{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:07:10Z","timestamp":1787238430397,"version":"build-2736575974"},"reference-count":29,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T00:00:00Z","timestamp":1668124800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fresenius Kabi, Barcelona, Spain"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>A survey study based on a 21-item questionnaire was conducted to assess knowledge and practices of digestive surgeons focused on nutritional support in gastrointestinal cancer patients. At least 5 staff digestive surgeons from 25 tertiary care hospitals throughout Spain were invited to participate and 116 accepted. Malnutrition was correctly defined by 81.9% of participants. In patients undergoing major abdominal surgery, 55.2% considered that preoperative nutritional support is indicated in all patients with malnutrition for a period of 7\u201314 days. For the diagnosis of malnutrition, only 18.1% of participants selected unintentional weight loss together with a fasting or semi-fasting period of more than one week. Regarding the advantages of enteral infusion, 93.7% of participants considered preservation of the integrity of the intestinal mucosa and barrier function, and in relation to peripheral parenteral nutrition, 86.2% selected the definition of nutrient infusion through a peripheral vein and 81.9% its indication for less than 7 days. Digestive surgeons had a limited knowledge of basic aspects of clinical nutrition in cancer patients, but there was some variability regarding clinical practice in individual cases. These findings indicate the need to develop standardized clinical protocols as well as a national consensus on nutrition support in cancer patients.<\/jats:p>","DOI":"10.3390\/nu14224764","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T04:21:45Z","timestamp":1668399705000},"page":"4764","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Knowledge and Practices of Digestive Surgeons concerning Specialized Nutritional Support in Cancer Patients: A Survey Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4335-7208","authenticated-orcid":false,"given":"Manuel","family":"Dur\u00e1n-Poveda","sequence":"first","affiliation":[{"name":"Department of Digestive and General Surgery, Hospital Universitario Rey Juan Carlos, 28933 M\u00f3stoles, Spain"},{"name":"Department of Medical Specialties and Public Health, Universidad Rey Juan Carlos, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1139-8547","authenticated-orcid":false,"given":"Alejandro","family":"Su\u00e1rez-de-la-Rica","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Surgical Critical Care, Hospital Universitario, La Paz, 28046 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Cancer Minchot","sequence":"additional","affiliation":[{"name":"Service of Endocrinology and Nutrition, Hospital Universitario de Fuenlabrada, 28942 Fuenlabrada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Oc\u00f3n-Bret\u00f3n","sequence":"additional","affiliation":[{"name":"Service of Endocrinology and Nutrition, Hospital Cl\u00ednico Universitario \u201cLozano Blesa\u201d, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"S\u00e1nchez-Pernaute","sequence":"additional","affiliation":[{"name":"Department of Digestive and General Surgery, Hospital Cl\u00ednico San Carlos, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil","family":"Rodr\u00edguez-Caravaca","sequence":"additional","affiliation":[{"name":"Department of Medical Specialties and Public Health, Universidad Rey Juan Carlos, 28922 Alcorc\u00f3n, Spain"},{"name":"Service of Preventive Medicine, Hospital Universitario Fundaci\u00f3n Alcorc\u00f3n, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.1016\/j.ejon.2005.09.006","article-title":"Cancer-associated malnutrition","volume":"9","year":"2005","journal-title":"Eur. 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