Baker, M., Halliday, V. orcid.org/0000-0003-2458-5253, Williams, R.N. et al. (1 more author) (2016) A systematic review of the nutritional consequences of esophagectomy. Clinical Nutrition, 35 (5). pp. 987-994. ISSN 0261-5614
Abstract
Background & aims As improved outcomes after esophagectomy have been observed over the last two decades, the focus on care has shifted to survivorship and quality of life. The aim of this review was to determine changes in nutrition after esophagectomy and to assess the evidence for extended nutrition support.
Methods A search strategy was developed to identify primary research reporting change in nutritional status a minimum of one month after esophagectomy.
Results Changes in nutritional parameters reported by 18 studies indicated a weight loss of 5–12% at six months postoperatively. More than half of patients lost >10% of body weight at 12 months. One study reported a persistent weight loss of 14% from baseline three years after surgery. Three studies reporting on longer term follow up noted that 27%–95% of patients failed to regain their baseline weight. Changes in dietary intake (three studies) indicated inadequate energy and protein intake up to three years after surgery. Global quality of life scores reported in one study correlated with better weight preservation. 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. Extended enteral nutrition on a selective basis has been reported in several studies.
Conclusions 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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. This is an author produced version of a paper subsequently published in Clinical Nutrition. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
Keywords: | Esophagectomy; Enteral nutrition; Nutrition; Nutritional status; Weight |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 08 May 2017 13:49 |
Last Modified: | 23 Mar 2018 03:58 |
Published Version: | https://doi.org/10.1016/j.clnu.2015.08.010 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.clnu.2015.08.010 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:115966 |