The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/1258 |
Resumo: | Introduction: Leptomeningeal metastasis is an extremely rare evolution of colon cancer, with reduced survival, requiring early palliative treatment in order to improve the patient’s quality of life. The aim of this study was to report the case of a patient with colon cancer with leptomeningeal carcinomatosis, from the perspective of the nutritional approach in exclusive palliative care. Case report: Young female patient with diagnosis of colon cancer, metastatic to leptomeninges, admitted to a Palliative Care Unit, with reduced functionality and nutritional risk. From the 1st to the 8th day of hospitalization, she remained on zero diet. In the few moments when she was more alert, there was an attempt to offer liquid oral diet, which could not be achieved due to high risk of bronchoaspiration. After multiprofessional team discussions and conversations with the patient’s family members, it was decided to place the nasoenteric catheter (NEC). The patient alternated periods on zero diet and nutrition by NEC according to clinical and nutritional conditions. Conclusion: It is necessary to reconcile a safe food route for quality of life and death, considering not only the patient, but the feelings and meanings the family members attribute to food. |
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The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case ReportEl Reto de la Abordaje Nutricional de una Paciente con Cáncer de Colon y Metástasis Leptomeníngeas em la Práctica Clínica: Relato de CasoO Desafio da Abordagem Nutricional de uma Paciente com Câncer de Cólon e Metástase Leptomeníngea na Prática Clínica: Relato de CasoNeoplasias do ColoCarcinomatose MeníngeaCuidados PaliativosEstado NutricionalColonic NeoplasmsMeningeal CarcinomatosisPalliative CareNutritional StatusNeoplasias del ColonCarcinomatosis MeníngeaCuidados PaliativosEstado NutricionalIntroduction: Leptomeningeal metastasis is an extremely rare evolution of colon cancer, with reduced survival, requiring early palliative treatment in order to improve the patient’s quality of life. The aim of this study was to report the case of a patient with colon cancer with leptomeningeal carcinomatosis, from the perspective of the nutritional approach in exclusive palliative care. Case report: Young female patient with diagnosis of colon cancer, metastatic to leptomeninges, admitted to a Palliative Care Unit, with reduced functionality and nutritional risk. From the 1st to the 8th day of hospitalization, she remained on zero diet. In the few moments when she was more alert, there was an attempt to offer liquid oral diet, which could not be achieved due to high risk of bronchoaspiration. After multiprofessional team discussions and conversations with the patient’s family members, it was decided to place the nasoenteric catheter (NEC). The patient alternated periods on zero diet and nutrition by NEC according to clinical and nutritional conditions. Conclusion: It is necessary to reconcile a safe food route for quality of life and death, considering not only the patient, but the feelings and meanings the family members attribute to food.Introducción: La metástasis leptomeníngea es una evolución extremadamente rara del cáncer de colon, con supervivencia reducida, requiriendo tratamiento paliativo precoz para mejorar la calidad de vida del paciente. El objetivo de este estudio fue reportar el caso de una paciente con cáncer de colon con carcinometosis leptomeníngea, desde la perspectiva del abordaje nutricional en cuidados paliativos exclusivos. Relato del caso: Paciente joven con diagnóstico de cáncer de colon, metastásico a leptomeninge, ingresado en una Unidad de Cuidados Paliativos, con funcionalidad y riesgo nutricional reducidos. Desde el 1º al 8º día de hospitalización, permaneció con dieta cero. En los pocos momentos en que estuvo alerta, se intentó ofrecer dieta líquida oral, lo que no se pudo lograr por alto riesgo de broncoaspiración. Luego de discusiones entre el equipo multiprofesional y conversaciones con familiares del paciente, se decidió colocar el catéter nasoentérico (CNE). El paciente alternó períodos de dieta cero y nutrición por CNE de acuerdo con sus condiciones clínicas y nutricionales. Conclusión: Es necesario conciliar una ruta alimentaria segura para la calidad de vida y la muerte, contemplando no solo al paciente, sino también los sentidos y significados atribuidos a la alimentación por sus familiares.Introdução: A metástase leptomeníngea é uma evolução extremamente rara do câncer de cólon, com sobrevida reduzida, demandando tratamento paliativo precoce no intuito de melhorar a qualidade de vida do paciente. O objetivo deste estudo foi relatar o caso de uma paciente com câncer de cólon com carcinomatose leptomeníngea, sob a perspectiva da abordagem nutricional em cuidados paliativos exclusivos. Relato do caso: Paciente jovem, sexo feminino, com diagnóstico de câncer de cólon, metastático para leptomeninge de rara evolução, admitida na Unidade de Cuidados Paliativos, com funcionalidade reduzida e risco nutricional. Do 1º ao 8º dia de internação, manteve dieta zero. Nos poucos momentos em que esteve mais alerta, houve uma tentativa de oferta de dieta via oral líquida, o que não pôde ser alcançado em virtude do alto risco de broncoaspiração. Após discussões entre a equipe multiprofissional e conversas com familiares da paciente, optou-se pela colocação do cateter nasoentérico (CNE). A paciente alternava períodos de dieta zero e nutrição pela CNE de acordo com suas condições clínicas e nutricionais. Conclusão: É necessário conciliar uma via alimentar segura para qualidade de vida e de morte, contemplando não somente o paciente, como também os sentidos e significados atribuídos à alimentação por seus familiares.INCA2021-11-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de Casoapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/125810.32635/2176-9745.RBC.2021v67n4.1258Revista Brasileira de Cancerologia; Vol. 67 No. 4 (2021): Oct./Nov./Dec.; e-241258Revista Brasileira de Cancerologia; Vol. 67 Núm. 4 (2021): oct./nov./dic.; e-241258Revista Brasileira de Cancerologia; v. 67 n. 4 (2021): out./nov./dez.; e-2412582176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAenghttps://rbc.inca.gov.br/index.php/revista/article/view/1258/1533Copyright (c) 2021 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRosa, Karla Santos da Costa Santos, Daiane Almeida Souza-Silva, Renata de Oliveira, Livia Costa de 2022-10-18T12:30:58Zoai:rbc.inca.gov.br:article/1258Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2022-10-18T12:30:58Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report El Reto de la Abordaje Nutricional de una Paciente con Cáncer de Colon y Metástasis Leptomeníngeas em la Práctica Clínica: Relato de Caso O Desafio da Abordagem Nutricional de uma Paciente com Câncer de Cólon e Metástase Leptomeníngea na Prática Clínica: Relato de Caso |
title |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report |
spellingShingle |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report Rosa, Karla Santos da Costa Neoplasias do Colo Carcinomatose Meníngea Cuidados Paliativos Estado Nutricional Colonic Neoplasms Meningeal Carcinomatosis Palliative Care Nutritional Status Neoplasias del Colon Carcinomatosis Meníngea Cuidados Paliativos Estado Nutricional |
title_short |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report |
title_full |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report |
title_fullStr |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report |
title_full_unstemmed |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report |
title_sort |
The Nutritional Approach Challenge of a Patient with Colon Cancer and Leptomeningeal Metastasis in Clinical Practice: Case Report |
author |
Rosa, Karla Santos da Costa |
author_facet |
Rosa, Karla Santos da Costa Santos, Daiane Almeida Souza-Silva, Renata de Oliveira, Livia Costa de |
author_role |
author |
author2 |
Santos, Daiane Almeida Souza-Silva, Renata de Oliveira, Livia Costa de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Rosa, Karla Santos da Costa Santos, Daiane Almeida Souza-Silva, Renata de Oliveira, Livia Costa de |
dc.subject.por.fl_str_mv |
Neoplasias do Colo Carcinomatose Meníngea Cuidados Paliativos Estado Nutricional Colonic Neoplasms Meningeal Carcinomatosis Palliative Care Nutritional Status Neoplasias del Colon Carcinomatosis Meníngea Cuidados Paliativos Estado Nutricional |
topic |
Neoplasias do Colo Carcinomatose Meníngea Cuidados Paliativos Estado Nutricional Colonic Neoplasms Meningeal Carcinomatosis Palliative Care Nutritional Status Neoplasias del Colon Carcinomatosis Meníngea Cuidados Paliativos Estado Nutricional |
description |
Introduction: Leptomeningeal metastasis is an extremely rare evolution of colon cancer, with reduced survival, requiring early palliative treatment in order to improve the patient’s quality of life. The aim of this study was to report the case of a patient with colon cancer with leptomeningeal carcinomatosis, from the perspective of the nutritional approach in exclusive palliative care. Case report: Young female patient with diagnosis of colon cancer, metastatic to leptomeninges, admitted to a Palliative Care Unit, with reduced functionality and nutritional risk. From the 1st to the 8th day of hospitalization, she remained on zero diet. In the few moments when she was more alert, there was an attempt to offer liquid oral diet, which could not be achieved due to high risk of bronchoaspiration. After multiprofessional team discussions and conversations with the patient’s family members, it was decided to place the nasoenteric catheter (NEC). The patient alternated periods on zero diet and nutrition by NEC according to clinical and nutritional conditions. Conclusion: It is necessary to reconcile a safe food route for quality of life and death, considering not only the patient, but the feelings and meanings the family members attribute to food. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Relato de Caso |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1258 10.32635/2176-9745.RBC.2021v67n4.1258 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1258 |
identifier_str_mv |
10.32635/2176-9745.RBC.2021v67n4.1258 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1258/1533 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Revista Brasileira de Cancerologia https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 67 No. 4 (2021): Oct./Nov./Dec.; e-241258 Revista Brasileira de Cancerologia; Vol. 67 Núm. 4 (2021): oct./nov./dic.; e-241258 Revista Brasileira de Cancerologia; v. 67 n. 4 (2021): out./nov./dez.; e-241258 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
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Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042246231523328 |