Journal of the Academy of Nutrition and Dietetics · 2026
Managing Nutrition After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (CRS-HIPEC): A Qualitative Study of Colorectal Cancer Survivors' and Caregivers' Experiences.
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Turner Kea, Tabriz Amir Alishahi, Su Ryan Chi-Hsuan, Small Brent J, Hume Emma, Sprow Olivia, Santiago Christina, Permuth Jennifer B, Powers Benjamin D, Deneve Jeremiah L, Dineen Sean P
Аннотация
BACKGROUND: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is a potentially curative treatment for peritoneal metastasis in colorectal cancer. The procedure is extensive, and colorectal cancer survivors experience prolonged nutrition-impact symptoms and significant weight loss.
OBJECTIVE: The aim of this study was to explore colorectal cancer survivors' and caregivers' experiences with managing nutrition after the CRS-HIPEC procedure.
DESIGN: A qualitative descriptive design was used to gain insight into colorectal cancer survivors' and caregivers' experiences with nutrition.
PARTICIPANTS/SETTING: Participants included 20 colorectal cancer survivors who underwent CRS-HIPEC in the past 3-12 months and 10 colorectal cancer caregivers at a single cancer center. Semi-structured interviews were conducted in 2024 and 2025 by videoconference.
ANALYSIS: Interviews were recorded, transcribed verbatim, and analyzed using rapid qualitative analysis.
RESULTS: Four key themes were observed: (1) Nutrition-impact symptoms, such as diarrhea, early satiety, and pain, were more severe and lasted longer after the CRS-HIPEC procedure than anticipated; (2) After the procedure, survivors had difficulty purchasing, preparing, and eating food, which led to anxiety and frustration; (3) Caregivers struggled to implement nutrition guidance from the care team and expressed a desire for more tailored resources, such as recipes and meal plans tailored based on the surgical procedure (eg, presence of colostomy); and (4) The timing and continuity of registered dietitian nutritionist support affected readiness for self-managing nutrition after the procedure.
CONCLUSIONS: Early and proactive registered dietitian nutritionist support may help colorectal cancer survivors and caregivers cope with nutrition challenges after CRS-HIPEC. Future interventions are needed to test early and proactive delivery of nutrition counseling and tailored nutrition education based on the surgical procedure (eg, colostomy).
OBJECTIVE: The aim of this study was to explore colorectal cancer survivors' and caregivers' experiences with managing nutrition after the CRS-HIPEC procedure.
DESIGN: A qualitative descriptive design was used to gain insight into colorectal cancer survivors' and caregivers' experiences with nutrition.
PARTICIPANTS/SETTING: Participants included 20 colorectal cancer survivors who underwent CRS-HIPEC in the past 3-12 months and 10 colorectal cancer caregivers at a single cancer center. Semi-structured interviews were conducted in 2024 and 2025 by videoconference.
ANALYSIS: Interviews were recorded, transcribed verbatim, and analyzed using rapid qualitative analysis.
RESULTS: Four key themes were observed: (1) Nutrition-impact symptoms, such as diarrhea, early satiety, and pain, were more severe and lasted longer after the CRS-HIPEC procedure than anticipated; (2) After the procedure, survivors had difficulty purchasing, preparing, and eating food, which led to anxiety and frustration; (3) Caregivers struggled to implement nutrition guidance from the care team and expressed a desire for more tailored resources, such as recipes and meal plans tailored based on the surgical procedure (eg, presence of colostomy); and (4) The timing and continuity of registered dietitian nutritionist support affected readiness for self-managing nutrition after the procedure.
CONCLUSIONS: Early and proactive registered dietitian nutritionist support may help colorectal cancer survivors and caregivers cope with nutrition challenges after CRS-HIPEC. Future interventions are needed to test early and proactive delivery of nutrition counseling and tailored nutrition education based on the surgical procedure (eg, colostomy).