NUTRIZIONE E PATOLOGIE GASTROENTERICHE ONCOLOGICHE E CHIRURGICHE

Academic Year 2018/2019 - 3° Year
Teaching Staff Credit Value: 10
Taught classes: 70 hours
Term / Semester:

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.