Premium
Intravenous hyperalimentation in patients with head and neck cancer
Author(s) -
Copeland Edward M.,
MacFadyen Bruce V.,
MacComb William S.,
Guillamondegui Oscar,
Jesse Richard H.,
Dudrick Stanley J.
Publication year - 1975
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197503)35:3<606::aid-cncr2820350310>3.0.co;2-b
Subject(s) - medicine , surgery , perioperative , thrombosis , radiation therapy , head and neck cancer , catheter , cancer , subclavian vein , head and neck , sepsis
Abstract Intravenous hyperalimentation was utilized to support nutritionally 23 malnourished patients with major head and neck tumors during surgical treatment, radiotherapy, or the convalescent period. Fifteen patients were treated during the perioperative period and 12 survived. Six patients received convalescent nutritional support successfully 4 to 24 months following operation or radiation treatment. Two patients received treatment with hyperalimentation throughout a protracted course of radiation therapy. Weight gain, wound healing, and recovery were achieved in all but 3 patients. Subclavian vein thrombosis occurred in 1 patient, and catheter‐related sepsis occurred in 2 patients. Otherwise, hyperalimentation was safe and efficacious in the debilitated patients. These patients may now become acceptable risks for surgical treatment or radiation therapy by nutritional repletion with intravenous hyperalimentation.