RESUMO
Malnourished cancer patients undergoing major surgical treatments are at a high risk of morbidity and mortality. As compared to patients affected by other tumors, the highest rate of malnutrition (78.9%) was found in those with esophageal cancer due to postoperative complications. The impact of perioperative nutritional support on outcome in esophageal cancer patients undergoing surgery is analyzed. Strategies that can be used to preserve or restore the nutritional condition in patients throughout treatment are illustrated. Oral supplementation, and enteral or parenteral nutrition are among several methods of support. Enteral option is to be preferred because the intestinal integrity is preserved, the risk of complications is reduced and costs are lower. Prevention or correction of nutrient depletion in severely malnourished esophageal cancer patients remarkably reduces or eliminates malnutrition-related morbidity and mortality. Therefore to identify and treat malnutrition is of the utmost importance.
Assuntos
Neoplasias Esofágicas/complicações , Neoplasias Esofágicas/cirurgia , Distúrbios Nutricionais/etiologia , Distúrbios Nutricionais/terapia , Apoio Nutricional/métodos , HumanosRESUMO
The malnourished cancer patients are at a higher risk of morbidity and mortality, when undergoing major surgical treatments. In comparison with patients affected with other cancers, the highest occurrence of malnutrition (78.9%) was found in those with esophageal cancer and is related with post-operative complications. The Authors review the impact of peri-operative nutritional support on outcomes in esophageal cancer patients undergoing surgery, and produce strategies that can be used to preserve or restore the nutritional condition in patients throughout treatment. Several methods may be used to provide nutritional care, such as oral supplementation, and enteral or parenteral nutrition. The enteral option is to be preferred, due to preservation of intestinal integrity, reduced risk of complications, and lesser expenses. The prevention or correction of nutrient depletion in several malnourished esophageal cancer patients remarkably reduce or eliminate malnutrition-related morbidity and mortality, therefore the level of malnutrition must be identified and treated.
Assuntos
Neoplasias Esofágicas/terapia , Desnutrição/prevenção & controle , Nutrição Parenteral Total , Assistência Perioperatória , Nutrição Enteral/métodos , Neoplasias Esofágicas/cirurgia , Esofagectomia/efeitos adversos , Humanos , Desnutrição/etiologiaRESUMO
Retroperitoneal neurilemoma is an often asymptomatic benign tumor that is usually discovered incidentally. We report a case of retroperitoneal neurilemoma diagnosed via endosonographically guided fine needle aspiration and emphasize the importance of obtaining a definite diagnosis before surgical treatment.
Assuntos
Endossonografia/métodos , Neurilemoma/diagnóstico , Neoplasias Retroperitoneais/diagnóstico , Adulto , Biópsia por Agulha Fina/métodos , Diagnóstico Diferencial , Humanos , Masculino , Neurilemoma/cirurgia , Neoplasias Retroperitoneais/cirurgia , Espaço Retroperitoneal/diagnóstico por imagem , Espaço Retroperitoneal/patologiaRESUMO
The study of small bowel disease is hampered by the organ length and shape. Malabsorption syndromes, small bowel bleeding, intestinal obstruction are analyzed with reference to the clinical characteristics and present laboratory and instrumental tests used in diagnosis. The introduction of sophisticated diagnostic imaging procedures, both endoscopic and radiologic have contributed to a better understanding of the symptomatic patterns.
