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[Nutritional support in laryngectomized patients].
M R Olóriz Rivas1, A Domínguez Vázquez
1DUE, Unidad de Nutrición, Hospital Universitario Marqués de Valdecilla, Santander.
Nutricion Hospitalaria
|July 1, 1992
Summary
Neck tumor patients often develop malnutrition post-surgery. Hospital diets did not significantly impact nutritional status in laryngectomized patients, suggesting surgery type and tumor location are key factors.
Area of Science:
- Oncology
- Surgical Pathology
- Nutritional Science
Background:
- Neck tumors are significant neoplasms often leading to malnutrition.
- Factors like alcohol, smoking, tumor location, and prior treatments exacerbate malnutrition.
- Postoperative nutritional status is critical for recovery in laryngectomized patients.
Purpose of the Study:
- To analyze the effect of hospital diets on malnutrition in postoperative laryngectomized patients.
- To identify factors influencing malnutrition development after laryngeal cancer surgery.
Main Methods:
- Study included 49 patients with laryngeal epidermoid carcinoma undergoing various laryngectomies.
- Patients were randomly assigned to receive either a conventional diet (21 patients) or a commercial enteral diet (28 patients).
- Nutritional status was assessed postoperatively.
Main Results:
- A high incidence of malnutrition was observed one week after surgery, persisting throughout hospitalization.
- The type of diet administered (conventional vs. enteral) showed no significant influence on nutritional state.
- Malnutrition incidence may be influenced by surgical type, tumor location (pyriform sinus), and complication rates.
Conclusions:
- Hospital diets had no discernible effect on preventing malnutrition in this patient group.
- Surgical factors and tumor characteristics appear more critical in the development of malnutrition.
- Further research into optimizing nutritional support considering surgical specifics is warranted.