PubMed · 9381036
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A Nordmann. 1997-09-03. [Dysphagia].. https://pubmed.ncbi.nlm.nih.gov/9381036/
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The impact of altered nutritional status is costly. Surgical patients have 2-3 times the risk of complications, length of stay is extended by 90%, and charges are 35-75% higher. Risk factors are numerous; therefore, collaboration among all members of the health care team is required to impact patient outcomes positively. The purpose of this article is to review the significance of alteration in nutrition and its impact on patient outcomes. The article demonstrates two approaches to improve the quality of care given to clients with an identified alteration in nutritional status: a clinical research project and a quality improvement project.
Oesophageal carcinoma is frequently diagnosed at an advanced stage of the disease not amenable to curative treatment. For these patients relief of dysphagia is of foremost importance to quality of life for the remaining survival time. There is a wide choice of palliative therapeutic methods. The majority of patients will benefit from implantation of a self-expanding metal stent. In this article the most frequently employed techniques of endoscopic palliation are briefly reviewed, with emphasis on metal stents.