Enteral nutritional support of the patient with cancer: Route and role Journal Article
| Author: | Schattner, M. |
| Article Title: | Enteral nutritional support of the patient with cancer: Route and role |
| Abstract: | Malnutrition is a common and significant problem in patients with cancer. Enteral nutrition support is an important therapy and is preferred over parenteral nutrition in the setting of a functional gastrointestinal tract. Familiarity with the indications for enteral support, the choice of an enteral access device, and the selection of an enteral formula are critical for the care of patients with cancer and malnutrition. Enteral nutrition has proven efficacy in patients receiving radiation to the head and neck, those with persistent dysphagia, and critically ill patients with impaired gastric emptying. Placement of feeding tubes through the nose or percutaneously provides a mechanism to deliver nutrients when proximal obstructions or oropharyngeal dysphagia prevent adequate oral intake. Direct access to the jejunum can be safely obtained endoscopically and is very useful in patients who require enteral nutrition support following a gastrectomy or esophagectomy or have impaired gastric emptying. Standard polymeric formulas are appropriate for most patients. Specialized formulas designed to enhance immune function may decrease infectious complications but do not improve survival. |
| Keywords: | treatment outcome; clinical trial; review; treatment planning; cancer radiotherapy; postoperative care; follow-up studies; treatment indication; medical decision making; immune system; risk assessment; dysphagia; head and neck neoplasms; esophagus resection; gastrectomy; intermethod comparison; safety; malnutrition; stomach carcinoma; stomach neoplasms; esophagus carcinoma; esophageal neoplasms; head and neck carcinoma; jejunum; critical illness; enteral nutrition; enteric feeding; intubation, gastrointestinal; nutritional requirements; parenteral nutrition; nasogastric tube; device infection; nutritional support; stomach emptying; cancer; humans; human; male; female; priority journal; enteral nutritional support |
| Journal Title: | Journal of Clinical Gastroenterology |
| Volume: | 36 |
| Issue: | 4 |
| ISSN: | 0192-0790 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2003-04-01 |
| Start Page: | 297 |
| End Page: | 302 |
| Language: | English |
| DOI: | 10.1097/00004836-200304000-00004 |
| PUBMED: | 12642734 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 25 September 2014 -- Source: Scopus |
