• Otolaryngological aspects...
Price 8.50 €
• Cervicofacial cellulitise...
Price 10.50 €
• Acute mesenteric ischemia...
Price 5.50 €
• External otitis...
Price 8.50 €
• Desmoplastic ameloblastom...
Price 5.50 €
• Unusual location of pleom...
Price 12.50 €
• The rehabilitation of the...
Price 10.50 €
• Cholesteatoma behind a no...
Price 10.50 €
• Dynamic palatography: Dia...
Price 12.50 €
• Scaling properties of the...
Price 5.50 €
• A survey of current wound...
Price 5.50 €
• Histology of the larynx....
Price 8.50 €
• Endoscopic-assisted retro...
Price 10.50 €
• Cervico facial lymphangio...
Price 10.50 €
• Bilateral latero-pontine ...
Price 5.50 €
• Vibrant Soundbridge for h...
Price 10.50 €
• The emergency in the mana...
Price 10.50 €
• Multidisciplinary daytime...
Price 12.00 €
• Cervical approach to a li...
Price 8.00 €
• Focus on the BPPV: Semont...
Price 12.50 €
• Anatomy of the external a...
Price 14.00 €
• Going from the tube feedi...
Price 8.50 €
• Treatment by enlargement ...
Price 10.50 €
• Treatment and rehabilitat...
Price 10.50 €
• The cost of running a mul...
Price 5.50 €
• "Sonorous man" - an appro...
Price 8.50 €
• Partial allotransplantati...
Price 10.50 €
• Notes on voice and speech...
Price 8.50 €
• Esthesioneuroblastoma....
Price 5.50 €
• Identification and locali...
Price 8.50 €
• Acute acoustic trauma, a ...
Price 12.00 €
• The use of ultrasound eva...
Price 8.50 €
• Nasal polyposis and olfac...
Price 10.50 €
• Why is allergic rhinitis ...
Price 12.00 €
• Psychosocial quality of l...
Price 10.50 €
• CT scanning in "second lo...
Price 5.50 €
• Retropharyngeal abscess i...
Price 10.50 €
• Inflammatory pathology an...
Price 10.50 €
• Acoustic recognition of e...
Price 8.50 €
• Liposarcoma of the hypoph...
Price 5.50 €
• A non-linear model of lar...
Price 10.50 €
• Endoscopic medialization ...
Price 8.50 €
• Hearing aid : practical a...
Price 8.50 €
• Side effects and patients...
Price 10.50 €
• Vertigo and pathology of ...
Price 10.50 €
• Actinomycosis of the midd...
Price 5.50 €
• Karapandzic flap for reco...
Price 10.50 €
• Two cases of primary mali...
Price 8.50 €
• Metastatic angiosarcoma t...
Price 5.50 €
• Aspects of voice quality ...
Price 5.50 €
• Schwannoma of the postcri...
Price 5.50 €
• Hyperglycemia after intra...
Price 8.50 €
• Endoscopic dacryocystorhi...
Price 5.50 €
• Central auditory processi...
Price 10.50 €
• Rehabilitation strategies...
Price 10.50 €
Total Order 493.00 €
|
2019
N#
1
|
2018
N#
1
|
2
|
3
|
4
|
5
|
2017
N#
1
|
2
|
3
|
4
|
5
|
2016
N#
1
|
2
|
3
|
4
|
5
|
2015
N#
1
|
2
|
3
|
4
|
5
|
2014
N#
1
|
2
|
3
|
4
|
5
|
2013
N#
1
|
2
|
3
|
4
|
5
|
2012
N#
1
|
2
|
3
|
4
|
5
|
2011
N#
1
|
2
|
3
|
4
|
5
|
2010
N#
1
|
2
|
3
|
4
|
5
|
2009
N#
1
|
2
|
3
|
4
|
5
|
2008
N#
1
|
2
|
3
|
4
|
5
|
2007
N#
1
|
2
|
3
|
4
|
5
|
2006
N#
1
|
2
|
3
|
4
|
5
|
2005
N#
|
1
|
2
|
3
|
4
|
5
|
2004
N#
1
|
2
|
3
|
4
|
5
|
2003
N#
1
|
2
|
3
|
4
|
5
|
2002
N#
1
|
2
|
3
|
4
|
5
|
2001
N#
1
|
2
|
3
|
4
|
5
|
2000
N#
|
1
|
2
|
3
|
4
|
5
|
1999
N#
1
|
2
|
3
|
4
|
5
|
1998
N#
1
|
2
|
3
|
5
|
1997
N#
1
|
2
|
3
|
4
|
5
|
1996
N#
4
|
5
|
Click on the number of the review to see the content
|
|
List of all teaching bulletins CME.
|
|
Editor reading committee.
|
|
Select of books and press articles.
|
|
If you wish to adjust the size of the displayed characters, click in
the high menu on "Your account" and choose the desired size.
|
|
Issue N# 4 - 2009
CANCER
Interest of peri-operative immunonutrition in head and neck cancers
Authors : Abou Mayaleh H, Vayer C, Amsellem C, Bouvet A, Duval N, Poiree B, Tran M, Lepeltier V, Hitier M, Rame JP, Louis Y, De Raucourt D. (Lisieux, Caen)
Ref. : Rev Laryngol Otol Rhinol. 2009;130,4:235-240.
Article published in french 
Downloadable PDF document french
Summary :
Objective: Authors reported the results of a study on the application of immunonutrion in peri-operative (pre and post-operative) in head and neck cancer for all patients malnourished or not. In preoperative we used an oral treatmentand in postoperative an enteral one. Materials and methods: Prospective study concerning 78 patients (47 malnourished versus 31 not) having had heavy head and neck curative cancerology surgery. The mean follow up was of 10 months (from 7 to 16 month). They peri-operative immuno-enriched diet consisted, in pre-operative of 1000 kcal/j during 7 days of oral immunonutrition (Impact®), and in post-operative, 1500 kcal/j during 10 days of enteral immunonutition (Crucial®). The nutritional state was evaluated in pre-operative by simple clinical and biological parameters (size, weight, CMI «Corporal Mass Index», albumin, NRI «Nutritional Risk Index»), and in post-operative by the evolution of the weight and the CMI. The palatability of the product used in pre-operative and the patients’ compliance to the treatment are studied using the satisfaction’s multiple choice question paper. Results: The study showed an improvement of the patients’ nutritional and general state (regain appetite, less marked asthenia) and of the quality of life. The product used in pre-operative was well tolerated, this oral supplementation led to the same beneficial effects of the enteral’s. At eight days in pre-operative, the average weight was 62.35 kg, the average CMI was 20.93, and the average NRI was 94.12. In post-operative the patients’ nutritional state improved: at eight days, the average loss of weight was 2.82 kg, the average CMI was 22.2. At one and six months after, respectively the average gain of weight was 2.17 kg and 6.11 kg, the average CMI was 23.71 and 25.16. The application of this protocol decreased the post-operative complications (13% reduction of the infectious complications and 6% diminution of the fistulas). The time of hospitalization is then reduced (1.7 days), and the life’s longevity is improved. Conclusion: The results produced by this study, demonstrate the necessity to apply a peri-operative immuno-enriched diet systematically for all the patients with and without a degraded nutritional state, undergoing a heavy head and neck curative cancerology surgery.
Price : 10.50 €
|
|
|
|
