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The Potential Use of a Ketogenic Diet in Pancreatobiliary Cancer Patients After Pancreatectomy.

Authors
  • Ok, Ju Hye1
  • Lee, Hosun1
  • Chung, Hae-Yun2
  • Lee, Sung Hwan3, 4
  • Choi, Eun Jeong5
  • Kang, Chang Moo6, 4
  • Lee, Song Mi7
  • 1 Department of Nutrition Care, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea. , (North Korea)
  • 2 Department of Food and Nutrition, Soongeui Women's University, Seoul, Republic of Korea. , (North Korea)
  • 3 Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea. , (North Korea)
  • 4 Pancreatobiliary Cancer Center, Yonsei Cancer Center, Severance Hospital, Seoul, Republic of Korea. , (North Korea)
  • 5 Department of Food and Nutrition, Hanyang Women's University, Seoul, Republic of Korea. , (North Korea)
  • 6 Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea [email protected] [email protected] , (North Korea)
  • 7 Department of Nutrition Care, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea [email protected] [email protected] , (North Korea)
Type
Published Article
Journal
Anticancer Research
Publisher
International Institute of Anticancer Research
Publication Date
Nov 01, 2018
Volume
38
Issue
11
Pages
6519–6527
Identifiers
DOI: 10.21873/anticanres.13017
PMID: 30396981
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

High-carbohydrate diets are generally provided to post-pancreatectomy cancer patients. Low energy density of this diet may obstruct proper energy intake and recovery. This study aimed to assess the effects of high-fat, high-energy ketogenic diet (KD) in these patients. After pancreatectomy, 9 patients were provided with general diet (GD) while 10 were served KD. Meal compliance, energy intake rate, meal satisfaction and presence of complications were monitored throughout hospital stay. Data on nutritional status, serum lipids and body composition were collected and compared between groups. Meal compliance, energy intake rate and meal satisfaction score were higher in KD. There were no differences in complications, nutritional status and serum lipids. The decrease in body cell mass (BCM) was greater in GD. Post-pancreatectomy cancer patients who consumed KD had a higher energy intake and BCM. These results suggest the potential use of KD as an adjuvant anti-cancer therapy. Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

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