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How to maintain nutritional status after esophagectomy via the Tanaka method

Journal of Cancer Metastasis and Treatment 2021年第1期7卷 785-793页

作者： Yoshihiro Tanaka Yuta Sato Tomonari Suetsugu Junichi Mase Ritsuki Takaha Naoki Okumura Nobuhisa Matsuhashi Takao Takahashi Kazuhiro Yoshida Department of Surgical Oncology Graduate School of MedicineGifu UniversityGifu 501-1194Japan.

Aim:Many therapeutic means have emerged to treat esophageal *** relating to nutritional status such as body weight maintenance are important to the continuation of these *** this study,we investigated methods to extend the administration of diversified treatments for patients with esophageal cancer,especially regarding measures to suppress body weight loss after ***:We retrospectively evaluated a strategy for preventing postoperative body weight loss which can hinder the continuation of treatment via a reconstruction method aimed at safety and comfort combined with postoperative dietary intake and nutritional support for esophageal cancer ***:The subjects comprised 386 patients who underwent subtotal stomach reconstruction during esophageal cancer surgery performed from January 2008 to January 2021 at Gifu University *** anastomotic leakage rate was 0.5%.By administering oral nutritional supplementation under strict rules using ENSURE®H during the perioperative period,the percentage of body weight loss after 5 years could be limited to 4.78%compared to that before *** assessing early feeling of fullness measured using the EORTC QLQ-OES18 at postoperative months 3,12,24,36,48,and 60 were 1.7±0.3,2.0±0.2,1.2±0.3,1.3±0.2,1.5±0.2,and 1.4±0.1,***:Considering methods to eliminate the factors that prevent continuation of treatment may lead to sustainable treatment against esophageal *** surgical reconstruction and nutritional management will allow maintenance of body weight and good quality of life.

关键词： Esophageal cancer nutrition reconstruction oral nutritional supplementation

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