[The effect of nutritional therapy in the treatment of laryngeal cancer]. / Influencia de la terapéutica nutricional en el tratamiento del cáncer laríngeo.

Laryngeal cancer constitutes and important problem from the nutritional point of view, both due to the effect of the tumor itself as due to the aggressive treatment to which the majority of these patients are subjected. To evaluate the incidence of nutritional support on the morbid-mortality and on the number of hospitalization days, we compare a group A of 61 patients diagnosed with laryngeal squamous cell carcinoma, who received treatment from the Department of Nutrition, with another, similar group B, who received a standard diet. a complete evaluation of the nutritional status was done (anthropometric biochemical and immunological parameters) one day prior to the surgery and two weeks after. The differences of age (61 vs 63 years), cigarette smoking (31 vs 34), excessive alcohol ingestion (34 vs 29), location of the tumor and type of surgery, were not significant. The nutritional treatment used in group A was enteral nutrition by means of a 12-F polyurethane naso-gastric tube, while in group B it was the ground up culinary diet through a large caliber naso-gastric tube. There were no significant differences in the mortality (1/0) or in the surgical complications (9/10); nevertheless, the average number of hospital days was clearly lower in group A (18 days) compared to group B (24 days) (p < 0.005). The evolution of the evaluation parameters of the nutritional status was analyzed, as well as the administered dietary formulae, added medication, and the complications of the technique. Regulated nutritional support may contribute to the decrease of the hospitalization period of patients operated on for laryngeal cancer.

[The importance of parenteral nutrition via the peripheral route in patients with inflammatory bowel diseases (IBD)]. / Importancia de la nutrición parenteral por vía periférica en pacientes con enfermedades inflamatoria intestinal (EEI).

The objective of the present study is to evaluate the effects of peripheral parenteral nutrition (PNN) in a homogeneous group of patients who had not had surgery, and to determine whether the deterioration of the nutritional state can be avoided while keeping the advantages of the administration of a peripheral route. We have included 7 patients (4 male and 3 female) with an acute episode of inflammatory bowel disease (IBD). Each received 1780 kcal/day (1500 non-protein kcal 66% as fats, and 33% as glucose), with a kcal/g of N ratio of 160 by means of the preparation technique of "all in one". The anthropometric parameters: initial and final weight (58.5 +/- 12 vs. 57.3 +/- 11); triceps skin fold (14.1 +/- 4 vs. 14.1 +/- 4), and mean circumference of the arm (25.1 +/- 3 vs. 25.0 +/- 3), did not give any significant differences during the treatment period. In the biochemical data there were no significant differences either, except for the final level of serum albumin (3.44 +/- 0.28), which was significantly higher than the initial value (3.11 +/- 0.38) (p < 0.05). The mean duration of the treatment was 12 days (range 6-18). There was no case of phlebitis.(ABSTRACT TRUNCATED AT 250 WORDS)