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

• Diseases of the Elderly and Medical Oncology

  Students will have to describe the main mechanisms underlying cancer pathogenesis and will have to define the appropriate procedures required for the diagnosis and treatment of the most common forms of cancer. Description of the current staging techniques will also be required, as well as the ability to outline the mechanisms of action, the clinical usefulness and the main toxicities of both conventional chemotherapeutic drugs and novel biological compounds. Critical emphasis will be dedicated to the clinical identification and the therapeutic management of oncologic emergencies.

• SCIENZE TECNICHE E DIETETICHE APPLICATE

  To provide knowledge for nutritional and therapeutic management of patients with gastrointestinal, oncological and surgical pathologies.

Course Structure

• gastroenterology

  lectures

• Diseases of the Elderly and Medical Oncology

  Lectures, Seminars and Interactive Discussions of Clinical Cases.

• SCIENZE TECNICHE E DIETETICHE APPLICATE

  Lectures and discussion of clinical cases

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

• Diseases of the Elderly and Medical Oncology

  Tumor Biology

  • Oncogenes, Tumor Suppressor Genes, Stochastic Cancerogenesis and Cancer Stem Cells
  • Proliferation, Angiogenesis, Tumor Heterogeneity and Metastasis

   

  Epidemiology and Cancer Prevention

  • Incidence, Prevalence and Mortality Rates in Oncology
  • Risk Factors for the Most Common Tumors
  • Primary, Secondary and Tertiary Prevention
  • Chemoprevention

   

  Clinical Methodology in Oncology

  • Tumor Signs and Symptoms
  • Tumor Classification and Staging
  • Evaluation of Therapeutic Response and Clinical Follow-up

   

  Principles of Cancer Therapy

  • Conventional Chemotherapeutic Drugs
  • Routes of Drug Administration and Drug Dosage. Dose Intensity and Dose Density
  • Neo-Adjuvant, Cytoreductive, Adjuvant Chemotherapy. Chemotherapy in the Metastatic setting
  • Hormonal Therapy
  • Targeted Therapies in Oncology and Modulators of the Immune Checkpoint Blockade
  • Supportive and Palliative Cancer Care
  • Major Side-Effects of Cancer Therapies
  • Clinical Emergencies in Oncology

   

  Treatment of the Most Common Forms of Cancer

  • Cancer of the Lung and the Pleural Cavity
  • Breast Cancer
  • Colon and Rectal Cancer
  • Prostate Cancer
  • Fundamentals in the Treatment of: Head and Neck Cancer, Cancers of the Esophagus, the Stomach and the Duodenum, Pancreatic Cancer, Cancers of the Genito-Urinary Tract, Soft Tissue Sarcomas, Neuro-Endocrine Tumors, Melanoma
• SCIENZE TECNICHE E DIETETICHE APPLICATE

  Nutritional management of esophageal and gastric diseases

  Nutrition therapy of chronic liver diseases

  Nutrition therapy of intestinal diseases: inflammatory bowel diseases, diverticular disease, irritable bowel syndrome

  Nutritional management of cancer patient

  Prevention and treatment of cancer-related malnutrition

  Artificial nutrition

  Nutritional management of patients undergoing bariatric surgery

Textbook Information

• gastroenterology

  Manual Harrison's Internal medicina

• Diseases of the Elderly and Medical Oncology
  1. R. Labianca, S. Cascinu - La Medicina Oncologica - 2013 - Edra
  2. J. Niederhuber, J. Armitage, J. Doroshow, M. Kastan, J. Tepper - Abeloff’s Clinical Oncology - 5th Edition - 2013 - Elsevier
  3. Collegio degli Oncologi Medici Italiani - Manuale di Oncologia Medica - 2018 - Edizioni Minerva Medica
• SCIENZE TECNICHE E DIETETICHE APPLICATE

  Dietetica e nutrizione. Clinica, terapia e organizzazione. G. Fatati - M.L. Amerio, Il Pensiero Scientifico, edizione 2012.