic and bile duct cancer patients undergoing chemotherapy // Nutrients. 2019. Vol. 11, N 5. P. 1145. doi: 10.3390/nu11051145Van Dijk LV, Mohamed ASR, Ferrarotto R, et al. The impact of induction and/or concurrent chemoradiotherapy on acute and late patient-reported symptoms in oropharyngeal cancer: Application of a mixed-model analysis of a prospective observational cohort registry. Cancer. 2021;127(14):2453–2464. doi: 10.1002/cncr.33501Van Dijk L.V., Mohamed A.S.R., Ferrarotto R., et al. The impact of induction and/or concurrent chemoradiotherapy on acute and late patient-reported symptoms in oropharyngeal cancer: Application of a mixed-model analysis of a prospective observational cohort registry // Cancer. 2021. Vol. 127, N 14. P. 2453–2464. doi: 10.1002/cncr.33501Sullivan ES, Rice N, Kingston E, et al. A national survey of oncology survivors examining nutrition attitudes, problems and behaviours, and access to dietetic care throughout the cancer journey. Clin Nutr ESPEN. 2021;41:331–339. doi: 10.1016/j.clnesp.2020.10.023Sullivan E.S., Rice N., Kingston E., et al. A national survey of oncology survivors examining nutrition attitudes, problems and behaviours, and access to dietetic care throughout the cancer journey // Clin Nutr ESPEN. 2021. Vol. 41:331–339. doi: 10.1016/j.clnesp.2020.10.023Cereda E, Cappello S, Colombo S, et al. Nutritional counseling with or without systematic use of oral nutritional supplements in head and neck cancer patients undergoing radiotherapy. Radiother Oncol. 2018;126(1):81–88. doi: 10.1016/j.radonc.2017.10.015Cereda E., Cappello S., Colombo S., et al. Nutritional counseling with or without systematic use of oral nutritional supplements in head and neck cancer patients undergoing radiotherapy // Radiother Oncol. 2018. Vol. 126, N 1. P. 81–88. doi: 10.1016/j.radonc.2017.10.015Jiang W, Ding H, Li W, et al. Benefits of oral nutritional supplements in patients with locally advanced nasopharyngeal cancer during concurrent chemoradiotherapy: an exploratory prospective randomized trial. Nutr Cancer. 2018;70(8):1299–1307. doi: 10.1080/01635581.2018.1557222Jiang W., Ding H., Li W., et al. Benefits of oral nutritional supplements in patients with locally advanced nasopharyngeal cancer during concurrent chemoradiotherapy: an exploratory prospective randomized trial // Nutr Cancer. 2018. Vol. 70, N 8. P. 1299–1307. doi: 10.1080/01635581.2018.1557222González-Rodríguez M, Villar-Taibo R, Fernández-Pombo A, et al. Early versus conventional nutritional intervention in head and neck cancer patients before radiotherapy: benefits of a fast-track circuit. Eur J Clin Nutr. 2021;75(5):748–753. doi: 10.1038/s41430-020-00786-1González-Rodríguez M., Villar-Taibo R., Fernández-Pombo A., et al. Early versus conventional nutritional intervention in head and neck cancer patients before radiotherapy: benefits of a fast-track circuit // Eur J Clin Nutr. 2021. Vol. 75, N 5. P. 748–753. doi: 10.1038/s41430-020-00786-1Arends J, Strasser F, Gonella S, et al. Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines. ESMO Open. 2021;6(3):100092. doi: 10.1016/j.esmoop.2021.100092Arends J., Strasser F., Gonella S., et al. Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines // ESMO Open. 2021. Vol. 6, N 3. P. 100092. doi: 10.1016/j.esmoop.2021.100092Yarom N, Hovan A, Bossi P, et al. Systematic review of natural and miscellaneous agents, for the management of oral mucositis in cancer patients and clinical practice guidelines — part 2: honey, herbal compounds, saliva stimulants, probiotics, and miscellaneous agents. Support Care Cancer. 2020;28(5):2457–2472. doi: 10.1007/s00520-019-05256-4Yarom N., Hovan A., Bossi P., et al. Systematic review of natural and miscellaneous agents, for the management of oral mucositis in cancer patients and clinical practice guidelines — part 2: honey, herbal compounds, saliva stimulants, probiotics, and miscellaneous agents // Support Care Cancer. 2020. Vol. 28, N 5. P. 2457–2472. doi: 10.1007/s00520-019-05256-4Hébuterne X, Lemarié E, Michallet M, et al. Prevalence of malnutrition and current use of nutrition support in patients with cancer. JPEN J Parenter Enteral Nutr. 2014;38(2):196–204. doi: 10.1177/0148607113502674Hébuterne X., Lemarié E., Michallet M., et al. Prevalence of malnutrition and current use of nutrition support in patients with cancer // JPEN J Parenter Enteral Nutr. 2014. Vol. 38, N 2. P. 196–204. doi: 10.1177/0148607113502674Laviano A, Di Lazzaro L, Koverech A. Nutrition support and clinical outcome in advanced cancer patients. Proc Nutr Soc. 2018;77(4): 388–393. doi: 10.1017/S0029665118000459Laviano A., Di Lazzaro L., Koverech A. Nutrition support and clinical outcome in advanced cancer patients // Proc Nutr Soc. 2018. Vol. 77, N 4. P. 388–393. doi: 10.1017/S0029665118000459Nakamura R, Inage Y, Tobita R, et al. Sarcopenia in Resected NSCLC: Effect on Postoperative Outcomes. J Thorac Oncol. 2018;13(7):895–903. doi: 10.1016/j.jtho.2018.04.035Nakamura R., Inage Y., Tobita R., et al. Sarcopenia in Resected NSCLC: Effect on Postoperative Outcomes // J Thorac Oncol. 2018. Vol. 13, N 7. P. 895–903. doi: 10.1016/j.jtho.2018.04.035Takemura Y, Sasaki M, Goto K, et al. Energy metabolism and nutritional status in hospitalized patients with lung cancer. J Clin Biochem Nutr. 2016;59(2):122–129. doi: 10.3164/jcbn.16-1Takemura Y., Sasaki M., Goto K., et al. Energy metabolism and nutritional status in hospitalized patients with lung cancer // J Clin Biochem Nutr. 2016. Vol. 59, N 2. P. 122–129. doi: 10.3164/jcbn.16-1Movahed S, Norouzy A, Ghanbari-Motlagh A, et al. Nutritional status in patients with esophageal cancer receiving chemoradiation and assessing the efficacy of usual care for nutritional managements. Asian Pac J Cancer Prev. 2020;21(8):2315–2323. doi: 10.31557/APJCP.2020.21.8.2315Movahed S., Norouzy A., Ghanbari-Motlagh A., et al. Nutritional status in patients with esophageal cancer receiving chemoradiation and assessing the efficacy of usual care for nutritional managements // Asian Pac J Cancer Prev. 2020. Vol. 21, N 8. P. 2315–2323. doi: 10.31557/APJCP.2020.21.8.2315Ivanova AS, Obukhova OA, Kurmukov IA, Volf LY. Review of ESPEN-2021 Practice Guidelines for Patients with Cancer. Part 2: Interventions Relevant to Specific Patient Categories. Clinical nutrition and metabolism. 2022;3(4):193–206. EDN: TKPXSS doi: 10.17816/clinutr119059Иванова А.С., Обухова О.A., Курмуков И.А., Вольф Л.Я. Обзор практических рекомендаций ESPEN-2021 для онкологических больных. Часть 2: частные вопросы нутритивной поддержки // Клиническое питание и метаболизм. 2022. Т. 3, № 4. С. 193–206. EDN: TKPXSS doi: 10.17816/clinutr119059Kaya SO, Akcam TI, Ceylan KC, et al. Is preoperative protein-rich nutrition effective on postoperative outcome in non-small cell lung cancer surgery? A prospective randomized study. J Cardiothorac Surg. 2016;11. doi: 10.1186/s13019-016-0407-1Kaya S.O., Akcam T.I., Ceylan K.C., et al. Is preoperative protein-rich nutrition effective on postoperative outcome in non-small cell lung cancer surgery? A prospective randomized study // J Cardiothorac Surg. 2016. Vol. 11. doi: 10.1186/s13019-016-0407-1Yang J, Zhang Q, Wang X. Role of nutritional support for postoperative recovery of respiratory function in patients with primary lung cancer. Oncol Lett. 2018;16(5):5978–5982. doi: 10.3892/ol.2018.9348Yang J., Zhang Q., Wang X. Role of nutritional support for postoperative recovery of respiratory function in patients with primary lung cancer // Oncol Lett. 2018. Vol. 16, N 5. P. 5978–5982. doi: 10.3892/ol.2018.9348Smedley F, Bowling T, James M, et al. Randomized clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care. Br J Surg. 2004; 91(8):983–990. doi: 10.1002/bjs.4578Smedley F., Bowling T., James M., et al. Randomized clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care // Br J Surg. 2004. Vol. 91, N 8. P. 983–990. doi: 10.1002/bjs.4578Gordeeva OS. Optimization of perioperative nutritional support in patients with lung cancer [dissertation]. Moscow; 2011. (In Russ). EDN: QFJQJTГордеева О.С. Оптимизация периоперационной нутритивной поддержки у больных раком лёгкого : дис. … канд. мед. наук. Москва, 2011. EDN: QFJQJTTsiryateva SB, Sativaldaev MN, Abgaryan AS, Pilenko SA. Clinical and pharmacoeconomical efficacy of preoperative nutrition support in early rehabilitation of patients with lung cancer. Meditsinskaya nauka i obrazovanie Urala. 2019;20(3-99):154–157. EDN: PCORFAЦирятьева С.Б., Сатывалдаев М.Н., Абгарян А.С., Пыленко С.А. Клиническая и фармако-экономическая эффективность предоперационной нутритивной поддержки в ранней реабилитации пациентов с раком лёгкого // Медицинская наука и образование Урала. 2019. Т. 20, № 3 (99). С. 154–157. EDN: PCORFAMudunov AM, Udintsov DB. Nutritional support of patients after surgical treatment for oral squamous cell carcinoma. Head and Neck Tumors (HNT). 2017;7(3):47–52. EDN: ZRDUMH doi: 10.17650/2222-1468-2017-7-3-47-52Мудунов А.М., Удинцов Д.Б. Нутритивная поддержка больных при хирургическом лечении плоскоклеточного рака слизистой оболочки полости рта // Опухоли головы и шеи. 2017. Т. 7, № 3. С. 47–52. EDN: ZRDUMH doi: 10.17650/2222-1468-2017-7-3-47-52Khrykov GN, Strukov EYu, Khalikov AD. Nutritional support aspects with fast track programme in planned surgeries for colon cancer in elderly patients. Messenger of anesthesiology and resuscitation. 2016;13(5): 30–36. EDN: WYOFDL doi: 10.21292/2078-5658-2016-13-5-30-36Хрыков Г.Н., Струков Е.Ю., Халиков А.Д. Аспекты нутриционной поддержки в рамках программы ускоренного выздоровления при плановых онкологических операциях на толстой кишке у геронтологических пациентов // Вестник анестезиологии и реаниматологии. 2016. Т. 13, № 5. С. 30–36. EDN: WYOFDL doi: 10.21292/2078-5658-2016-13-5-30-36Sánchez-Lara K, Turcott JG, Juárez-Hernández E, et al. Effects of an oral nutritional supplement containing eicosapentaenoic acid on nutritional and clinical outcomes in patients with advanced non-small cell lung cancer: Randomised trial. Clin Nutr. 2014;33(6):1017–1023. doi: 10.1016/j.clnu.2014.03.006Sánchez-Lara K., Turcott J.G., Juárez-Hernández E., et al. Effects of an oral nutritional supplement containing eicosapentaenoic acid on nutritional and clinical outcomes in patients with advanced non-small cell lung cancer: Randomised trial // Clin Nutr. 2014. Vol. 33, N 6. P. 1017–1023. doi: 10.1016/j.clnu.2014.03.006Caccialanza R, Pedrazzoli P, Cereda E, et al. Nutritional support in cancer patients: a position paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE). J Cancer. 2016;7:131–135. doi: 10.7150/jca.13818Caccialanza R., Pedrazzoli P., Cereda E., et al. Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE) // J Cancer. 2016. Vol. 7. P. 131–135. doi: 10.7150/jca.13818Grant BL. Nutritional effects of cancer treatment: chemotherapy, biotherapy, hormone therapy and radiation therapy. In: Leser M, Ledesma N, Bergerson S, et al, editors. Oncology Nutrition for Clinical Practice. Oncology Nutrition Dietetic Practice Group; 2018. P:97–114.Grant B.L. Nutritional effects of cancer treatment: chemotherapy, biotherapy, hormone therapy and radiation therapy. In: Leser M., Ledesma N., Bergerson S., et al, editors. Oncology Nutrition for Clinical Practice. Oncology Nutrition Dietetic Practice Group, 2018. P. 97–114.