Medical Surgical Esophageal cancer #2

Question

A client recently diagnosed with esophageal cancer inquires about dietary chances they should share with their family to help them lower their risks for esophageal cancer?

Answers

  1. Avoid foods with increased vitamin K, such as spinach and green tea
    • Rationale:

      This answer is not correct because intake of vitamin K does not increase a person’s risk of esophageal cancer. Vitamin K is known to interfere with warfarin therapy and should be taken in at a consistent level when taking warfarin.

  2. Decrease intake of processed meats, such as hotdogs and cured ham
    • Rationale:

      This answer is correct because dietary risk factors for esophageal cancer include a high intake of processed meats. Examples of processed meats include hotdogs, cured meats, salami, jerky, and lunch meats.

  3. Reduce foods with vitamin C, such as oranges and broccoli
    • Rationale:

      This answer is not correct because vitamin C is an antioxidant and is encouraged to help reduce the risk of many cancers. However, higher acidity foods may need to be reduced to help decrease GERD symptoms that can contribute to esophageal cancer.

  4. Minimize flavored drinks such as flavored water and peach tea
    • Rationale:

      This answer is not correct because artificial flavoring has not been implicated to cause esophageal cancer. Fluids are encouraged for optimal health, unless contraindicated by certain medical conditions, such as heart failure or kidney disease.

Overview

Processed meats, such as hotdogs and cured ham have been shown to increase the incidence of esophageal cancer. Esophageal cancer is known to be the sixth most common cause of death from cancer in the world.

Explanation

Learning Outcomes

Esophageal cancer is known to be the sixth most common cause of death from cancer in the world. Unfortunately, there are few symptoms while the cancer is most treatable. Often, when it is identified, the cancer is late-stage and the prognosis is grave. Medical advice is often sought due to late signs which include dysphagia, unintentional weight loss, increasing heartburn, hoarseness or coughing, and chest pain. Dietary risk factors for esophageal cancer include a high intake of processed meats. Examples of processed meats include hotdogs, cured meats, salami, jerky, and lunch meats.

Test Taking Tip

Be sure to remember that the vitamin K concern is related to warfarin use. However, do not think that vitamin K should be avoided completely, but just eaten in consistent amounts so as to not cause variable levels in the body while on warfarin therapy.

Video Rationale