Nutrisi Oral Dini Pascabedah Kolorektal

Oleh :

dr.Kurnia Agustina Sitompul, M.Gizi, Sp.GK

Telah terdapat beberapa studi yang mendukung pemberian nutrisi oral dini pascabedah kolorektal, namun praktisi kerap menunda sembari mengecek bising usus terlebih dulu. Di lain pihak, kembalinya motilitas usus yang ditandai dengan suara bising usus merupakan suatu penanda yang masih dipertanyakan akurasi dan manfaat klinisnya.[1]

Berdasarkan data Global Cancer Observatory (GLOBOCAN) tahun 2018, kanker kolorektal berada pada urutan ketiga kanker yang paling mematikan di dunia. Insidensi kanker kolorektal dinyatakan meningkat, terutama di negara–negara berkembang seiring dengan terjadinya perubahan gaya hidup seperti meningkatnya angka obesitas, konsumsi daging merah, alkohol, serta tembakau.

Perawatan pasien kanker kolorektal sangat ditentukan oleh staging, sehingga proses diagnosis, evaluasi, dan pengobatan komprehensif sangat diperlukan. Pembedahan umumnya dilakukan pada tumor primer dan kondisi yang membutuhkan reseksi akibat metastasis, sedangkan kemoterapi umumnya digunakan sebagai terapi adjuvan.[2,3]

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

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2. Rawla P, Sunkara T, Barsouk A. Epidemiology of colorectal cancer: incidence, mortality, survival, and risk factors. Przeglad Gastroenterol. 2019;14(2):89–103.
3. Vogel JD, Eskicioglu C, Weiser MR, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Colon Cancer: Dis Colon Rectum. 2017;60(10):999–1017.
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