title: Tolerance of early oral feeding in patients subjected to total laryngectomy.
abstract: The purpose of this study was to assess the tolerance of early oral feeding after total laryngectomy.
  
  
  
  A randomized multicenter study was conducted that included 89 individuals subjected to total laryngectomy. The participants were allocated to 2 groups: early (n = 44), early oral feeding; and late (n = 45), late oral feeding. The participants in the early group were assessed as to acceptance of oral feeding, and their food intake was quantified.
  
  
  
  In the early group, the total energy expenditure and protein needs were not met through oral feeding alone at any time during the first 7 postoperative days. The times to attain 25% and 50% of the total energy expenditure and protein needs by oral feeding after surgery were 4 and 7 days, respectively.
  
  
  
  The patients subjected to early oral feeding failed to meet their caloric and protein needs through that route alone during the first 4 postoperative days and required complementary nutrition through another route. © 2015 Wiley Periodicals, Inc. Head Neck 38: E643-E648, 2016.
authors.affiliation: Department of Head and Neck Surgery, Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Alexandre Andrade
authors.initials: AA
authors.lastname: Sousa
authors.affiliation: Department of Medicine, Universidade Federal de São João Del Rei, Divinópolis, Minas Gerais, Brazil.
authors.forename: José Maria
authors.initials: JM
authors.lastname: Porcaro-Salles
authors.affiliation: Department of Head and Neck Surgery, Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: João Marcos Arantes
authors.initials: JM
authors.lastname: Soares
authors.affiliation: Department of Head and Neck Surgery, Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Meyer de Moraes
authors.affiliation: Department of Head and Neck Surgery, Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Souza Silva
authors.affiliation: Department of Head and Neck Surgery, Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Rafael
authors.initials: R
authors.lastname: Abreu Sepulcri
authors.affiliation: Department of Head and Neck Surgery, Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Jomar
authors.initials: J
authors.lastname: Rezende Carvalho
authors.affiliation: Department of Head and Neck Surgery, Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Paulo Roberto
authors.initials: PR
authors.lastname: Savassi-Rocha
mesh_terms: D000368:Aged; D004044:Dietary Proteins / Q000008:administration & dosage; D004435:Eating; D002149:Energy Intake; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D011183:Postoperative Complications; D013997:Time Factors
chemical_list: D004044:Dietary Proteins
keywords: enteral nutrition; laryngectomy; postoperative complications; protein-calorie malnutrition; risk factors