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Nutritional care for these long-term survivors rarely emphasizes micronutrient deficiency surveillance and targeted supplementation. This scoping review synthesizes recommendations for monitoring and supplementing vitamins and minerals after curative-intent UGI cancer surgery. It identifies limited, inconsistent guidance, with few detailed long-term survivorship recommendations.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/recommendations-on-the-surveillance-and-supplementation-of-vitamins-and-minerals-for-upper-gastrointestinal-cancer-survivors-a-scoping-review/338760/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/recommendations-on-the-surveillance-and-supplementation-of-vitamins-and-minerals-for-upper-gastrointestinal-cancer-survivors-a-scoping-review/338760.png","ImageObject",300,407,{"name":92,"@type":93},"Ophelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the main goal of this scoping review?","Question",{"text":112,"@type":113},"To explore literature recommendations for long-term surveillance and supplementation of vitamins and minerals in upper gastrointestinal (UGI) cancer survivors after curative-intent surgery.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were studies selected for the review?",{"text":117,"@type":113},"Using the Joanna Briggs Institute scoping review methodology, the review searched six databases and cancer-related organisation websites, including publications from 2010 to March 2024 with adult UGI cancer survivor recommendations.",{"name":119,"@type":110,"acceptedAnswer":120},"Which micronutrients were most consistently recommended?",{"text":121,"@type":113},"Vitamin B12 and iron were the most consistently recommended micronutrients across the tumour groups included.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},338760,1790115948,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":36},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","Journal of Cancer Survivorship (2024) 20:506–521 [https://doi.org/10.1007/s1](https://doi.org/10.1007/s1) 1764-024-01666-4  \nRecommendations on the surveillance and supplementation  \nof vitamins and minerals for upper gastrointestinal cancer survivors: a scoping review  \nSim Yee (Cindy) Tan1,2,3 · Tiffany Tsoukalas4 · Kirsten Javier5 · Tiffany Fazon6 · Sheena Singh3 · Janette Vardy1,2  \nReceived: 5 July 2024 / Accepted: 17 August 2024 / Published online: 29 August 2024 © The Author(s) 2024  \nAbstract  \nBackground Early-stage upper gastrointestinal (UGI) cancer patients, after surgery, have altered gastrointestinal functions, compromising their nutritional status and health outcomes. Nutritional care provision to UGI survivors rarely focuses on long-term survivorship. Here, we explore recommendations for surveillance of micronutrient deficiency and supplementation for UGI cancer survivors after surgery.  \nMethods A scoping review, based on the Joanna Briggs Institute methodology for scoping reviews. Six databases (Medline, Embase, CINAHL, Cochrane, Scopus, and PsycINFO) and 21 cancer-related organisation websites were searched. Publications between 2010 and March 2024 with recommendations aimed at adult UGI cancer (oesophageal, gastric, pancreatic, small bowel, and biliary tract) survivors were included.  \nResults Twenty-six publications met the selection criteria: 11 reviews (8 narrative reviews, 2 systematic, 1 meta-analysis), 7 expert opinions, 6 guidelines, and 2 consensus papers. Twenty-two publications recommended monitoring of micronutrient deficiencies, and 23 suggested supplementation, with 8 lacking details. Most were targeted at patients with gastric cancer (n = 19), followed by pancreatic cancer (n = 7) and oesophageal cancer (n = 3) with none for biliary tract and small bowel cancers. Vitamin B12 and iron were the most consistently recommended micronutrients across the three tumour groups. Conclusion Limited publications recommend surveillance of micronutrient status in UGI cancer survivors during the survivorship phase, especially for oesophageal and pancreatic cancer survivors; most were narrative reviews. These recommendations lacked details, and information was inconsistent.  \nImplications for cancer survivors Long-term UGI cancer survivors are at risk of micronutrient deficiency after surgery. A standardised approach to prevent, monitor, and treat micronutrient deficiencies is needed.  \nKeywords Upper gastrointestinal cancer · Survivorship care · Micronutrient deficiencies · Mineral and vitamin supplements · Cancer survivors  \nSim Yee (Cindy) Tan, Tiffany Tsoukalas, and Kirsten Javier contributed equally to this work.  \n* Sim Yee (Cindy) Tan [sim.tan@sydney.edu.au](sim.tan@sydney.edu.au)  \n1 Sydney Medical School, University of Sydney, Concord, NSW, Australia  \n2 Concord Cancer Centre, Concord Hospital, Concord, NSW, Australia  \n3 Nutrition and Dietetics Department, Concord Hospital, Concord, NSW, Australia  \n4 Discipline of Nutrition and Dietetics, Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia  \n5 Cowra Community Health, Cowra Health Service, Cowra, NSW, Australia  \n6 Psycho-Oncology Cooperative Research Group (PoCOG), School of Psychology, Faculty of Science, University of Sydney, Camperdown, NSW, Australia  \nIntroduction  \nIn recent years, the 5-year survival rate of patients with early-stage upper gastrointestinal (UGI) cancer has improved. In Australia, gastric and pancreatic cancer 5-year relative survival rates improved from 21 to 38% and from 3.7 to 13%, between 1990 and 1994 and between 2015 and 2019, respectively [1, 2] . Similarly, between 1989 and 1993 and between 2014 and 2018, there was a 9% improvement (from 14 to 23%) in the 5-year relative survival for oesophageal cancer [3]. Whilst this improvement in patient survival is reflective of current medical advancements in screening and treatment, UGI cancer patients frequently experience long-ter","cbCaieD7L3vRxULK","https://ap.wps.com/l/cbCaieD7L3vRxULK","pdf",881193,16,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion\n## Implications","[{\"question\":\"What is the main goal of this scoping review?\",\"answer\":\"To explore literature recommendations for long-term surveillance and supplementation of vitamins and minerals in upper gastrointestinal (UGI) cancer survivors after curative-intent surgery.\"},{\"question\":\"How were studies selected for the review?\",\"answer\":\"Using the Joanna Briggs Institute scoping review methodology, the review searched six databases and cancer-related organisation websites, including publications from 2010 to March 2024 with adult UGI cancer survivor recommendations.\"},{\"question\":\"Which micronutrients were most consistently recommended?\",\"answer\":\"Vitamin B12 and iron were the most consistently recommended micronutrients across the tumour groups included.\"}]","Recommendations on the surveillance and supplementation of vitamins and minerals for upper gastrointestinal cancer survivors: a scoping review | PDF",1790025482]