Nutrition in peri-operative esophageal cancer management. (3rd July 2017)

• Record Type: Journal Article
• Authors: Steenhagen, Elles; van Vulpen, Jonna K.; van Hillegersberg, Richard; May, Anne M.; Siersema, Peter D.
• Is Part Of: Expert review of gastroenterology & hepatology. Volume 11:Number 7(2017)
• Page Start: 663
• Page End: 672
• Publication Date: 2017-07-03
• Subjects: Esophageal cancer -- nutrition -- peri-operative management -- pre-optimization -- weight loss; Gastroenterology -- Periodicals; Liver -- Diseases -- Periodicals; 616.3
• DOI: 10.1080/17474124.2017.1325320
• Languages: English
• ISSNs: 1747-4124

Abstract

ABSTRACT: Introduction : Nutritional status and dietary intake are increasingly recognized as essential areas in esophageal cancer management. Nutritional management of esophageal cancer is a continuously evolving field and comprises an interesting area for scientific research. Areas covered : This review encompasses the current literature on nutrition in the pre-operative, peri-operative, and post-operative phases of esophageal cancer. Both established interventions and potential novel targets for nutritional management are discussed. Expert commentary : To ensure an optimal pre-operative status and to reduce peri-operative complications, it is key to assess nutritional status in all pre-operative esophageal cancer patients and to apply nutritional interventions accordingly. Since esophagectomy results in a permanent anatomical change, a special focus on nutritional strategies is needed in the post-operative phase, including early initiation of enteral feeding, nutritional interventions for post-operative complications, and attention to long-term nutritional intake and status. Nutritional aspects of pre-optimization and peri-operative management should be incorporated in novel Enhanced Recovery After Surgery programs for esophageal cancer.