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Tolerance of early oral feeding in patients subjected to total laryngectomy
Author(s) -
Sousa Alexandre Andrade,
Porcaro–Salles José Maria,
Soares João Marcos Arantes,
Meyer de Moraes Gustavo,
Souza Silva Guilherme,
Abreu Sepulcri Rafael,
Rezende Carvalho Jomar,
Savassi–Rocha Paulo Roberto
Publication year - 2016
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24063
Subject(s) - medicine , laryngectomy , head and neck , caloric theory , energy expenditure , parenteral nutrition , total energy , caloric intake , surgery , larynx , body weight , psychology , displacement (psychology) , psychotherapist
Background The purpose of this study was to assess the tolerance of early oral feeding after total laryngectomy. Method A randomized multicenter study was conducted that included 89 individuals subjected to total laryngectomy. The participants were allocated to 2 groups: early ( n = 44), early oral feeding; and late ( n = 45), late oral feeding. The participants in the early group were assessed as to acceptance of oral feeding, and their food intake was quantified. Results In the early group, the total energy expenditure and protein needs were not met through oral feeding alone at any time during the first 7 postoperative days. The times to attain 25% and 50% of the total energy expenditure and protein needs by oral feeding after surgery were 4 and 7 days, respectively. Conclusion The patients subjected to early oral feeding failed to meet their caloric and protein needs through that route alone during the first 4 postoperative days and required complementary nutrition through another route. © 2015 Wiley Periodicals, Inc. Head Neck 38 : E643–E648, 2016