<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2174-5145</journal-id>
<journal-title><![CDATA[Revista Española de Nutrición Humana y Dietética]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Nutr Hum Diet]]></abbrev-journal-title>
<issn>2174-5145</issn>
<publisher>
<publisher-name><![CDATA[Academia Española de Nutrición y Dietética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2174-51452018000300201</article-id>
<article-id pub-id-type="doi">10.14306/renhyd.22.3.437</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neoplasia mandibular y gastrostomía: a propósito de un caso nutricional]]></article-title>
<article-title xml:lang="en"><![CDATA[Mandibular neoplasia and gastrostomy: a nutritional case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro-Vega]]></surname>
<given-names><![CDATA[Iciar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veses Martin]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna-Boquera]]></surname>
<given-names><![CDATA[Iris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Mijares]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Dr. Peset-FISABIO Servicio de Endocrinología y Nutrición ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Valencia Departamento de Medicina ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>22</volume>
<numero>3</numero>
<fpage>201</fpage>
<lpage>207</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2174-51452018000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2174-51452018000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2174-51452018000300201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se expone el caso de un varón de 47 años con carcinoma epidermoide mandibular. Su evolución ocasiona la aparición de una desnutrición calórica severa que requiere una valoración nutricional completa con el método SENPE-SEDOM. Dicha situación se agrava con el tratamiento quirúrgico y oncológico, desarrollando una disfagia mecánica grave, valorada y diagnosticada con el Método de Exploración Clínica Volumen-Viscosidad (MECV-V). El paciente requiere progresivas adaptaciones dietéticas tanto de textura como de aporte nutricional, precisando el uso de sonda de alimentación por gastrostomía y de nutrición enteral a través de ella. La finalidad es mejorar el estado nutricional, que había empeorado como consecuencia de la enfermedad, de los tratamientos y de incorrectas indicaciones nutricionales por personal no experto en nutrición. Al finalizar el tratamiento oncológico, se produce una mejoría de la disfagia, y se modifica la intervención dietética y nutricional, por lo que se progresa de vía enteral a oral con nueva adaptación de textura y con suplementos dietético-nutricionales que permitan la recuperación del estado nutricional, manteniendo la sonda de alimentación por gastrostomía hasta que el paciente se encuentre libre de enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT A case of a 47 year old male with mandibular squamous cell carcinoma is presented. Severe caloric malnutrition is diagnosed following the nutritional assessment of SENPE-SEDOM method. Severe mechanical dysphagia is developed due to surgery and oncological treatment. Dysphagia is diagnosed by the clinical exploration known as Volume-Viscosity Method (MECV-V). The patient requires dietary adaptations including texture and nutritional input and finally, the use of gastrostomy feeding tube and enteral nutrition. The aim of this nutritional treatment is to improve the nutritional status that in our case worsened as a consequence of oncological disease, aggressive treatments and inaccurate nutritional indications made by non-expert staff. Once oncological treatment is concluded, dysphagia ameliorates and nutritional progression from enteral to oral feeding is possible. To reach the nutritional recovery a new dietary texture adaptation is made and nutritional supplements are added. The gastrostomy feeding tube will remain until the status of free of oncological disease is achieved.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neoplasias de Cabeza y Cuello]]></kwd>
<kwd lng="es"><![CDATA[Desnutrición]]></kwd>
<kwd lng="es"><![CDATA[Trastornos de Deglución]]></kwd>
<kwd lng="es"><![CDATA[Gastrostomía]]></kwd>
<kwd lng="es"><![CDATA[Nutrición Enteral]]></kwd>
<kwd lng="es"><![CDATA[Dietoterapia]]></kwd>
<kwd lng="en"><![CDATA[Head and Neck Neoplasms]]></kwd>
<kwd lng="en"><![CDATA[Malnutrition]]></kwd>
<kwd lng="en"><![CDATA[Deglutition Disorders]]></kwd>
<kwd lng="en"><![CDATA[Gastrostomy]]></kwd>
<kwd lng="en"><![CDATA[Enteral Nutrition]]></kwd>
<kwd lng="en"><![CDATA[Diet Therapy]]></kwd>
</kwd-group>
</article-meta>
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