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Revista Nutrícias

On-line version ISSN 2182-7230

Abstract

TORRES, Cláudia; ALVES, Paula  and  PINTO, Elisabete. Nutritional follow-up in oncological patients after esophageal stent placement: a retrospective study. Nutrícias [online]. 2012, n.14, pp.20-22. ISSN 2182-7230.

Introduction: The esophageal stent placement is an effective procedure to restore the intake “per os” in patients with esophageal obstruction. Objectives: To describe, retrospectively, the evolution of nutritional intake, symptoms associated with food intake and anthropometry of all the patients submitted to an esophageal stent placement in IPOFG, EPE, between January 2009 and December 2010, for which the main diagnosis was esophageal or gastric cancer. Methodology: Observational descriptive study of 98 patients. We assessed the nutritional and dietary records in medical files of cancer patients with esophageal stent placement in the study period. Data were collected with a standardized protocol. Results: The most (75,5%) of participants were men and 57,1% were older than 60 years, with women being significantly older. The main diagnosis for 76,5% of patients was esophageal cancer. Regarding the symptoms prior to placement of the stent, almost all patients (n = 90) had dysphagia, and for 49,5% was dysphagia to solids. Regarding the type of the stent, 63,3% of patients received a non-covered self-expanding metal stent. The median time between diagnosis and death was 354,0 days and between the placement of the first stent and the death was 124,5 days. Comparing the usual weight with the weight near the stent placement, patients lost a median of 16kg (P25;P75: 12,5;24,0). Conclusions: These cancers are associated with significant weight losses, partly due to dysphagia. As a retrospective study, being in account the number of nutrition assessments available after stent placement, it was not possible to objectively measure the benefit of the stent placement regarding the nutritional status. However, the purpose of allowing oral feeding was certainly achieved, indeed highly valued by patients.

Keywords : Cancer patient; Esophageal cancer; Gastric cancer; Esophageal stent; Dysphagia; Survival.

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