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Biol Blood Marrow Transplant. 2015 Oct;21(10):1707-13. doi: 10.1016/j.bbmt.2015.07.003. Epub 2015 Jul 11.

Systematic Nutritional Support in Allogeneic Hematopoietic Stem Cell Transplant Recipients.

Author information

1
Department of Internal Medicine II, Division of Hematology, University Hospital of Würzburg, Würzburg, Germany; Division of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan. Electronic address: sfuji@ncc.go.jp.
2
Department of Internal Medicine II, Division of Hematology, University Hospital of Würzburg, Würzburg, Germany.
3
Hematology and Stem Cell Transplantation Section, Division of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center and Veterans Affairs Medical Center, Nashville, Tennessee.

Abstract

Allogeneic hematopoietic stem cell transplantation (HSCT) has become an established treatment modality for various hematological diseases. However, in allogeneic HSCT, patients often suffer from severe gastrointestinal complications caused by the conditioning regimen and acute/chronic graft-versus-host disease, which requires support by multidisciplinary nutritional support teams (NST). In addition, pretransplantation nutritional status can affect the clinical outcome after allogeneic HSCT. Therefore, it is important to refer the patient to a NST when becoming aware of nutritional problems before allogeneic HSCT. It is also important to follow nutritional status over the long term, as patients often suffer from various nutritional problems, such as malnutrition and metabolic syndrome, even late after allogeneic HSCT. In summary, NST can contribute to the improvement of nutritional status and possibly prognosis at every stage before and after allogeneic HSCT. Here, we aim to give a comprehensive overview of current understanding about nutritional support in allogeneic HSCT and try to provoke a constructive discussion to stimulate further investigation.

KEYWORDS:

Hematopoietic stem cell transplantation; Hyperglycemia; Long-term follow-up; Nutritional support

PMID:
26172477
DOI:
10.1016/j.bbmt.2015.07.003
[Indexed for MEDLINE]
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