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Problems of cachexia in outpatient practice

Abstract

Cachexia often develops with oncological diseases, and can also accompany other somatic pathologies. Cachexia affects the effectiveness of treatment and worsens the prognosis of the underlying disease. The article analyzes the etiopathogenesis of cachexia, classification and its clinical manifestations. We consider gastroenterological disorders and metabolic disorders that develop with cachexia and require complex treatment. Therapeutic measures for cachexia include diet therapy, drug therapy, the use of nutrient mixtures. The article proposes modern ways of introducing enteral nutritional mixtures, as well as an algorithm for selecting nutrient mixtures in various situations.

About the Authors

N. V. Orlova
Russian National Research Medical University n.a. N. I. Pirogov
Russian Federation


O. V. Bykova
Russian National Research Medical University n.a. N. I. Pirogov
Russian Federation


R. S. Yagubyan
Russian National Research Medical University n.a. N. I. Pirogov
Russian Federation


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Review

For citations:


Orlova N.V., Bykova O.V., Yagubyan R.S. Problems of cachexia in outpatient practice. Medical alphabet. 2018;1(12):31-36. (In Russ.)

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)