nutrient deficiencies in upper gastro-intestinal cancer patients - - PowerPoint PPT Presentation

nutrient deficiencies in upper
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nutrient deficiencies in upper gastro-intestinal cancer patients - - PowerPoint PPT Presentation

The prevalence of micro- nutrient deficiencies in upper gastro-intestinal cancer patients after treatment with surgery and chemotherapy Stephanie Wakefield Upper GI Dietitian Micronutrients Fat malabsorption vitamins A,D,E pH


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SLIDE 1

The prevalence of micro- nutrient deficiencies in upper gastro-intestinal cancer patients after treatment with surgery and chemotherapy

Stephanie Wakefield – Upper GI Dietitian

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SLIDE 2

Micronutrients

  • Fat malabsorption – vitamins A,D,E
  • pH changes – iron, vitamin B1, B12, folic

acid

  • Free radicals – vitamins A & E
  • Duodenal bypass, bacterial overgrowth,

decreased transit time, reduced IF, impaired pancreatic secretion

  • Previous studies include small patient

numbers and are dated

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SLIDE 3

Methodology

  • Invite all cancer-free post-surgery patients
  • Single visit study linked in with OPA
  • Blood sample and interview to assess:

alcohol intake, smoking habit, bowel function, pancreatic enzyme therapy, multivitamin, B12 injection, PPI, iron supplementation

  • Gender, age, weight, BMI, weight loss
  • Operation type, chemotherapy regime
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SLIDE 4

Timelines

  • August 2010: Ethics application
  • October 2010 – March 2011: Recruit
  • April – May 2011: Data analysis
  • June – September 2011: Write up
  • November 2011: Publish and Present
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SLIDE 5

Thank you for listening