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A systematic review of the nutritional consequences of esophagectomy.

October 4, 2015

For those of us who have had an esophagectomy or any of you thinking about it.....

 

A systematic review of the nutritional consequences of esophagectomy.

 

"Nutritional status is compromised in the months/years following oesophagectomy and may never return to baseline levels. The causes/consequences of weight loss/impaired nutritional intake require further investigation. The role of extended nutritional support in this population remains unclear." 

 

Results

  1. Changes in nutritional parameters reported by 18 studies indicated a weight loss of 5-12% at six months postoperatively.

  2. More than half of patients lost >10% of body weight at 12 months.

  3. One study reported a persistent weight loss of 14% from baseline three years after surgery.

  4. Three studies reporting on longer term follow up noted that 27%-95% of patients failed to regain their baseline weight.

  5. Changes in dietary intake (three studies) indicated inadequate energy and protein intake up to three years after surgery.

  6. Global quality of life scores reported in one study correlated with better weight preservation.

  7. There were a high frequency of gastrointestinal symptoms reported in six studies, most notably in the first year after surgery, but persisting up to 19 years.

  8. Extended enteral nutrition on a selective basis has been reported in several studies.

"The role of extended nutritional support in this population remains unclear." UNCLEAR! ARE YOU KIDDING ME!!!!!!!!!!!!!!!!!!!!!!!!!

 

It is crystal clear! We need help! And it is all in my book. 

 

If you don't carefully choose your foods and supplement as needed (and in my opinion we all need it), then you are destined to live by your choices.

 

#achalasia

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