Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Schattner, M. A.
Right arrow Articles by Shike, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Schattner, M. A.
Right arrow Articles by Shike, M.
Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Head and Neck Cancer
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Original Communications

Long-Term Enteral Nutrition Facilitates Optimization of Body Weight

Mark A. Schattner, MD, Holly J. Willis, RD, Alexandra Raykher, MD, Patricia Brown, RN, Ofelia Quesada, RN, Burma Scott, RN and Moshe Shike, MD

From the Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.

Correspondence: Mark Schattner, MD, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021. Electronic mail may be sent to schattnm{at}mskcc.org.

Background: Optimization of body mass index (BMI) among cancer survivors is a priority. Long-term enteral nutrition is required by many head and neck cancer survivors and may be utilized to affect changes in BMI. Methods: We used a retrospective review of head and neck cancer survivors dependent on enteral nutrition. Patients were grouped according to their BMI at initiation of enteral feeding. Patients with normal, low, or elevated BMI were assigned a goal of weight maintenance, weight gain, or weight reduction, respectively. Changes in BMI over time were recorded. Results: We identified 39 head and neck cancer survivors requiring enteral nutrition. Median time on enteral nutrition was 32 ± 39.6 months. At the initiation of enteral feeding, 51% of patients had a normal BMI and were assigned to the weight maintenance group, 84% successfully maintained a normal BMI (mean 22.4 ± 1.7 kg/m2), and 18% had a low BMI and were assigned to the weight gain group. In all, 85% achieved or trended toward a normal BMI (from 16.5 ± 1.9 to 19.2 ± 1.6 kg/m2; p = .02). When enteral feedings began, 31% of patients had an elevated BMI and were assigned a goal of weight reduction; all were able to reduce their BMI (from 30.2 ± 5 to 27.3 ± 6 kg/m2; p < .001). Conclusions: Long-term enteral feeding facilitates body weight optimization among ambulatory head and neck cancer survivors. These findings may potentially be generalized to all ambulatory patients who are dependent on enteral nutrition.

Journal of Parenteral and Enteral Nutrition, Vol. 29, No. 3, 198-203 (2005)
DOI: 10.1177/0148607105029003198
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JPEN J Parenter Enteral NutrHome page
A. Raykher, L. Correa, L. Russo, P. Brown, N. Lee, D. Pfister, H. Gerdes, J. Shah, D. Kraus, M. Schattner, et al.
The Role of Pretreatment Percutaneous Endoscopic Gastrostomy in Facilitating Therapy of Head and Neck Cancer and Optimizing the Body Mass Index of the Obese Patient
JPEN J Parenter Enteral Nutr, July 1, 2009; 33(4): 404 - 410.
[Abstract] [Full Text] [PDF]

Home page
 Nutr Clin PractHome page
A. Raykher, L. Russo, M. Schattner, L. Schwartz, B. Scott, and M. Shike
Enteral Nutrition Support of Head and Neck Cancer Patients
Nutr Clin Pract, February 1, 2007; 22(1): 68 - 73.
[Abstract] [Full Text] [PDF]