NUTRIZIONE E PATOLOGIE GASTROENTERICHE ONCOLOGICHE E CHIRURGICHE

Learning Objectives

• gastroenterology

  Knowledge of pathophysiology of digestive diseases

  Relationship between food nutrition and gastrointestinal function

  Knowledge of food adverse effects

  therapeutic use of food

• Nutrition, Oncological and Surgical Gastroenteric Diseases

  Students will have to describe the main mechanisms underlying cancer pathogenesis and will have to define the appropriate procedures required for the correct evaluation of cancer patients. Description of the current methodologies used to evaluate the nutritional status of neoplastic patients will also be required, in order to promptly recognize an initial malnutrition or a more serious cachexia. Students will also have to distinguish patients that should receive enteral nutrition from those that will require parenteral nutrition. Finally, nausea and vomiting induced by conventional chemotherapeutic drugs [CINV] will be discussed in great detail.

• SCIENZE TECNICHE E DIETETICHE APPLICATE

  After successful completion of this course, students will be able to identify mechanisms underlying genesis and progression of digestive cancers and how they can be targeted by nutrition; recognize nutritional requirements of gastrointestinal oncology patients and provide them with nutritional advice.

Course Structure

• gastroenterology

  lectures

• Nutrition, Oncological and Surgical Gastroenteric Diseases

  Frontal Teaching and Interactive Discussions.

• SCIENZE TECNICHE E DIETETICHE APPLICATE

  Frontal lessons.

Detailed Course Content

• gastroenterology

  Gastrointestinal symptoms and syndromes . GERD and peptic disease . Malabsorption syndromes and celiac disease . alcohol-related diseases. Pancreatic failure. Effects of malnutrition: anaemia Deficiency Syndromes. Intestinal diseases. Diseases of the liver and liver failure. Food adverse effects. Microbiome. Food allergies and intolerances Dietary supplements and food additives

• Nutrition, Oncological and Surgical Gastroenteric Diseases

  Tumor Biology

  • Oncogenes, Tumor Suppressor Genes
  • Stochastic Cancerogenesis and basic Knowledge of Cancer Stem Cells

   

  Diet and Cancer Prevention

  · Eating Risk Factors for the Most Common Forms of Cancer

  · Correct Diet and Cancer Prevention

   

  Diet Management in Cancer Patients

  • Cancer Patients and Malnutrition Risk: physiopathology, metabolic alterations and chemotherapy effects

  · Nutritional Status Evaluation in Cancer Patients

   

  Nutrition Principles During and After Cancer Treatments

  · Nausea and Vomiting Induced by Conventional Chemotherapeutic Drugs [CINV]

  · Enteral Nutrition

  · Parenteral Nutrition

  · Artificial Nutrition in Cancer Outpatients

• SCIENZE TECNICHE E DIETETICHE APPLICATE

  During the lectures the following arguments will be discussed:

  • prevention, progression and survival after gastrointestinal cancer: the role of nutrition;
  • protein-calorie malnutrition in cancer: causes, consequences and management;
  • nutritional management of the patient with gastrointestinal cancer;
  • prevention and nutritional management of oesophageal and stomach pathologies (including gastroesophageal reflux disease, gastritis);
  • nutritional management of the patient with inflammatory bowel diseases (ulcerative colitis and Crohn’s disease), diverticular diseases, irritable bowel syndrome;
  • prevention and nutritional management of chronic liver diseases;
  • artificial nutrition and hydration;
  • obesity and nutritional management of the patient undergoing bariatric surgery.

Textbook Information

• gastroenterology

  Manual Harrison's Internal medicina

• Nutrition, Oncological and Surgical Gastroenteric Diseases
  1. Linee Guida AIOM-SINPE per la Nutrizione nel Paziente Oncologico - 2016 - AIOM-SINPE
  2. Linee d'Indirizzo Percorsi Nutrizionali nel Paziente Oncologico - 2017 - Ministero dello Salute
  3. Nutrition in Cancer Care - 2017 - National Cancer Institute
• SCIENZE TECNICHE E DIETETICHE APPLICATE

  Notes provided during the lectures.