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Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review

While surgical therapy for head and neck cancer (HNC) is showing improvement with the advancement of reconstruction techniques, the focus in these patients should also be shifting to supportive pre and aftercare. Due to the highly sensitive and anatomically complex region, these patients tend to exh...

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Autores principales: Martinovic, Dinko, Tokic, Daria, Puizina Mladinic, Ema, Usljebrka, Mislav, Kadic, Sanja, Lesin, Antonella, Vilovic, Marino, Lupi-Ferandin, Slaven, Ercegovic, Sasa, Kumric, Marko, Bukic, Josipa, Bozic, Josko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10144914/
https://www.ncbi.nlm.nih.gov/pubmed/37111081
http://dx.doi.org/10.3390/nu15081864
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author Martinovic, Dinko
Tokic, Daria
Puizina Mladinic, Ema
Usljebrka, Mislav
Kadic, Sanja
Lesin, Antonella
Vilovic, Marino
Lupi-Ferandin, Slaven
Ercegovic, Sasa
Kumric, Marko
Bukic, Josipa
Bozic, Josko
author_facet Martinovic, Dinko
Tokic, Daria
Puizina Mladinic, Ema
Usljebrka, Mislav
Kadic, Sanja
Lesin, Antonella
Vilovic, Marino
Lupi-Ferandin, Slaven
Ercegovic, Sasa
Kumric, Marko
Bukic, Josipa
Bozic, Josko
author_sort Martinovic, Dinko
collection PubMed
description While surgical therapy for head and neck cancer (HNC) is showing improvement with the advancement of reconstruction techniques, the focus in these patients should also be shifting to supportive pre and aftercare. Due to the highly sensitive and anatomically complex region, these patients tend to exhibit malnutrition, which has a substantial impact on their recovery and quality of life. The complications and symptoms of both the disease and the therapy usually make these patients unable to orally intake food, hence, a strategy should be prepared for their nutritional management. Even though there are several possible nutritional modalities that can be administrated, these patients commonly have a functional gastrointestinal tract, and enteral nutrition is indicated over the parenteral option. However, after extensive research of the available literature, it seems that there is a limited number of studies that focus on this important issue. Furthermore, there are no recommendations or guidelines regarding the nutritional management of HNC patients, pre- or post-operatively. Henceforth, this narrative review summarizes the nutritional challenges and management modalities in this particular group of patients. Nonetheless, this issue should be addressed in future studies and an algorithm should be established for better nutritional care of these patients.
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spelling pubmed-101449142023-04-29 Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review Martinovic, Dinko Tokic, Daria Puizina Mladinic, Ema Usljebrka, Mislav Kadic, Sanja Lesin, Antonella Vilovic, Marino Lupi-Ferandin, Slaven Ercegovic, Sasa Kumric, Marko Bukic, Josipa Bozic, Josko Nutrients Review While surgical therapy for head and neck cancer (HNC) is showing improvement with the advancement of reconstruction techniques, the focus in these patients should also be shifting to supportive pre and aftercare. Due to the highly sensitive and anatomically complex region, these patients tend to exhibit malnutrition, which has a substantial impact on their recovery and quality of life. The complications and symptoms of both the disease and the therapy usually make these patients unable to orally intake food, hence, a strategy should be prepared for their nutritional management. Even though there are several possible nutritional modalities that can be administrated, these patients commonly have a functional gastrointestinal tract, and enteral nutrition is indicated over the parenteral option. However, after extensive research of the available literature, it seems that there is a limited number of studies that focus on this important issue. Furthermore, there are no recommendations or guidelines regarding the nutritional management of HNC patients, pre- or post-operatively. Henceforth, this narrative review summarizes the nutritional challenges and management modalities in this particular group of patients. Nonetheless, this issue should be addressed in future studies and an algorithm should be established for better nutritional care of these patients. MDPI 2023-04-13 /pmc/articles/PMC10144914/ /pubmed/37111081 http://dx.doi.org/10.3390/nu15081864 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Martinovic, Dinko
Tokic, Daria
Puizina Mladinic, Ema
Usljebrka, Mislav
Kadic, Sanja
Lesin, Antonella
Vilovic, Marino
Lupi-Ferandin, Slaven
Ercegovic, Sasa
Kumric, Marko
Bukic, Josipa
Bozic, Josko
Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review
title Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review
title_full Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review
title_fullStr Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review
title_full_unstemmed Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review
title_short Nutritional Management of Patients with Head and Neck Cancer—A Comprehensive Review
title_sort nutritional management of patients with head and neck cancer—a comprehensive review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10144914/
https://www.ncbi.nlm.nih.gov/pubmed/37111081
http://dx.doi.org/10.3390/nu15081864
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