Role of Nutritional Support in Head and Neck Cancer Patients

Main Article Content

Chanita Unhapipatpong
Daruneewan Warodomwichit

Abstract

Malnutrition could occur in patients with head and neck cancer due to the disease itself and the side effects of treatment. The consequences of malnutrition lead to the discontinuity of treatment and the deterioration of quality of life and prognosis. Nowadays, there are available tools for nutrition screening and assessment which could early identify the patient at risk malnutrition and give them the prompt nutritional interventions. Nutritional managements, including nutrition counseling, modification of the diet, the supplement of oral nutritional supplement, enteral nutrition, and parenteral nutrition, have roles from the beginning to the end of head and neck cancer treatment and the proper nutritional interventions were associated with the better results. Nutrition interventions were an essential part in prevention and treatment of the postoperative complications such as chyle leakage and pharyngocutaneous fistula. The research involving in immunonutrients showed the efficacy in improvement of the clinical outcome of patients undergoing treatment for head and neck cancer. Therefore, appropriate nutrition interventions were important and required the multidisciplinary team approach.


 

Article Details

How to Cite
Unhapipatpong, C., & Warodomwichit, D. (2020). Role of Nutritional Support in Head and Neck Cancer Patients. Ramathibodi Medical Journal, 43(4), 39–51. https://doi.org/10.33165/rmj.2020.43.4.237430
Section
Review Articles
Author Biography

Daruneewan Warodomwichit, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

สาขาวิชาอายุรศาสตร์โภชนศาสตร์คลินิก ภาควิชาอายุรศาสตร์ คณะแพทยศาสตร์ มหาวิทยาลัยมหิดล กรุงเทพฯ ประเทศไทย

References

Tangjaturonrasme N, Vatanasapt P, Bychkov A. Epidemiology of head and neck cancer in Thailand. Asia Pac J Clin Oncol. 2018;14(1):16-22. doi:10.1111/ajco.12757.

Givens DJ, Karnell LH, Gupta AK, et al. Adverse events associated with concurrent chemoradiation therapy in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg. 2009;135(12):1209-1217. doi:10.1001/archoto.2009.174.

Sroussi HY, Epstein JB, Bensadoun RJ, et al. Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis. Cancer Med. 2017;6(12):2918-2931. doi:10.1002/cam4.1221.

Arends J, Bachmann P, Baracos V, et al. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36(1):11-48. doi:10.1016/j.clnu.2016.07.015.

Pramyothin P, Keawtanom S, Dawilai S, et al. Performance of a new national nutrition screening tool (spent nutrition screening tool) in hospitalized non-critically ill adults at anClin Nutr. 2018;37 Suppl 1:S236-S237. doi:10.1016/j.clnu.2018.06.1841.

Castillo-Martinez L, Castro-Eguiluz D, Copca-Mendoza ET, et al. Nutritional assessment tools for the identification of malnutrition and nutritional risk associated with cancer treatment. Rev Invest Clin. 2018;70(3):121-125. doi:10.24875/RIC.18002524.

Davies M. Nutritional screening and assessment in cancer-associated malnutrition. Eur J Oncol Nurs. 2005;9 Suppl 2:S64-S73. doi:10.1016/j.ejon.2005.09.005.

Thompson KL, Elliott L, Fuchs-Tarlovsky V, Levin RM, Voss AC, Piemonte T. Oncology evidence-based nutrition practice guideline for adults. J Acad Nutr Diet. 2017;117(2):297-310.e47. doi:10.1016/j.jand.2016.05.010.

Cederholm T, Jensen GL, Correia MITD, et al. GLIM criteria for the diagnosis of malnutrition; a consensus report from the global clinical nutrition community. Clin Nutr. 2019;38(1):1-9. doi:10.1016/j.clnu.2018.08.002.

Contreras-Bolivar V, Sanchez-Torralvo FJ, Ruiz-Vico M, et al. GLIM criteria using hand grip strength adequately predict six-month mortality in cancer inpatients. Nutrients. 2019;11(9). pii:E2043. doi:10.3390/nu11092043.

Giles KH, Kubrak C, Baracos VE, Olson K, Mazurak VC. Recommended European Society of Parenteral and Enteral Nutrition protein and energy intakes and weight loss in patients with head and neck cancer. Head Neck. 2016;38(8):1248-1257. doi:10.1002/hed.24427.

Jager-Wittenaar H, Dijkstra PU, Vissink A, et al. Changes in nutritional status and dietary intake during and after head and neck cancer treatment. Head Neck. 2011;33(6):863-870. doi:10.1002/hed.21546.

Talwar B, Donnelly R, Skelly R, Donaldson M. Nutritional management in head and neck cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol. 2016;130(Suppl 2):S32-S40. doi:10.1017/S0022215116000402.

Mehanna HM, Moledina J, Travis J. Refeeding syndrome: what it is, and how to prevent and treat it. BMJ. 2008;336(7659):1495-1498. doi:10.1136/bmj.a301.

Arends J, Baracos V, Bertz H, et al. ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr. 2017;36(5):1187-1196. doi:10.1016/j.clnu.2017.06.017.

Arends J, Bodoky G, Bozzetti F, et al. ESPEN guidelines on enteral nutrition: non-surgical oncology. Clin Nutr. 2006;25(2):245-259.

Zhang Z, Zhu Y, Ling Y, Zhang L, Wan H. Comparative effects of different enteral feeding methods in head and neck cancer patients receiving radiotherapy or chemoradiotherapy: a network meta-analysis. Onco Targets Ther. 2016;9:2897-2909. doi:10.2147/OTT.S101983.

Russell MK, Wischmeyer PE. Supplemental parenteral nutrition: review of the literature and current nutrition guidelines. Nutr Clin Pract. 2018;33(3):359-369. doi:10.1002/ncp.10096.

Heyland DK, Montalvo M, MacDonald S, Keefe L, Su XY, Drover JW. Total parenteral nutrition in the surgical patient: a meta-analysis. Can J Surg. 2001;44(2):102-111.

Huber GF, Dort JC. Reducing morbidity and complications after major head and neck cancer surgery: the (future) role of enhanced recovery after surgery protocols. Curr Opin Otolaryngol Head Neck Surg. 2018;26(2):71-77. doi:10.1097/MOO.0000000000000442.

Jayanama K, Maitreejorn P, Tangsermwong T, et al. The amelioration of nutritional status and phase angle, safety, and satisfaction in tube-fed patients with ready-to-use blenderized diet with chicken and pumpkin. Rama Med J. 2019;42(4):12-21. doi:10.33165/rmj.2019.42.4.191337.

August DA, Huhmann MB; American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: nutrition support therapy during adult anticancer treatment and in hematopoietic cell transplantation. JPEN J Parenter Enteral Nutr. 2009;33(5):472-500. doi:10.1177/0148607109341804.

Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017;36(3):623-650. doi:10.1016/j.clnu.2017.02.013.

Howes N, Atkinson C, Thomas S, Lewis SJ. Immunonutrition for patients undergoing surgery for head and neck cancer. Cochrane Database Syst Rev. 2018;8:CD010954. doi:10.1002/14651858.CD010954.pub2.

Chitapanarux I, Traisathit P, Chitapanarux T, et al. Arginine, glutamine, and fish oil supplementation in cancer patients treated with concurrent chemoradiotherapy: a randomized control study. Curr Probl Cancer. 2019:100482. doi:10.1016/j.currproblcancer.2019.05.005.

Weed HG, Ferguson ML, Gaff RL, Hustead DS, Nelson JL, Voss AC. Lean body mass gain in patients with head and neck squamous cell cancer treated perioperatively with a protein- and energy-dense nutritional supplement containing eicosapentaenoic acid. Head Neck. 2011;33(7):1027-1033. doi:10.1002/hed.21580.

Leung HW, Chan AL. Glutamine in alleviation of radiation-induced severe oral mucositis: a meta-analysis. Nutr Cancer. 2016;68(5):734-742. doi:10.1080/01635581.2016.1159700.

Bharadwaj S, Ginoya S, Tandon P, et al. Malnutrition: laboratory markers vs nutritional assessment. Gastroenterol Rep (Oxf). 2016;4(4):272-280. doi:10.1093/gastro/gow013.

Swanson MS, Hudson RL, Bhandari N, Sinha UK, Maceri DR, Kokot N. Use of octreotide for the management of chyle fistula following neck dissection. JAMA Otolaryngol Head Neck Surg. 2015;141(8):723-727. doi:10.1001/jamaoto.2015.1176.

Delaney SW, Shi H, Shokrani A, Sinha UK. Management of chyle leak after head and neck surgery: review of current treatment strategies. Int J Otolaryngol. 2017;2017:8362874. doi:10.1155/2017/8362874.

Bulgurcu S, Cukurova I. Comparison of early versus delayed oral feeding after total laryngectomy in terms of pharyngocutaneous fistula development. Turk Arch Otorhinolaryngol. 2018;56(4):217-220. doi:10.5152/tao.2018.3605.

Most read articles by the same author(s)