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Colorectal cancer: case study Presented by Anna Beaumont, APD

The case: Mr J B is a 63yr old man who was diagnosed with locally advanced (peritoneum, bladder wall) rectosigmoid junction cancer (Stage IV, T3, N2). Anna describes the general goals of nutritional therapy in cancer patients undergoing colorectal surgery:

  1. Optimise nutritional status prior to surgery
  2. Minimise the stress response to surgery
  3. Promote return of gut function
  4. Provide adequate energy and protein to facilitate optimal protein synthesis (healing and recovery)
  5. Manage nutrition related side effects of surgery and maintain quality of life
  6. Restore any nutritional deficits
  7. Provide diet advice for cancer survivorship

She then gives a specific description of the nutritional management and progress of Mr JB. This case study provides wonderful clinical guidance for dietitians working with oncology clients.

Anna Beaumont is a senior dietitian at the Peter MacCallum Cancer centre in Melbourne. She has worked as a clinical dietitian for over 12 years, which has included working in a number of tertiary teaching hospitals in Australia and the UK. Anna has worked across a wide variety of clinical areas but for the last few years has specialised in colorectal surgery and has an interest in Enhanced Recovery After Surgery initiatives.

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