Effect of Nutrition Risk Screening 2002-guided enteral nutrition on nutritional status in gastrointestinal tumor patients

doi:10.4251/wjgo.v17.i5.102647

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World Journal of Gastrointestinal Oncology

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World J Gastrointest Oncol. May 15, 2025; 17(5): 102647
Published online May 15, 2025. doi: 10.4251/wjgo.v17.i5.102647

Effect of Nutrition Risk Screening 2002-guided enteral nutrition on nutritional status in gastrointestinal tumor patients

Shuai Zhang, Wan-Ci Li, Jiao Liu, Yu Tang, Dan-Ye Niu

Shuai Zhang, Wan-Ci Li, Department of Interventional, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China

Jiao Liu, Yu Tang, Dan-Ye Niu, Department of Clinical Nutrition, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou 215000, Jiangsu Province, China

Co-first authors: Shuai Zhang and Wan-Ci Li.

Author contributions: Zhang S and Li WC are jointly responsible for data collection and design research, and contributed equally to this work as co-first authors; Liu J, Tang Y, and Niu DY contributed to the analysis of the manuscript; Zhang S, Li WC and Niu DY were involved in the data and writing of this article; and all authors have read and approved the final manuscript.

Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of The First Affiliated Hospital of Soochow University (No. KL901547).

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: No additional data are available.

Corresponding author: Dan-Ye Niu, PhD, Associate Chief Physician, Department of Clinical Nutrition, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, No. 16 Baita West Road, Gusu District, Suzhou 215000, Jiangsu Province, China. niu12748249@126.com

Received: January 10, 2025
Revised: February 18, 2025
Accepted: March 18, 2025
Published online: May 15, 2025
Processing time: 125 Days and 2.2 Hours

Abstract

BACKGROUND

Malnutrition exacerbates the deterioration in patients with advanced gastrointestinal tumors.

AIM

To analyze the effect of enteral nutritional support based on Nutrition Risk Screening 2002 (NRS2002) risk assessment on nutritional function in patients with gastrointestinal tumors.

METHODS

One hundred twelve patients from April 2022 to April 2024 were included for observation and were divided into a control group and an observation group by random number method, 56 each. Both groups received treatment for four consecutive weeks. The control group received routine enteral nutrition support, while the observation group received enteral nutrition support based on the NRS2002 risk assessment. Nutritional function, intestinal mucosal barrier function, quality of life, and complication rate were compared between the two groups. Statistical analysis was completed using SPSS26.0 and Excel.

RESULTS

After nutritional intervention, transferrin, albumin, hemoglobin, and diamine oxidase levels in the observation group were higher than those in the control group, while C-reactive protein, tumor necrosis factor α, and quality of life scores were lower, with significant differences (P < 0.05). There was no significant difference in complications between groups (P > 0.05), but the complication rate was lower in the observation group.

CONCLUSION

Enteral nutritional support based on NRS2002 risk assessment for patients with gastrointestinal tumors positively impacts nutritional status and promotes intestinal mucosal barrier function recovery. Patients’ quality of life improved, and the incidence of adverse reactions decreased, indicating clinical promotion and application value.

Keywords: Gastrointestinal tumors; Nutrition Risk Screening 2002; Risk assessment; Enteral nutrition support; Nutritional function

Core Tip: Effective enteral nutrition support holds utmost significance for tumor patients. In particular, those diagnosed with gastrointestinal tumors often face challenges like malabsorption due to their condition. Adequate enteral nutrition not only provides essential nutrients to maintain strength but also helps boost the immune system, enabling patients to better endure cancer treatments such as chemotherapy and radiotherapy.