Abstract
This chapter explores the prevalence and diagnosis of malnutrition of esophageal cancer patients. Due to metabolic changes of the diagnosis and treatment side effects, importance should be on providing increased calorie and protein needs to prevent loss of lean body mass. Evidence-based research will be provided on enteral nutrition perioperative and postoperative, in addition to advancing diet. Treatment toxicities and interventions are addressed as provided by a registered dietitian.
Keywords
Malnutrition Cancer nutrient needs Lean body mass Evidence based Nutrition Enteral nutrition Registered dietitianReferences
- 1.Straton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, King C, Marinos E. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr. 2004;92:799–808.CrossRefGoogle Scholar
- 2.Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011;8:514–27.PubMedPubMedCentralCrossRefGoogle Scholar
- 3.White JV, Guenter P, Jensen G, Malone A, Schofield M, the Academy Malnutrition Work Group, A.S.P.E.N. Malnutrition Task Force and the A.S.P.E.N. Board of Directors. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enteral Nutr. 2012;36:275–83.PubMedCrossRefGoogle Scholar
- 4.Abbott J, Teleni L, McKavanagh D, Watson J, McCarthy A, Isenring E. Patient-generated subjective global assessment short form (PG-SGA SF) is a valid screening tool in chemotherapy outpatients. Support Care Cancer. 2016;24:3883–7.PubMedCrossRefGoogle Scholar
- 5.Academy’s Oncology Expert Work Group, E. A. (2012).Google Scholar
- 6.Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff S, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36:49–64.PubMedPubMedCentralCrossRefGoogle Scholar
- 7.Arends J, Baracos V, Bertz H, Bozzetti F, Calder P, Deutz N, et al. ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr. 2017;36:1187–96.PubMedCrossRefGoogle Scholar
- 8.Cao D, Wu G, Zhang B, Quan Y, Wei J, Jin H, et al. Resting energy expenditure and body composition in patients with newly detected cancer. Clin Nutr. 2010;29:72–7.PubMedCrossRefGoogle Scholar
- 9.Bosaeus I, Daneryd P, Svanberg E, Lundholm K. Dietary intake, resting energy expenditure in relation to weight loss in unselected cancer patients. Int J Cancer. 2001;93:380–3.PubMedCrossRefGoogle Scholar
- 10.Gangadharan A, Choi SE, Hassan A, Ayoub NM, Durante G, Balwani S, et al. Protein calorie malnutrition, nutritional intervention and personalized cancer care. Oncotarget. 2017;8:24009–30.PubMedPubMedCentralCrossRefGoogle Scholar
- 11.Alves A, Zucnoi CP, Correia MI. Energy expenditure in patients with esophageal, gastric, and colorectal cancer. JPEN J Parenter Enteral Nutr. 2016;40:499–506.CrossRefGoogle Scholar
- 12.Academy EAL. (n.d.).Google Scholar
- 13.Wu J, Huang C, Xiao H, Tang Q, Cai W. Weight loss and resting energy expenditure in male patients with newly diagnosed esophageal cancer. Nutrition. 2013;29:1310–4.PubMedCrossRefGoogle Scholar
- 14.Veronese CB, Guerra LT, Grigolleti SS, Vargas J, Pereira da Rosa AR, Kruel CD. Basal energy expenditure measured by indirect calorimetry in patients with squamous cell carcinoma of the esophagus. Nutr Hosp. 2013;28:142–7.Google Scholar
- 15.Hamilton KK. Oncology nutrition for clinical practice: nutritional needs of the adult oncology patient. Oncology nutrition dietetic practice group of the academy of nutrition and dietetics. 2013.Google Scholar
- 16.Harada K, Ida S, Baba Y, Ishimoto T, Kosumi K, Izumi D, et al. Prognostic and clinical impact of sarcopenia in esophageal squamous cell carcinoma. Dis Esophagus. 2016;29:627–33.PubMedCrossRefGoogle Scholar
- 17.Guinan E, Doyle S, Bennett A, O’Neill L, Gannon J, Elliott J, et al. Sarcopenia during neoadjuvant therapy for oesophageal cancer: characterising the impact on muscle strength and physical performance. Support Care Cancer. 2018;26:1569–76.PubMedGoogle Scholar
- 18.Paireder M, Asari R, Kristo I, Rieder E, Tamandl D, Ba-Ssalamah A, Schoppmann S. Impact of sarcopenia on outcome in patients with esophageal resection following neoadjuvant chemotherapy for esophageal cancer. Eur J Surg Oncol. 2017;43:478–84.PubMedCrossRefGoogle Scholar
- 19.Anandavadivelan P, Brismar TB, Nilsson M, Johar AM, Martin L. Sarcopenic obesity: a probable risk factor for dose limiting toxicity during neo-adjuvant chemotherapy in oesophageal cancer patients. Clin Nutr. 2016;35:724–30.PubMedCrossRefGoogle Scholar
- 20.Rietveld SC, Witvliet-van Nierop J, Ottens-Oussoren K, van der Peet DL, de van der Schueren MA. The prediction of deterioration of nutritional status during chemoradiation therapy in patients with esophageal cancer. Nutr Cancer. 2018;70:1–7.CrossRefGoogle Scholar
- 21.Mak M, Bell K, Ng W, Lee M. Nutritional status, management and clinical outcomes in patients with esophageal and gastro-oesophageal cancers: a descriptive study. Nutr Diet. 2017;74:229–35.PubMedCrossRefGoogle Scholar
- 22.Miyata H, Yano M, Yasuda T, Hamano R, Yamasaki M, Hou E, et al. Randomized study of clinical effect of enteral nutrition support during neoadjuvant chemotherapy on chemotherapy-related toxicity in patients with esophageal cancer. Clin Nutr. 2012;31:330–6.PubMedCrossRefGoogle Scholar
- 23.Miyata H, Yano M, Yasuda T, Yamasaki M, Murakami K, Makino T, et al. Randomized study of the clinical effects of ω−3 fatty acid-containing enteral formula nutrition support during neoadjuvant chemotherapy on chemotherapy related toxicity in patients with esophageal cancer. Nutrition. 2017;33:204–10.PubMedCrossRefGoogle Scholar
- 24.Verma V, Allen PK, Lin SH. Evaluating factors for prophylactic feeding tube placement in gastroesophageal cancer patient undergoing chemoradiotherapy. Font Oncol. 2017;7:235.Google Scholar
- 25.Modi RM, Mikhail S, Ciombor K, Perry KA, Hinton A, Stanich PP, et al. Outcomes of nutritional interventions to treat dysphagia in esophageal cancer: a population based study. Dis Esophagus. 2017;30:1–8.PubMedCrossRefGoogle Scholar
- 26.Cools-Lartigue J, Jones D, Spicer J, Zourikian T, Rousseau M, Eckert E, et al. Management of dysphagia in esophageal adenocarcinoma patients undergoing neoadjuvant chemotherapy: can invasive tube feeding be avoided? Ann Surg Oncol. 2015;22:1858–65.PubMedCrossRefGoogle Scholar
- 27.Deldycke A, Daele EV, Ceelen W, Nieuwenhove YV, Pattyn P. Functional outcome after Ivor Lewis Esophagectomy for cancer. J Surg Oncol. 2015;113:24–8.PubMedCrossRefGoogle Scholar
- 28.Van Der Schaaf M, Tilanus H, Van Lanschot J, Johar A, Lagergren P, Wijnhoven BP. The influence of preoperative weight loss on the postoperative course after esophageal cancer resection. J Thorac Cardiovasc Surg. 2014;147:490–5.PubMedCrossRefGoogle Scholar
- 29.Steenhagen E, van Vulpen JK, Hillegersberg R v, May AM, Siersema PD. Nutrition in peri-operative esophageal cancer management. Expert Rev Gastroenterol Hepatol. 2017;11:663–72.PubMedCrossRefGoogle Scholar
- 30.Sun J, Wang D, Mei Y, Jin H. Value of the prognostic nutritional index in advanced gastric cancer treated with preoperative chemotherapy. J Surg Res. 2017;209:37–44.PubMedCrossRefGoogle Scholar
- 31.Sakai M, Sohda M, Miyazaki T, Yoshida T, Kumakura Y, Honjo H, et al. Association of preoperative nutritional status with prognosis in patients with esophageal cancer undergoing salvage esophagectomy. Anticancer Res. 2018;38:933–8.PubMedGoogle Scholar
- 32.Wong CS, Aly EH. The effects of enteral immunonutrition in upper gastrointestinal surgery: a systemic review and meta-analysis. Int J Surg. 2016;29:137–50.PubMedCrossRefGoogle Scholar
- 33.Omega 3 Supplements: In Depth. (2015, August). Retrieved from National Center for Complementary and Integrative Health: https://nccih.nih.gov/health/omega3/introduction.htm
- 34.Matsuda Y, Habu D, Lee S, Kishida S, Osugi H. Enteral diet enriched with omega 3 fatty acid improves oxygenation after thoracic esophagectomy for cancer: a randomized controlled trial. World J Surg. 2017;41:1584–94.PubMedCrossRefGoogle Scholar
- 35.Benton K, Thomson I, Isenring E, Smithers BM, Agarwal E. An investigation into the nutritional status of patients receiving an enhanced recovery after surgery (ERAS) protocol versus standard care following Oesophagectomy. Support Care Cancer. 2018;26:2057–62.PubMedCrossRefGoogle Scholar
- 36.Ljungqvist O. ERAS—enhanced recovery after surgery: moving. JPEN J Parenter Enteral Nutr. 2014;38:559–66.PubMedCrossRefGoogle Scholar
- 37.Weijs TJ, Berkelmans GH, Nieuwenhuijzen GA, Dolmans AC, Kouwenhoven EA, Rosman C, et al. Immediate postoperative oral nutrition following esophagectomy: a multicenter clinical trial. Ann Thorac Surg. 2016;102:1141–8.PubMedCrossRefGoogle Scholar
- 38.Wang G, Chen H, Liu J, Ma Y, Jin H. A comparison of postoperative early enteral nutrition with delayed enteral nutrition in patients with esophageal cancer. Nutrients. 2015;7:4308–17.PubMedPubMedCentralCrossRefGoogle Scholar
- 39.Baker ML, Halliday V, Robinson P, Smith K, Bowrey DJ. Nutrient intake and contribution of home enteral nutrition to meeting nutritional requirements after oesophagectomy and total gastrectomy. Eur J Clin Nutr. 2017;71:1121–8.PubMedPubMedCentralCrossRefGoogle Scholar
- 40.Martin L, Lagergren P. Long-term weight change after esophageal cancer surgery. Br J Surg. 2009;96:1308–14.PubMedCrossRefGoogle Scholar
- 41.Bowrey D, Baker M, Halliday V, Thomas AL, Pulikottil-Jacob R, Smith K, et al. A randomised controlled trial of six weeks of home enteral nutrition versus standard care after oesophagectomy or total gastrectomy for cancer: a report on a pilot and feasibility study. Trials. 2015;16:531.PubMedPubMedCentralCrossRefGoogle Scholar
- 42.Baker M, Halliday V, Williams RN, Bowrey DJ. A systematic review of the nutritional consequences of esophagectomy. Clin Nutr. 2016;35:987–94.PubMedCrossRefGoogle Scholar
- 43.Donohoe C, Healy L, Fanning M, Doyle S, Mc Hugh A, Moore J, et al. Impact of supplemental home enteral feeding postesophagectomy on nutrition, body composition, quality of life and patient satisfaction. Dis Esopagus. 2017;30:1–9.CrossRefGoogle Scholar
- 44.Zeng J, Hu J, Chen Q, Feng J. Home enteral nutrition’ effect on nutritional status and quality of life after esophagectomy. Asia Pac J Clin Nutr. 2017;26:804–10.PubMedGoogle Scholar
- 45.Wu Z, Wu M, Wang Q, Zhan T, Wang L, Pan S, Chen G. Home enteral nutrition after minimally invasive esophagectomy can improve quality of life and reduce the risk of malnutrition. Asia Pac J Clin Nutr. 2018;27:129–36.PubMedGoogle Scholar
- 46.Choi AH, O’Leary MP, Merchant SJ, Sun V, Chao J, Raz DJ, et al. Complications of feeding jejunostomy tubes in patients with gastroesophageal cancer. J Gastrointest Surg. 2017;21:259–65.PubMedCrossRefGoogle Scholar
- 47.Soriano T, Eslick G, Vanniasinkam T. Long-term nutritional outcome and health related quality of life of patients following esophageal cancer surgery: a meta analysis. Nutr Cancer. 2018;70:192–203.PubMedCrossRefGoogle Scholar
- 48.Anandavadivelan P, Wikman A, Johar A, Lagergren P. Impact of weight loss and eating difficulties in health related quality of life up to 10 years after oesophagectomy for cancer. Br J Surg. 2017;105:410–8.PubMedCrossRefGoogle Scholar
- 49.Ligthart-Melis G, Weijs P, te Boveldt N, Buskermolen S, Earthman C, Verheul H, et al. Dietician-delivered intensive nutritional support is associated with a decreased in severe postoperative complications after surgery in patients with esophageal cancer. Dis Esophagus. 2013;26:587–93.PubMedCrossRefGoogle Scholar
- 50.Alberda C, Korenic-Alvadj T, Mayan M, Gramlich L. Peer support nutrition care in patients with head and neck or esophageal cancer: the patient perspective. Nutr Clin Pract. 2017;32:664–74.PubMedCrossRefGoogle Scholar
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