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The effect of early sequential enteral nutrition on postoperative rehabilitation in patients with gastric cancer / 肠外与肠内营养
Parenteral & Enteral Nutrition ; (6): 102-106, 2018.
Article in Chinese | WPRIM | ID: wpr-692121
ABSTRACT

Objective:

Our study was aimed to analyze the therapeutic effect of early sequential enteral nutrition on postoperative rehabilitation in patients with gastric cancer.

Methods:

Patients with gastric cancer receiving surgery at our hospital from 2016 to 2017 included and the clinical information was prospective collected and analyzed.Patients were randomly divided into two groups using random number table.Patients in group A were sequentially given amino acid type,short peptide type and then whole protein type,while those in group B received whole protein formulation only.The recovery of gastrointestinal function,postoperative systemic inflammatory response,six-minutes walking test,and enteral nutrition-related complications were compared between the two groups.

Results:

A total of 71 patients were included in this study (Group A 36 cases,Group B 35 cases).There was no significant difference in terms of the restart anal exhaust between the two groups (P > 0.05).Patients in group A had a significantly shorter postoperative hospitalization (t =4.070;P < 0.01) and the earlier restoration of oral intake than that of Group B (t =3.400;P =0.001).One week after surgery,the levels of CRP (t =2.547;P =0.013) and IL-6 (t =3.172;P =0.002) were significant lower in group A when compared with group B.In addition,patients in group A had a significant higher six minutes walk steps than those in Group B [(416.1 + 36.7) m vs (358.9 ± 32.7) m;t =6.927,P < 0.01].However,no significant difference in enteral nutrition-related complications was found between the two groups (P > 0.05).

Conclusion:

In patients with gastric cancer,early sequential enteral nutrition can effectively accelerate the postoperative rehabilitation.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Parenteral & Enteral Nutrition Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Parenteral & Enteral Nutrition Year: 2018 Type: Article