Abstract
Patients with gastroesophageal (GE) junction adenocarcinoma experienced the symptoms such as poor appetite, dysphagia and early satiety, impacting dietary intake leading to insufficient protein–energy intake. A 63-year-old Malay male, diagnosed with GE junction adenocarcinoma and anaemia, was admitted for chemotherapy and referred to a dietician to enhance oral intake and nutritional status. Experiencing unintentional weight loss over 3 months due to progressive dysphagia and reduced appetite, the patient was underweight. Low levels of albumin and creatinine indicated inadequate oral intake, an acute-phase response to cancer and muscle loss, respectively. Solely relying on oral nutritional supplements (ONSs) for nourishment, the estimated energy and protein intake were only 47.1% and 47.6% (0.57 g/kg body weight), respectively, in relation to requirements. A full liquid diet was prescribed, and nutrition counselling focused on strategies to increase protein–energy intake, stressing its importance in addressing the ongoing catabolic state. During follow-up, the patient showed improved energy and protein intake, reaching 78% and 81%, respectively, meeting requirements.
Published Version
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