A major complication of oral and esophageal diseases is decreased food intake. Dietary consultation with creative diet planning and choice may be quite beneficial in milder cases. Caloric supplementation with formula diets also may be helpful. In patients with local lesions that cannot be treated successfully or in refractory cases of anorexia, some form of nonvolitional feeding is required. Nutritional repletion has been reported in response to total parenteral nutrition (TPN) and to enteral feeding regimens. Nasoenteric tubes can be used, though there are problems with cooperation in long term use and there is the possibility of precipitating or exacerbating sinus disease. Percutaneous endoscopic gastrostomy feedings are efficacious and well tolerated by AIDS patients, and can be continued indefinitely.
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