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Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer

Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acut...

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Autores principales: Sadakane-Sakuramoto, Ayumi, Hasegawa, Yoko, Sugahara, Kazuma, Horii, Nobuhide, Saito, Syota, Nakao, Yuta, Nanto, Tomoki, Ono, Takahiro, Domen, Kazuhisa, Kishimoto, Hiromitsu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308483/
https://www.ncbi.nlm.nih.gov/pubmed/34371947
http://dx.doi.org/10.3390/nu13072438
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author Sadakane-Sakuramoto, Ayumi
Hasegawa, Yoko
Sugahara, Kazuma
Horii, Nobuhide
Saito, Syota
Nakao, Yuta
Nanto, Tomoki
Ono, Takahiro
Domen, Kazuhisa
Kishimoto, Hiromitsu
author_facet Sadakane-Sakuramoto, Ayumi
Hasegawa, Yoko
Sugahara, Kazuma
Horii, Nobuhide
Saito, Syota
Nakao, Yuta
Nanto, Tomoki
Ono, Takahiro
Domen, Kazuhisa
Kishimoto, Hiromitsu
author_sort Sadakane-Sakuramoto, Ayumi
collection PubMed
description Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1–2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection.
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spelling pubmed-83084832021-07-25 Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer Sadakane-Sakuramoto, Ayumi Hasegawa, Yoko Sugahara, Kazuma Horii, Nobuhide Saito, Syota Nakao, Yuta Nanto, Tomoki Ono, Takahiro Domen, Kazuhisa Kishimoto, Hiromitsu Nutrients Article Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1–2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection. MDPI 2021-07-16 /pmc/articles/PMC8308483/ /pubmed/34371947 http://dx.doi.org/10.3390/nu13072438 Text en © 2021 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 Article
Sadakane-Sakuramoto, Ayumi
Hasegawa, Yoko
Sugahara, Kazuma
Horii, Nobuhide
Saito, Syota
Nakao, Yuta
Nanto, Tomoki
Ono, Takahiro
Domen, Kazuhisa
Kishimoto, Hiromitsu
Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
title Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
title_full Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
title_fullStr Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
title_full_unstemmed Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
title_short Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
title_sort change in nutritional status and dysphagia after resection of head and neck cancer
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308483/
https://www.ncbi.nlm.nih.gov/pubmed/34371947
http://dx.doi.org/10.3390/nu13072438
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