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Optimization of nutrition support practices early after hematopoietic cell transplantation

Bone Marrow Transplantation volume 56, pages 314–326 (2021)Cite this article

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Abstract

Nutrition support is often required during hematopoietic cell transplant (HCT) given the gastrointestinal toxicity that frequently precludes adequate protein-calorie intake. This article reviews the latest evidence for enteral versus parenteral nutrition in the adult and pediatric HCT population and addresses key considerations as well as barriers to implement this in practice. Registered Dietitian Nutritionists are key members of the interdisciplinary team to proactively manage enteral nutrition support to provide timely, adequate protein and calories to help prevent malnutrition, loss of lean body mass, and functional decline as well as provide evidence-based diet recommendations. This article also reviews emerging research supporting the role of luminal nutrients to maintain microbiotal diversity.

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Authors and Affiliations

  1. Seattle Cancer Care Alliance, Seattle, WA, USA

    Kerry K. McMillen

  2. Stanford Health Care, Stanford, CA, USA

    Tara Coghlin-Dickson

  3. Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Peter A. Adintori

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  1. Kerry K. McMillen
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  2. Tara Coghlin-Dickson
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  3. Peter A. Adintori
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Correspondence to Kerry K. McMillen.

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McMillen, K.K., Coghlin-Dickson, T. & Adintori, P.A. Optimization of nutrition support practices early after hematopoietic cell transplantation. Bone Marrow Transplant 56, 314–326 (2021). https://doi.org/10.1038/s41409-020-01078-9

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  • DOI: https://doi.org/10.1038/s41409-020-01078-9

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