Palliative Gastrojejunostomy and the Impact on Nutrition in Cancer

Authored by: Dorotea Mutabdzic , Poornima B. Rao , Jeffrey M. Farma

Handbook of Nutrition and Diet in Palliative Care

Print publication date:  July  2019
Online publication date:  July  2019

Print ISBN: 9781138064072
eBook ISBN: 9781315160627
Adobe ISBN:

10.1201/9781315160627-20

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Abstract

The development of gastrointestinal obstruction can occur at any point during the course of cancer progression. The immediate impact of obstruction on the nutritional status of a patient may seem obvious; however, the effects may be more far reaching than immediately evident. A patient will often adapt to low-grade symptoms with dietary modification and changes in eating behaviors early in the course of disease progression, and clinical presentation may occur only after adaptive maneuvers fail. Others with a known history of malignancy may develop acute onset of symptoms which serve to signal the presence of heavy disease burden and disease progression. The distinction is important, as the course of symptom presentation plays a key role in the determination of treatment options available to the patient for both palliation and nutritional support.

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