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Correspondence
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Volume 350:1363-1364 March 25, 2004 Number 13
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Esophageal Cancer

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 by Enzinger, P. C.
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To the Editor: Enzinger and Mayer (Dec. 4 issue)1 provide an extensive review of esophageal cancer. However, they fail to mention one very important aspect of care that is routinely assessed in the United Kingdom2: nutritional support of patients at the time of presentation. A body-mass index (the weight in kilograms divided by the square of the height in meters) that is less than 18.5, a body weight that is less than 90 percent of the predicted value, and a low albumin level have all been shown to increase the risk of perioperative complications. Nutritional support, given either enterally3 . . . [Full Text of this Article]




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