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Diet and Nutritional Considerations

  • Adharsh Anand
  • Deepak Balasubramanian
Chapter

Abstract

Any condition that causes dysphagia can directly reduce dietary intake and impair nutrition. The complex process that allows for the safe passage of masticated food boluses through the pharynx and esophagus for subsequent digestion and absorption can be disrupted by several pathologic phenomena caused by a disease or the toxic effects of the treatment for the disease. Moreover, malnutrition can worsen the dysphagia itself, leading to increased morbidity and mortality, thus causing a vicious cycle.

References

  1. 1.
    Alshadwi A, Nadershah M, Carlson ER, Young LS, Burke PA, Daley BJ. Nutritional considerations for head and neck cancer patients: a review of the literature. J Oral Maxillofac Surg. 2013;71:1853–60.CrossRefGoogle Scholar
  2. 2.
    O’Neill JP, Shaha AR. Nutrition management of patients with malignancies of the head and neck. Surg Clin North Am. 2011;91:631–9.CrossRefGoogle Scholar
  3. 3.
    van der Schuer v B-d, van Leeuwen PA, Kuik DJ, Klop WM, Sauerwein HP, Snow GB, Quak JJ. The impact of nutritional status on the prognoses of patients with advanced head and neck cancer. Cancer. 1999;86:519–27.CrossRefGoogle Scholar
  4. 4.
    Martin Villares C. Nutritional status in head and neck cancer patients: the impact on the prognoses. Nutr Hosp. 2003;18:91–4.PubMedGoogle Scholar
  5. 5.
    Smale BF, Mullen JL, Buzby GP, et al. The efficacy of nutritional assessment and support in cancer surgery. Cancer. 1981;47:2375–81.CrossRefGoogle Scholar
  6. 6.
    Mullen JL. Consequences of malnutrition in the surgical patient. Surg Clin North Am. 1981;61:465–73.CrossRefGoogle Scholar
  7. 7.
    Van Cutsem E, Arends J. The causes and consequences of cancer-associated malnutrition. Eur J Oncol Nurs. 2005;9(Suppl 2):S51–63.CrossRefGoogle Scholar
  8. 8.
    Mehanna H, Nankivell PC, Moledina J, Travis J. Refeeding syndrome—awareness, prevention and management. Head Neck Oncol. 2009;1:4.CrossRefGoogle Scholar
  9. 9.
    Nakahara WA. Chemical basis for tumor-host relations. J Natl Cancer Inst. 1960;24:77–86.PubMedGoogle Scholar
  10. 10.
    Langstein H, et al. Reversal of cancer cachexia by antibodies to interferon- gamma but not cachectin-tumor necrosis factor. Surg Forum. 1989;40:408.Google Scholar
  11. 11.
    Ehrsson YT, Langius Eklof A, Bark A, Laurell G. Percutaneous endoscopic gastrostomy? A long- term follow up study in head and neck cancer patients. Clin Otolaryngol. 2004;29:740–6.CrossRefGoogle Scholar
  12. 12.
    Beaver ME, Myers JN, Griffenberg L, Waugh K. Percutaneous fluoroscopic gastrostomy tube placement in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg. 1998;124:1141–4.CrossRefGoogle Scholar
  13. 13.
    Baker JP, Detsky AS, Wesson DE, et al. Nutritional assessment: a comparison of clinical judgment and objective measurements. N Engl J Med. 1982;306:969–72.CrossRefGoogle Scholar
  14. 14.
    Gabrielson DK, Scaffidi D, Leung E, et al. Use of an abridged scored patient- generated subjective global assessment (abPG-SGA) as a nutritional screening tool for cancer patients in an outpatient setting. Nutr Cancer. 2013;65:234–9.CrossRefGoogle Scholar
  15. 15.
    Vidal-Casariego A, Calleja-Fernández A, Villar-Taibo R, Kyriakos G, Ballesteros-Pomar MD. Efficacy of arginine-enriched enteral formulas in the reduction of surgical complications in head and neck cancer: a systematic review and meta-analysis. Clin Nutr. 2014;33(6):951–7.CrossRefGoogle Scholar
  16. 16.
    Buijs N, van der Schueren v B-d, Langius JA, Leemans CR, Kuik DJ, Vermeulen MA, van Leeuwen PA. Perioperative arginine-supplemented nutrition in malnourished patients with head and neck cancer improves long-term survival. Am J Clin Nutr. 2010;92(5):1151–6.CrossRefGoogle Scholar
  17. 17.
    Mekhail TM, Adelstein DJ, Rybicki LA, et al. Enteral nutrition during the treatment of head and neck carcinoma. Cancer. 2001;91:1785–90.CrossRefGoogle Scholar
  18. 18.
    Iro H, Fietkau R, Kolb S, Nitsche N. Nutrition of ENT tumor patients treated with radiotherapy. Comparison of oral and enteral nutrition using percutaneous gastrostomy. HNO. 1989;37:343–8.PubMedGoogle Scholar
  19. 19.
    Lee H, Havrila C, Bravo V, Shantz K, Diaz K, Larner J, Read P. Effect of oral nutritional supplementation on weight loss and percutaneous endoscopic gastrostomy tube rates in patients treated with radiotherapy for oropharyngeal carcinoma. Support Care Cancer. 2008;16:285–9.CrossRefGoogle Scholar
  20. 20.
    Nguyen NP, North D, Smith HJ, Dutta S, Alfieri A, Karlsson U, Lee H, Martinez T, Lemanski C, Nguyen LM, Ludin A, Sallah S. Safety and effectiveness of prophylactic gastrostomy tubes for head and neck cancer patients undergoing chemoradiation. Surg Oncol. 2006;15:199–203.CrossRefGoogle Scholar
  21. 21.
    Wiggenraad RG, Flierman L, Goosens A, Brand R, Verschuur HP, Croll GA, Moser LE, Vriesendorp R. Prophylactic gastrostomy placement and early tube feeding may limit the loss of weight during chemoradiotherapy for advanced head and neck cancer, a preliminary study. Clin Otolaryngol. 2007;32:384–90.CrossRefGoogle Scholar
  22. 22.
    Ravasco P, Monteiro-Grillo I, Marques Vidal P, Camilo ME. Impact of nutrition on outcome: a prospective randomized controlled trial in patients with head and neck cancer undergoing radiotherapy. Head Neck. 2005;27:659–68.CrossRefGoogle Scholar
  23. 23.
    Crook MA, Hally V, Panteli JV. The importance of the refeeding syndrome. Nutrition. 2001;17:632–7.CrossRefGoogle Scholar
  24. 24.
    Hearing SD. Refeeding syndrome. BMJ. 2004;328(7445):908–9.CrossRefGoogle Scholar
  25. 25.
    National Collaborating Centre for Acute Care (UK). Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition. London: National Collaborating Centre for Acute Care (UK); 2006.Google Scholar
  26. 26.
    Dewar H, Horvath R. Refeeding syndrome. In: Todorovic VE, Micklewright A, editors. A pocket guide to clinical nutrition. 2nd ed. Birmingham, UK: British Dietetic Association; 2001.Google Scholar
  27. 27.
    Roy N, Stemple J, Merrill RM, et al. Dysphagia in the elderly: preliminary evi- dence of prevalence, risk factors, and socioemotional effects. Ann Otol Rhinol Laryngol. 2007;116:858–65.CrossRefGoogle Scholar
  28. 28.
    Serra-Prat M, Palomera M, Gomez C, et al. Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study. Age Ageing. 2012;41:376–81.CrossRefGoogle Scholar
  29. 29.
    Via MA, Mechanick JI. Malnutrition, dehydration, and ancillary feeding options in dysphagia patients. Otolaryngol Clin N Am. 2013;46(6):1059–71.CrossRefGoogle Scholar
  30. 30.
    Bankhead R, Boullata J, Brantley S, et al. Enteral nutrition practice recommendations. JPEN J Parenter Enteral Nutr. 2009;33:122–67.CrossRefGoogle Scholar
  31. 31.
    Orell-Kotikangas H, Schwab U, Osterlund P, et al. High prevalence of vitamin D insufficiency in patients with head and neck cancer at diagnosis. Head Neck. 2012;34:1450–5.CrossRefGoogle Scholar
  32. 32.
    Gorgulu O, Selcuk T, Ozdemir S, et al. Evaluation of the roles of serum vitamin B(12), folate and homocysteine levels in laryngeal squamous cell carcinoma. J Int Med Res. 2010;38:2047–52.CrossRefGoogle Scholar
  33. 33.
    Kayhan B, Olmez S, Ozaslan E, Uner E, Turhan N, Koseoglu T, Purnak T. Dysphagia resolved with vitamin B12 therapy: a case of esophageal parakeratosis. Endoscopy. 2011;43(Suppl 2 UCTN):E231.CrossRefGoogle Scholar
  34. 34.
    Campbell SM. Hydration needs throughout the lifespan. J Am Coll Nutr. 2007;26:585S–7S.CrossRefGoogle Scholar
  35. 35.
    Logemann JA, Gensler G, Robbins J, et al. A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson’s disease. J Speech Lang Hear Res. 2008;51:173–83.CrossRefGoogle Scholar
  36. 36.
    Robbins J, Gensler G, Hind J, et al. Comparison of 2 interventions for liquid aspiration on pneumonia incidence: a randomized trial. Ann Intern Med. 2008;148:509–18.CrossRefGoogle Scholar
  37. 37.
    Whelan K. Inadequate fluid intakes in dysphagic acute stroke. Clin Nutr. 2001;20:423–8.CrossRefGoogle Scholar
  38. 38.
    Zemanova M, Novak F, Vitek P, et al. Outcomes of patients with oesophageal cancer treated with preoperative chemoradiotherapy, followed by tumor resection: influence of nutritional factors. J BUON. 2011;17:310–6.Google Scholar
  39. 39.
    Allen VJ, Methven L, Gosney MA. Use of nutritional complete supplements in older adults with dementia: systematic review and meta-analysis of clinical outcomes. Clin Nutr. 2013;32:950–7.CrossRefGoogle Scholar
  40. 40.
    Simmons SF, Zhuo X, Keeler E. Cost-effectiveness of nutrition interventions in nursing home residents: a pilot intervention. J Nutr Health Aging. 2010;14:367–72.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Adharsh Anand
    • 1
  • Deepak Balasubramanian
    • 1
  1. 1.Department of Head and Neck Surgery and OncologyAmrita Institute of Medical Sciences, Amrita Vishwa VidyapeethamKochiIndia

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