Page 53 - Revista Portuguesa - SPORL - Vol 50 Nº1

CONCLUSõES
Em resumo, concluímos que o MUST reflecte accurately o
estado nutricional do doente com tumor da cabeça e do
pescoço, com um risco global de desnutrição que se aproxima
dos 30% (tal como demonstrado neste estudo). Ao relacionar
os parâmetros nutricionais e o desenrolar do período pós-
operatório foi demonstrado que o risco global de desnutrição
prediz a ocorrência de complicações pós-operatórias.
Os achados deste estudo podem contribuir para futuras
estratégias cirúrgicas. Para tal, estudos adicionais serão
necessários para investigar se é possível contrariar os efeitos
secundários da desnutrição nas complicações pós-operatórias
através da instituição de suporte nutricional pré-operatório.
ARTIGO ORIGINAL ORIGINAL ARTICLE
Referências bibliográficas:
1.Sako K, Loré JM, Kaufman S, Razack MS. Parenteral hyperalimentation in
surgical patients with head and neck cancer: a randomized study. J Surg Oncol
1981;16:391-402
2.Reilly JJ. Does nutrition management benefit the head and neck cancer
patient? Oncology 1990;4:105-115
3.Brookes GB. Nutritional status – a prognostic indicator in head and neck
cancer. Otolaryngol Head Neck Surg 1985;93:69-74
4.Todorov P, Cariuk P, Mc Devitt T, Coles B. Characterization of a cancer
cachectic factor. Nature 1996;379:739-742
5.Robbins KT, Favrot S, Hanna D, Cole R. Risk of wound infection in patients
with head and neck cancer. Head Neck 1990;12:143-148
6.Gottschlich MM, Matarese LE, Shronts EP. Nutrition support dietetics core
curriculum, 2nd ed. American Society for Parenteral and Enteral Nutrition,
1993
7.Metropolitan Life Insurance Company. January-June: Statistical Bulletin,
1983
8.Jong de PCM, Wesdorp RIC, Volovics A, Rouflart MMJ. The value of objective
measurements to select patients who are malnourished. Clin Nutr 1985;4:61-66
9.Von Meyenfeldt MF, Meijerink WJHJ, Rouflart MMJ, Buil-Maassen MTHJ.
Perioperative nutritional support: a randomized clinical trial. Clin Nutr
1992;11:180-186
10.Scheltinga MRM. Bioelectrical impedance analysis (BIA): a bedside method
for fluid measurement. Studies of the body´s electrical impedance in various
models of health and disease. Thesis. Amsterdam: Vrije Universiteit, 1992
11.Matthews TW, Lampe HB, Dragosz KD. Nutritional status in head and neck
cancer patients. J Otolaryngol 1995;24:87-91
12.Linn BS, Robinson DS, KKlimas NG. Effects of age and nutritional status
on surgical outcomes in head and neck cancer. Ann Surg 1989;207:267-273
13.THE “MUST” REPORT - Nutritional screening of adults: a multidisciplinary
responsibility
14.Van Bokhorst de van der Schueren M, Van Leeuwen P, Sauerwein H, Kuik
D. Assessment of malnutrition parameters in head and neck cancer and their
relation to postoperative complications. Head Neck 1997;19:419-425
15.Hussain M, Kish JA, Crane L. The role of infection in the morbidity and
mortality of patients with head and neck cancer undergoing multimodality
treatment. Cancer 1991;67:716-721
16.Bassett MR, Dobie RA. Patterns of nutritional deficiency in head and neck
cancer. Otol Head Neck Surg 1983;91:119-125
17.Westin T, Ahlbom E, Johansson E, Sandstrom B. Circulating levels of
selenium and zinc in relation to nutritional status in patients with head and
neck cancer. Arch Otolaryngol Head Neck Surg 1989;115:1079-1082

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