| Clinical outcomes comparing parenteral and nasogastric tube nutrition after laryngeal and pharyngeal cancer surgery. | |
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MedLine Citation:
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PMID: 19255706 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Nasogastric tube-assisted enteral feeding and parenteral feeding are utilized for nutritional support after major surgery. Although these nutritional supports have been compared before, there have been no comparative trials following surgery for laryngeal and pharyngeal cancer. In this study, 81 patients were randomized to total parenteral nutrition (TPN) or nasogastric tube nutrition (NGTN) after laryngopharyngeal cancer surgery. The two groups were well-matched demographically and clinically. Clinical outcomes such as time of commencement of oral feeding and hospital stay and complications such as fistula were similar in both groups. One case in the TPN group had catheter-related sepsis, whereas aspiration pneumonia occurred in four cases (9.8%) in the NGTN group. The daily cost of NGTN was $11.81 cheaper than that of TPN. Subjective symptoms of nasal and pharyngeal discomfort and scores on subjective swallowing were more severe in the NGTN group within the first postoperative week but became similar thereafter. Although there was no difference in objective postoperative outcomes between both groups, these results imply that each method had particular advantages and disadvantages. Nutritional support after laryngopharyngeal cancer surgery should be determined after full consideration of each patient's conditions and surgical details along with economics. |
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Authors:
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Junsun Ryu; Byung-Ho Nam; Yuh-Seog Jung |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2009-03-03 |
Journal Detail:
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Title: Dysphagia Volume: 24 ISSN: 1432-0460 ISO Abbreviation: Dysphagia Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-21 Completed Date: 2010-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8610856 Medline TA: Dysphagia Country: United States |
Other Details:
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Languages: eng Pagination: 378-86 Citation Subset: IM |
Affiliation:
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Head and Neck Oncology Clinic, Department of Otolaryngology, National Cancer Center, Goyang, Gyeonggi-do, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Costs and Cost Analysis Deglutition / physiology Deglutition Disorders / etiology, physiopathology Female Humans Intubation, Gastrointestinal* / adverse effects, economics Laryngeal Neoplasms / surgery* Male Middle Aged Parenteral Nutrition, Total* / adverse effects, economics Pharyngeal Neoplasms / surgery* Postoperative Care / methods Postoperative Complications / etiology Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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