Keywords
Malnutrition
Nutritional Status
How to Cite
Abstract
INTRODUCTION: Transthoracic esophagectomy is the standard procedure for the treatment of esophageal neoplastic lesions, where perioperative nutritional therapy has altered morbidity and mortality outcomes. OBJECTIVE: To report the nutritional management in transthoracic esophagectomy and review the current literature. CASE REPORT: A 48-year-old male patient, diagnosed with esophageal neoplasia, was admitted to the ICU following a total three-field esophagectomy. After undergoing nutritional screening using the NRS 2002 method and a nutritional assessment (anthropometry, biochemistry, and dietetics), he was diagnosed with severe malnutrition. Enteral Nutrition Therapy (ENT) was initiated, but after formula intolerance, parenteral nutrition (PN) was instituted. Subsequently, there was a return to ENT with an oligomeric formula, combined with PN, with good tolerance. Eventually, PN was completely weaned off, and the oligomeric ENT formula was transitioned to a polymeric formula with protein modulation. CONCLUSION: Postoperative nutritional therapy played an essential role in the recovery and hospital discharge of the patient after major surgery, with a normal oral diet achieved following speech therapy and full rehabilitation with the multidisciplinary team.
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Copyright (c) 2024 Rayanne Patrízia Mendonça, João Carlos Fonseca da Silva, Isabel Cristina Leal , Maria Goretti Pessoa de Araújo Burgos