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Feasibility, acceptability of enteral tube feeding and self-insertion of a nasogastric tube in the nutritional management of digestive cancers, impact on quality of life.
Quilliot, Didier; Michot, Niasha; Germain, Lucie; Krier, Justine; Lopez, Anthony; Bresler, Laurent; Ayav, Ahmet; Malgras, Aurélie; Nguyen-Thi, Phi-Linh.
Afiliación
  • Quilliot D; Unité d'Assistance Nutritionnelle, Nancy Regional University Hospital, Nancy, France. Electronic address: quilliot.d@orange.fr.
  • Michot N; Unité d'Assistance Nutritionnelle, Nancy Regional University Hospital, Nancy, France.
  • Germain L; UTEP, Evaluation et Information Médicales, Nancy Regional University Hospital, Nancy, France.
  • Krier J; Unité d'Assistance Nutritionnelle, Nancy Regional University Hospital, Nancy, France.
  • Lopez A; Hepato-gastro-entérologie, CHRU de Nancy, Nancy Regional University Hospital, Nancy, France.
  • Bresler L; Chirurgie digestive, hépatobiliaire, endocrinienne et cancérologique, Nancy, France.
  • Ayav A; Chirurgie digestive, hépatobiliaire, endocrinienne et cancérologique, Nancy, France.
  • Malgras A; Unité d'Assistance Nutritionnelle, Nancy Regional University Hospital, Nancy, France.
  • Nguyen-Thi PL; UTEP, Evaluation et Information Médicales, Nancy Regional University Hospital, Nancy, France.
Clin Nutr ; 39(6): 1785-1792, 2020 06.
Article en En | MEDLINE | ID: mdl-31402277
No study has evaluated the feasibility of enteral tube feeding (ETF) in undernourished patients with newly diagnosed gastrointestinal (GI) cancer. OBJECTIVES: Evaluate the acceptability of ETF in patients unable to increase their dietary intake and with a weight loss >10% or albuminemia <30 g/L or BMI <18.5 before surgery, or a weight loss >5% during chemotherapy. The feasibility of self-insertion of a nasogastric tube was also assessed. RESULTS: A total of 308 patients were nutritionally screened during a one-year period. ETF was indicated in 123 cases. Overall acceptability was 78.9% and was higher when weight loss was >10% (p < 0.0001) and before surgery (p < 0.0001), lower during chemotherapy (p < 0.0001), while not influenced by dietary intake or location of the cancer. Forty patients managed a daily self-insertion of the feeding tube (45.5%) and 48 had a nasogastric tube maintained in place. All Quality of Life (QoL) parameters were significantly improved, notably physical role functioning (+20.9% ± 24.0, p < 0.005) and mental health (+21.0% ± 17.7 p < 0.005). CONCLUSION: According to the present algorithm, ETF was indicated in 39.9% of cases and accepted in 78.9% of newly diagnosed patients with primary GI cancer while improving QoL. This study strengthens the place of self-insertion of feeding tubes in clinical practise.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Autocuidado / Aceptación de la Atención de Salud / Nutrición Enteral / Desnutrición / Neoplasias del Sistema Digestivo / Intubación Gastrointestinal Tipo de estudio: Diagnostic_studies / Observational_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Nutr Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Autocuidado / Aceptación de la Atención de Salud / Nutrición Enteral / Desnutrición / Neoplasias del Sistema Digestivo / Intubación Gastrointestinal Tipo de estudio: Diagnostic_studies / Observational_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Nutr Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido