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Radiation Diet
1.
© 2023 Cancer
Research, Statistics, and Treatment | Published by Wolters Kluwer - Medknow 62 Nutritional needs are often neglected during and after radiation therapy. Malnutrition occurs not only due to the neoplastic disease itself but also due to the side-effects of radiation. This negatively affects the quality of life of the cancer survivor. In this context, the European Society on Clinical Nutrition and Metabolism guidelines for parenteral and enteral nutrition act as a guide for cancer caregivers detailing the general concepts, energy requirements, and interventions for nutrition of patients with cancer. Here is a poem about nutrition delineating the steps to mitigate the side- effects during and after radiation therapy. Nutrition, nutrition, nutrition Very important during radiation Before radiation assessment During radiation management Post radiation surveillance All are important guidance Mixed causes of nutritional alteration Local factors due to radiation Concurrent chemo adds a vomiting sensation Systemic factors due to tumorization Mucositis, dysphagia, and aspiration Xerostomia, dysgeusia in addition Create a problem for nutrition That happens during radiation Ask the patient to drink water Coughing is a sign to suffer Coughing is a sign of aspiration Needs the feeding tube insertion Everyday weight measurement It is the one‑step nutrition management Try to maintain a diet chart It should be in the radiation cart Patient needs a high‑protein diet No need to restrict fat or carbohydrate Egg, nuts, paneer, chicken, and mutton These are the high‑protein nutrition The role of glutamine is not sure Some studies showed mucositis cure Multivitamins and minerals Not recommended more than allowances When mucositis hinders the flow To drink, best use a straw Protein need is one g per kg per day Energy is 30 calories per kg per day There are various assessment tools Any one is ok to keep you cool Try to avoid parental nutrition Nothing can replace enteral nutrition Another factor is oral candidiasis Needs antifungals to eradicate this crisis Periodic gargling is required for hygiene Try magic mouthwash or benzydamine Soda salt gargle dissolves the sticky substance Topical anesthetics have their own importance Another sequel is electrolyte imbalance Needed during and after radiation surveillance Organs at risk and target hinder nutrition Need extra care during their delineation Keep the medial border of nodal contour medial to the carotid Nodal contouring articles act here as the guide Keep the upper border at C1 transverse in level 2 node Unless you are treating the retropharyngeal node When addressing the retropharyngeal node Do not include the medial retropharyngeal node Base of tongue, supraglottis, and constrictors They are swallowing supporters Parotid is not the only salivary target Other salivary structures are not to forget If you want to improve the nutrition Try to improve plan optimization Oral cavity, vocal cord, and post-cricoid Please check the dose per volume (cc) Still, there is value in a midline block In 2‑dimensional planning, try to use that block Try to collapse the bridge between the vocal cord and post- cricoid Important for non-laryngopharynx primary Radiation diet Poetry In Oncology Downloaded from http://journals.lww.com/crst by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AW nYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI= on 05/03/2023
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63 Patro and Avinash:
Nutrition during radiation Cancer Research, Statistics, and Treatment / Volume 6 / Issue 1 / January-March 2023 Planning tumors of non-oral cavity Avoid low‑dose spillage over oral cavity Weshouldnotbehappywithintensity‑modulatedradiotherapy Hope we will plan dose‑optimized intensity‑modulated radiotherapy Take care of the nutrition during radiation Weight loss forces adaptive radiation Swallowing exercises during and after radiation Demo videos give better visualization Mendelsohn, Masako, and Shaker maneuvers These exercises increase nutrition turnovers Important post-radiation surveillance Correct the fluid‑electrolyte imbalance Xerostomia and post-cricoid stenosis These are the important late crises Artificial saliva, pilocarpine, and stimulation Some patients need endodilatation Restrain yourself from giving more constraint Otherwise tumor will sustain Nutrition, nutrition, nutrition Very important during radiation Funding support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. Kanhu Charan Patro, Ajitesh Avinash1 Department of Radiation Oncology, Mahatma Gandhi Cancer Hospital and Research Institute, Visakhapatnam, Andhra Pradesh, 1 Department of Radiation Oncology, SUM Ultimate Medicare, Bhubaneswar, Odisha, India Address for correspondence: Dr. Kanhu Charan Patro, Department of Radiation Oncology, Mahatma Gandhi Cancer Hospital and Research Institute, Visakhapatnam, Andhra Pradesh, India. E‑mail: drkcpatro@gmail.com This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Access this article online Website: www.crstonline.com Quick Response Code DOI: 10.4103/crst.crst_2_23 How to cite this article: Patro KC, Avinash A. Radiation diet. Cancer Res Stat Treat 2023;6:62-3. Submitted: 08‑Jan‑2023 Revised: 15‑Jan‑2023 Accepted: 15‑Jan‑2023 Published: 27-Apr-2023 © 2023 Cancer Research, Statistics, and Treatment | Published by Wolters Kluwer - Medknow Downloaded from http://journals.lww.com/crst by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AW nYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI= on 05/03/2023
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