title: Rehabilitation Nutrition for Possible Sarcopenic Dysphagia After Lung Cancer Surgery: A Case Report.
abstract: 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.
authors.affiliation: From the Department of Rehabilitation Medicine, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Wakabayashi
authors.forename: Rimiko
authors.initials: R
authors.lastname: Uwano
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D003680:Deglutition Disorders / Q000178:diet therapy / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D044342:Malnutrition / Q000178:diet therapy / Q000209:etiology / Q000534:rehabilitation*; D009203:Myocardial Infarction / Q000209:etiology; D011014:Pneumonia / Q000209:etiology; D011183:Postoperative Complications / Q000178:diet therapy / Q000209:etiology / Q000534:rehabilitation*; D013510:Pulmonary Surgical Procedures / Q000009:adverse effects*; D055948:Sarcopenia / Q000178:diet therapy / Q000209:etiology / Q000534:rehabilitation*