期刊
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
卷 95, 期 6, 页码 E84-E89出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PHM.0000000000000458
关键词
Deglutition Disorder; Intensive Care Unit; Malnutrition; Sarcopenia
资金
- Ministry of Education, Science, Culture, Sports, Science, and Technology of Japan [25350611]
Sarcopenic dysphagia is characterized by the loss of swallowing muscle mass and function associated with generalized loss of skeletal muscle mass and function. In this report, the authors describe a patient with possible sarcopenic dysphagia after lung cancer surgery and was treated subsequently by rehabilitation nutrition. A 71-year-old man with lung cancer experienced complications of an acute myocardial infarction and pneumonia after surgery. He was ventilated artificially, and a tracheotomy was performed. The patient received diagnoses of malnutrition, severe sarcopenia, and possible sarcopenic dysphagia. His dysphagia was improved by a combination of dysphagia rehabilitation including physical and speech therapy and an improvement in nutrition initiated by a nutrition support team. Finally, he no longer had dysphagia and malnutrition. Sarcopenic dysphagia should be considered in patients with sarcopenia and dysphagia. Rehabilitation nutrition using a combination of both rehabilitation and nutritional care management is presumptively useful for treating sarcopenic dysphagia.
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