Abstract:
Objective To establish an expert consensus on perioperative nutritional support for patients with cholangiocarcinoma, and to provide reference for clinical staff to carry out standardized nutritional support for patients with cholangiocarcinoma.
Methods By systema-tically searching, evaluating and summarizing the best evidence of perioperative nutritional support for patients with cholangiocarcinoma, a draft consensus was formed. The recommendation level was formed by Delphi expert consultation, and the consensus draft and recommendation level were discussed and modified through on‑site expert demonstration, and the final draft was formed.
Results The expert consensus was reached including nine aspects: the establishment of multi-disciplinary nutritional support team, nutritional risk screening, evaluation and diagnosis, indications of nutritional treatment, perioperative energy consumption demand, timing and duration of nutri-tional support initiation, choice of nutritional support mode, application of bile transfusion, nutri-tional support practices, and nutritional follow‑up.
Conclusions This consensus can provide evidence-based reference for the formulation of scientific, standardized and whole‑process nutritional support programs for patients. Medical staff can apply this consensus to clinical practice in combination with department resources and patients′ actual needs.
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