Early enteral nutrition after head and neck surgery with free tissue transfer reconstruction

Imai, Takayuki; Saijo, Satoshi; Fujii, Keitaro; Nakazato, Akira; Nakamura, Kazuki; Miyakura, Yuya; Yamazaki, Tomoko; Goto, Takahiro; Asada, Yukinori

doi:10.1016/j.anl.2021.06.004

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…Imai et al describes an early enteral nutrition protocol for head and neck patients who mostly received jejunal-free flaps, demonstrating an aggressive approach to feeding remains feasible. 18 However, Imai et al did find that free jejunal-free flap and blood loss of ≥158 mL were significant independent risk factors for feeding difficulty. Early feeding protocols for jejunal-free flap patients require careful monitoring of abdominal symptoms and gastric residual volume.…”

Section: Discussionmentioning

confidence: 97%

“…It should be noted that a minority of jejunal‐free flaps are represented in our study. Imai et al describes an early enteral nutrition protocol for head and neck patients who mostly received jejunal‐free flaps, demonstrating an aggressive approach to feeding remains feasible 18 . However, Imai et al did find that free jejunal‐free flap and blood loss of ≥158 mL were significant independent risk factors for feeding difficulty.…”

Section: Discussionmentioning

confidence: 99%

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Enhanced Recovery After Surgery and Perioperative Laryngectomy Outcomes

Frenkel,

Donahue,

Brickman

et al. 2023

The Laryngoscope

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ObjectivePatients undergoing laryngectomy are particularly vulnerable to postoperative complications secondary to social and nutritional barriers, substance abuse, and prior cancer treatment. Enhanced Recovery After Surgery (ERAS) programs may mitigate this vulnerability and improve postoperative complications and oncologic outcomes. The objective of this study is to evaluate the postoperative complication rate and oncologic outcomes of patients undergoing laryngectomy before and after ERAS program implementation.MethodsA historic cohort of 50 patients who underwent laryngectomy at the Levine Cancer Institute, Charlotte, North Carolina from 2014 to 2019 (pre‐ERAS) was compared to 33 patients who underwent laryngectomy after ERAS implementation from 2019 to 2020. The primary outcomes included length of stay (LOS), Clavien‐Dindo postoperative complications through 30 days following discharge, overall survival (OS), and recurrence‐free survival between pre‐ERAS and ERAS groups.ResultsDemographic characteristics between the two groups were similar. ERAS pathway implementation led to core care element consistency and improvement in the clinical perioperative course, including preoperative nutritional intervention (p = 0.009), postoperative ventilator independence (p = 0.0004), and refractory nausea/emesis (p = 0.18). Severe (≥ grade 3) complications (p = 0.49) and LOS (p = 0.68) were similar between groups. No significant difference in Cox proportional modeling of OS (p = 0.60) or recurrence‐free survival (p = 0.17) was noted.ConclusionsERAS did not improve LOS, major postoperative complications, or oncologic outcomes in this cohort of patients who underwent laryngectomy. However, ERAS positively influenced secondary endpoints within the laryngectomy perioperative course, conferring qualitative health care benefits.Level of Evidence3 Laryngoscope, 2023

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Enhanced Recovery After Surgery and Perioperative Laryngectomy Outcomes

Frenkel,

Donahue,

Brickman

et al. 2023

The Laryngoscope

View full text Add to dashboard Cite

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“…A indicação de via alternativa de alimentação nos estudos da presente revisão variou de 19,3% 13 até 68,2% 14 dependendo dos fatores associados. Em relação ao câncer de cabeça e pescoço, os estudos evidenciaram uma variação na indicação de via alternativa de 60% 15 a 97,1% 16 , considerando a importância de minimizar os impactos do tratamento do câncer.…”

Section: Discussionunclassified

Fatores associados à indicação de via alternativa de alimentação após câncer de língua

Custódio,

Gonçalves,

Haas

et al. 2024

Distúrb Comun

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Introdução: O câncer de cavidade oral constitui lesões da superfície da mucosa oral, e, devido às sequelas da doença e de seu tratamento, frequentemente ocorrem quadros de disfagia. Quando a alimentação por via oral se torna impossibilitada, é fundamental a indicação de vias alternativas de alimentação. Objetivo: verificar a ocorrência e os fatores associados ao uso de via alternativa de alimentação após câncer de língua. Método: A busca foi conduzida por dois pesquisadores independentes nas bases de dados Medline (Pubmed), LILACS, SciELO, Scopus, WEB OF SCIENCE e BIREME sem restrição de idioma e localização, no período de 2010 a 2021. Para complementar e evitar viés de risco foi realizada uma busca por literatura cinza no Google Scholar. Critérios de Seleção: A revisão sistemática foi conduzida conforme as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Foram incluídos na pesquisa estudos que obtiveram pontuação ≥ a 6 pontos segundo o protocolo para pontuação qualitativa proposto por Pithon. Resultados: Os estudos mostram que a maioria dos indivíduos com câncer oral desenvolvem uma perda significativa de peso, necessitando de intervenção. O estágio geral da doença é um preditor significativo de perda de peso crítica em pacientes em tratamento. Conclusão: A indicação de via alternativa de alimentação após câncer de língua foi de 19,3% a 68,2%, e os fatores associados a essa indicação de VAA foram o estágio geral, cirurgia associada à terapia adjuvante, má adesão ao tratamento multidisciplinar, presença de complicações e baixa sobrevida.

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