Construction of a multidisciplinary perioperative nutritional management scheme for endoscopic therapy in patients with biliary tract malignancies
- 1Drum Tower Medical College,Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210008,China
Abstract
Objective To construct a multidisciplinary perioperative nutritional management scheme for patients with biliary tract malignancies undergoing endoscopic therapy,guided by targeted nutrition goals and based on the Nutrition Care Process Model(NCPM). Methods Systematic searches for evidence-based literature were conducted in multiple domestic and international databases,with search terms including"biliary tract malignancy/cholangiocarcinoma/gallbladder cancer"and"nutritional support/nutritional management/enteral and parenteral nutrition/oral nutritional supplementation/diet"in both Chinese and English. The search time range was from database inception to April 2025,and evidence extraction and synthesis were performed on the 13 finally included high-quality articles. Using purposive sampling,13 patients with biliary tract malignancies who received nutritional support during endoscopic treatment at the Department of Gastroenterology,Nanjing Drum Tower Hospital from April to August 2025 were enrolled for semi-structured interviews. Results Combined with findings from literature review and interviews,the first draft of the scheme was formulated. Two rounds of Delphi expert consultation were completed by selected experts from 7 provinces and municipalities,covering fields of hepatobiliary surgery,gastroenterology,clinical nutrition department and nursing［32-35］。(20 experts in the first round and 19 in the second round). A total of 20 questionnaires were distributed in the first round and the second round,with effective response rates of 100% and 95%,and expert authority coefficients of 0.88 and 0.89,respectively. The Kendall 's coefficients of concordance for the importance and operability of items were 0.178,0.177(first round),and 0.079,0.104(second round),respectively(P<0.01). The final scheme consists of 6 primary items,19 secondary items and 38 tertiary items,covering multidisciplinary team management,nutritional risk screening and assessment,comprehensive diagnosis of malnutrition,formulation and implementation of nutritional intervention plans,nutritional monitoring and evaluation,as well as nutritional guidance and follow-up. Conclusion The scheme features scientific validity,reliability and practicability,and covers the whole process of perioperative nutritional management. It can provide a reference for clinical practice and remain to be verified in further clinical application.
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BibTeX
@article{long2026construction,
title = {{Construction of a multidisciplinary perioperative nutritional management scheme for endoscopic therapy in patients with biliary tract malignancies}},
author = {CHENG Long and ZHU Zimeng and LI Ningning and YE Mengdan and SHI Xueping},
journal = {Zhongguo linchuang yanjiu},
year = {2026},
month = oct,
doi = {10.13429/j.cnki.cjcr.2026.10.026},
url = {https://doi.org/10.13429/j.cnki.cjcr.2026.10.026},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Construction of a multidisciplinary perioperative nutritional management scheme for endoscopic therapy in patients with biliary tract malignancies
AU - CHENG Long
AU - ZHU Zimeng
AU - LI Ningning
AU - YE Mengdan
AU - SHI Xueping
PY - 2026
DA - 2026/10/26
JO - Zhongguo linchuang yanjiu
DO - 10.13429/j.cnki.cjcr.2026.10.026
UR - https://doi.org/10.13429/j.cnki.cjcr.2026.10.026
AB - Objective To construct a multidisciplinary perioperative nutritional management scheme for patients with biliary tract malignancies undergoing endoscopic therapy,guided by targeted nutrition goals and based on the Nutrition Care Process Model(NCPM). Methods Systematic searches for evidence-based literature were conducted in multiple domestic and international databases,with search terms including"biliary tract malignancy/cholangiocarcinoma/gallbladder cancer"and"nutritional support/nutritional management/enteral and parenteral nutrition/oral nutritional supplementation/diet"in both Chinese and English. The search time range was from database inception to April 2025,and evidence extraction and synthesis were performed on the 13 finally included high-quality articles. Using purposive sampling,13 patients with biliary tract malignancies who received nutritional support during endoscopic treatment at the Department of Gastroenterology,Nanjing Drum Tower Hospital from April to August 2025 were enrolled for semi-structured interviews. Results Combined with findings from literature review and interviews,the first draft of the scheme was formulated. Two rounds of Delphi expert consultation were completed by selected experts from 7 provinces and municipalities,covering fields of hepatobiliary surgery,gastroenterology,clinical nutrition department and nursing［32-35］。(20 experts in the first round and 19 in the second round). A total of 20 questionnaires were distributed in the first round and the second round,with effective response rates of 100% and 95%,and expert authority coefficients of 0.88 and 0.89,respectively. The Kendall 's coefficients of concordance for the importance and operability of items were 0.178,0.177(first round),and 0.079,0.104(second round),respectively(P<0.01). The final scheme consists of 6 primary items,19 secondary items and 38 tertiary items,covering multidisciplinary team management,nutritional risk screening and assessment,comprehensive diagnosis of malnutrition,formulation and implementation of nutritional intervention plans,nutritional monitoring and evaluation,as well as nutritional guidance and follow-up. Conclusion The scheme features scientific validity,reliability and practicability,and covers the whole process of perioperative nutritional management. It can provide a reference for clinical practice and remain to be verified in further clinical application.
SN - 1674-8182
ER -