Читать книгу The Esophagus - Группа авторов - Страница 93

The patient’s diet is dictated by the nature of their OPD. While some patients can tolerate a regular diet, others require soft or pureed foods because they cannot form a cohesive bolus or they have a defective preparatory phase of swallowing. A simple intervention consists of manipulation of bolus size and consistency. However, dietary modification should not compromise the patient’s pleasure in eating. Patients’ families should be advised to make every effort to ensure desirability and palatability of meals by paying particular attention to taste, temperature, and texture, as well as being tolerant about the extra time required for some patients to eat properly. The overall goals of dietary intervention are to afford adequate nutrition while minimizing the sometimes dramatic personal and social ramifications of OPD, and thus allow patients to comfortably function within their social milieu.