As individuals approach old age, dysphagia may lead to changes in their previously established everyday eating environment. This study examined the significance of medical management in relation to individual food culture through a questionnaire survey of 29 healthcare professionals and an analysis of a single case in which a patient was able to resume oral intake after gastrostomy placement. The patient’s clinical course and food diary were reviewed, and questionnaires and interviews were also conducted. The results showed that, although healthcare professionals placed importance on the enjoyment of eating, they tended to be reluctant to undergo invasive medical interventions aimed at ensuring adequate nutritional intake. However, the clinical course of the patient with a gastrostomy suggested that “not eating by mouth” due to gastrostomy does not necessarily result in the loss of one’s food culture. Rather, with appropriate medical support that respects the individual’s feelings toward food and autonomy, it may be possible to reconstruct a food culture that reflects the individual’s own preferences and way of life.

Abstract
I. 緒言
II. 研究方法
    １、急性期病院に勤務する医療従事者に対するアンケート調査
    ２、パーキンソン病による摂食嚥下障害により、胃ろうを造設したＣ氏の臨床経過と食生活の変遷
III. 結果
    １、急性期病院に勤務する医療従事者へのアンケートの質問と回答
    ２、胃ろうを造設したＣ氏の臨床経過と食生活の変遷
    ３、C氏と配偶者へのアンケートおよびインタビュー結果
IV. 考察
    １、医療従事者における価値観の変化
    ２、C氏における食事をする意味の変化
V. 要約および結論
Acknowledgement
Conflict of Interest
References

• 齋藤真由(東京都立荏原病院 歯科口腔外科, 医療法人社団 小磯診療所) | Mayu Saito (Department of Oral and Maxillofacial Surgery, Tokyo Metropolitan Ebara Hospital, Koiso Clinic, Medical Corporation) Corresponding author
• 守屋亜記子(日本栄養大学 栄養学部) | Akiko Moriya (Faculty of Nutrition Science, Japan Nutrition University)