胰腺外科围手术期全程化营养管理指南 (2024 版)

标题: 胰腺外科围手术期全程化营养管理指南 (2024 版)
title: Guidelines for whole-course nutrition management in pancreatic surgery (2024 edition)
版本: 原创版
version: Original
分类: 标准指南
classification: Standard guideline
领域: 诊疗
field: Diagnosis and Treatment
国家和地区: 中国
Country and region: China
指南使用者: 胰腺外科医生,营养医师
Guide users: pancreatic surgeons,physicians from the department of nutrition
证据分级方法: 牛津循证医学中心:证据等级(2009年3月)(https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009)
Evidence grading method: Oxford Centre for Evidence-Based Medicine: Levels of Evidence (March 2009)(https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009)
制定单位: 北京医院,国家老年医学中心
Formulating unit: Beijing Hospital,National Center of Geriatrics
注册时间: 2022-06-25
Registration time:
注册编号: IPGRP-2022CN365
Registration number:
指南制订的目的: 胰腺外科手术复杂,营养不良等营养相关问题发生率高。 2020年,本项目负责人协同中华医学会肠外肠内营养学分会与中华医学会外科学分会胰腺外科学组专家对全国22个省64家三甲医院的96名医生进行了胰十二指肠切除围手术期营养管理的快照式调查,发现国内营养支持的问题。着手制订《胰腺外科围手术期全程化营养管理中国专家共识(2020版)》并在《中华消化外科杂志》发表。该共识共计8部分,42条推荐意见,得到广泛认可。但该共识也存在一些争论与不足,均暂予搁置。 近年来,更多的高证据级别研究发表。因此,在与中华医学会肠外肠内营养学分会与中华医学会外科学分会胰腺外科学组以及《中华消化外科杂志》专家探讨后,拟通过本指南项目,将该共识升级成为指南,以进行更高级别推荐,促进合理营养支持的发展,最终使患者获益。
Purpose of the guideline: Pancreatic surgery is complex, and the incidence of malnutrition and other nutrition related problems is high. In 2020, the project leader, together with the experts from the pancreatic surgery group of the Chinese Medical Association and CSPEN, conducted a snapshot survey on the perioperative nutrition management of pancreaticoduodenectomy among 96 doctors from 64 class III hospitals in 22 provinces, and found the problems of nutrition support. The Chinese expert consensus on perioperative nutrition management in pancreatic surgery (2020 Edition) was formulated and published in the Chinese Journal of Digestive Surgery. The consensus consists of 8 parts and 42 recommendations, which have been widely recognized. However, there are also some controversies and deficiencies in the consensus, which have been put on hold temporarily. In recent years, more high-level evidence studies have been published. Therefore, after discussing with experts who made the consensus, it is proposed to upgrade the consensus into a guideline, so as to make higher-level recommendations, promote the development of reasonable nutritional support, and ultimately benefit patients.