Nutrition in peri-operative esophageal cancer management

Elles Steenhagen, Jonna K van Vulpen, Richard van Hillegersberg, Anne M May, Peter D Siersema

Research output: Contribution to journalReview articlepeer-review

Abstract

INTRODUCTION: Nutritional status and dietary intake are increasingly recognized as essential areas in esophageal cancer management. Nutritional management of esophageal cancer is a continuously evolving field and comprises an interesting area for scientific research. Areas covered: This review encompasses the current literature on nutrition in the pre-operative, peri-operative, and post-operative phases of esophageal cancer. Both established interventions and potential novel targets for nutritional management are discussed. Expert commentary: To ensure an optimal pre-operative status and to reduce peri-operative complications, it is key to assess nutritional status in all pre-operative esophageal cancer patients and to apply nutritional interventions accordingly. Since esophagectomy results in a permanent anatomical change, a special focus on nutritional strategies is needed in the post-operative phase, including early initiation of enteral feeding, nutritional interventions for post-operative complications, and attention to long-term nutritional intake and status. Nutritional aspects of pre-optimization and peri-operative management should be incorporated in novel Enhanced Recovery After Surgery programs for esophageal cancer.

Original languageEnglish
Pages (from-to)663-672
Number of pages10
JournalExpert Review of Gastroenterology and Hepatology
Volume11
Issue number7
Early online date28 Apr 2017
DOIs
Publication statusPublished - May 2017

Keywords

  • Esophageal cancer
  • nutrition
  • peri-operative management
  • pre-optimization
  • weight loss

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