Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 3: What Options Exist For Enteral Feeding In Preoperative Patients With Esophageal Cancer Who Have Dysphagia? (continued)

Vivek Kaul, MD, FACG

In patients with esophageal cancer, dysphagia presents an additional unique nutritional challenge (beyond anorexia and tumor-related cachexia). As is frequently the case, the majority of patients who present with dysphagia are found to have significant esophageal luminal obstruction at the time of diagnosis. Baseline nutritional status is an independent predictive factor for treatment response and survival in these patients.1 Malnutrition is associated with increased perioperative morbidity and prolonged hospital stay. For this reason, nutritional support should be addressed as a high…