Nutritional concepts in the treatment of head and neck malignancies.
Head Neck Surg, 1979/3-1979/4;1(4):350-65.
Copeland EM 3rd, Daly JM, Dudrick SJ
PMID: 115811
Abstract
Cancer cachexia should no longer be a contraindication to adequate antineoplastic treatment. Current methods of nutritional assessment allow one to identify malnutrition and to follow the nutritional status of the patient throughout the cancer-management program. Enteral nutritional repletion and maintenance remain the ideal course of action, but the gastrointestinal tract is not always readily available or advisable for use; in such circumstances, intravenous hyperalimentation (IVH) may be indicated. The properly nourished patient better tolerates cancer therapy, experiences fewer complications of malnutrition (e.g., sepsis and poor wound healing), and has a better-functioning immune system than does his malnourished counterpart. This article reviews methods of nutritional assessment, delineates indications and techniques for nutritional repletion, and summarizes the results obtained.
MeSH terms
Dietary Proteins; Energy Intake; Enteral Nutrition; Gastrostomy; Head and Neck Neoplasms; Health Status; Humans; Immunity; Intubation, Gastrointestinal; Jejunum; Medical History Taking; Nutritional Physiological Phenomena; Parenteral Nutrition, Total; Physical Examination; Protein-Energy Malnutrition
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