P178 - OPTIMIZING NUTRITIONAL MANAGEMENT IN UPPER AERODIGESTIVE TRACT CANCER: A RETROSPECTIVE OBSERVATIONAL STUDY AT THE NATIONAL INSTITUTE OF ONCOLOGY IN RABAT.

P178

OPTIMIZING NUTRITIONAL MANAGEMENT IN UPPER AERODIGESTIVE TRACT CANCER: A RETROSPECTIVE OBSERVATIONAL STUDY AT THE NATIONAL INSTITUTE OF ONCOLOGY IN RABAT.

N. Denise Edith Tatiana^1,², L. Imane^1,², A. Falone^2,³, W. Carine^1,², R. yassine ^1,², N. Hubert^1,², K. Tayeb^1,^2,*, H. Khalid^1,²

¹Radiotherapy, national institute of oncology, ²Faculty of Medicine and Pharmacy, Mohammed V University, ³oncology, national institute of oncology, rabat, Morocco

Rationale: Integrated nutritional management is crucial for patients with upper aerodigestive tract (UADT) cancer. This retrospective observational study evaluates current practices at the National Institute of Oncology in Rabat, from initial screening to the management of late sequelae, utilizing data from the Enova system and follow-up consultations.

Methods: A retrospective descriptive study was conducted on 45 patients with UADT cancer. Data on nutritional screening, peri-therapeutic nutritional support, dietary monitoring during radiotherapy, and post-treatment functional disorders were extracted from the Enova system and follow-up notes. Practices were compared to clinical recommendations for caloric and nitrogen intake.

Results: Pre-therapeutic nutritional screening was documented in 58% of patients. Post-operatively (n=35), 80% received enteral nutrition, but caloric intake (27 ± 4 kcal/kg) and nitrogen intake (0.14 ± 0.02 g/kg) were suboptimal in 70% of cases. Dietary monitoring during radiotherapy (n=40) was noted in 82%, with gastrostomy placement for weight loss >10% in 25%. At 6 months, 65% presented with persistent dysphagia and 78% reported xerostomia impacting nutrition.

Conclusion: This study reveals disparities in the application of nutritional recommendations at the INO of Rabat. While dietary monitoring is frequent, early screening and optimization of peri-operative support require improvement. The high prevalence of late sequelae underscores the importance of long-term management. Prospective studies evaluating the impact of standardized nutritional protocols are necessary to improve clinical outcomes and quality of life for these patients.

Disclosure of Interest: None declared