• Periphery, central and ps...
Price 10.50 €
• Epitympanic osteoma of th...
Price 12.50 €
• Abscess tonsillectomy for...
Price 10.50 €
• Evaluation of rhinologic ...
Price 10.50 €
• Navigation in head and ne...
Price 10.50 €
• Dynamic palatography: Dia...
Price 12.50 €
• Sentinel lymph node biops...
Price 15.00 €
• Parry-Romberg syndrome as...
Price 12.50 €
• Functional septal surgery...
Price 10.50 €
• Identification and locali...
Price 8.50 €
• Revision ossiculoplasty: ...
Price 10.50 €
• A survey of current wound...
Price 5.50 €
• Fronto-ethmoidal fibrous ...
Price 8.50 €
• Zenker's diverticulum: Te...
Price 10.50 €
• Hearing aids rehabilitati...
Price 12.50 €
• Vocal rehabilitation with...
Price 10.50 €
• Bilateral vestibular loss...
Price 10.50 €
• Adenocarcinoma of the eth...
Price 8.50 €
• Vestibular neuritis: aeti...
Price 8.50 €
• Middle ear tuberculosis e...
Price 5.50 €
• Functional anatomy of the...
Price 14.00 €
• Brain stem cavernous angi...
Price 8.50 €
• Cervical cystic lymphangi...
Price 5.50 €
• Nasal tumours of the thre...
Price 10.50 €
• Vertigo and pathology of ...
Price 10.50 €
• Teeth and sinuses...
Price 8.50 €
• Notes on voice and speech...
Price 8.50 €
• Mucoepidermoid carcinomas...
Price 10.50 €
• Distortion product otoaco...
Price 10.50 €
• Diagnosis of non organic ...
Price 8.50 €
• Solitary myofibroma of th...
Price 5.50 €
• The sound intensity after...
Price 10.50 €
• Autologous bone pate in m...
Price 10.50 €
• Choanal atresia : a retro...
Price 8.50 €
• Morbidity of neck dissect...
Price 15.00 €
• Management of cerebellopo...
Price 10.50 €
• Ethmoidal metastasis reve...
Price 8.50 €
• Ossiculoplasty with hydro...
Price 10.50 €
• Saddle nose surgery: Long...
Price 10.50 €
• Endoscopic-assisted retro...
Price 10.50 €
• Major orbital complicatio...
Price 8.50 €
• A histopathologic evaluat...
Price 8.50 €
• The monaural pseudo-stere...
Price 8.50 €
• Otomycosis: Clinical and ...
Price 5.50 €
• Nasal involvement in Croh...
Price 10.50 €
• Rare benin tumors of the ...
Price 5.50 €
• Myasthenia gravis and oro...
Price 5.50 €
• Nasopharyngeal tuberculos...
Price 5.50 €
• Endoscopic medialization ...
Price 8.50 €
• Cephalic vein access for ...
Price 10.50 €
• Surgical procedure in fir...
Price 8.50 €
• Comparison of three diffe...
Price 12.00 €
• Rehabilitation strategies...
Price 10.50 €
• Is HIV/AIDS an independen...
Price 10.50 €
• Eagle syndrom: A case rep...
Price 8.50 €
• The place of speech thera...
Price 8.50 €
• Evaluation of a dysphonic...
Price 10.50 €
• Vertigo: progress and pra...
Price 8.50 €
• Anatomy of the external a...
Price 14.00 €
• Speech disorders, verbal ...
Price 10.50 €
• Personality study in prof...
Price 5.50 €
• Thyroid differenciated ca...
Price 10.50 €
Total Order 595.50 €
|
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 €
|
|
|
|
