Objective To explore the effect of early
enteral nutrition (EEN) and
parenteral nutrition (PN) on the postoperative outcomes of
patients with
gastric cancer and nutritional
risk in
enhanced recovery after surgery .
Methods A total of 130
patients with
gastric cancer hospitalized in department of
surgery of Ningbo First Hospitalfrom September 2016 to May 2018 were selected and divided into early
enteral nutrition support group (EEN) which was placed with jejunal
nutrition tube during the operation, and
enteral nutrition started within 12-24 hours after the operation, and
parenteral nutrition support group (PN) which was given
parenteral nutrition support one day after
surgery .
Patients in both groups were given
nutrients of equal
heat and
nitrogen . The
incidence of
nutrition -related
complications , the
incidence of
infection -related
complications , the length of postoperative
hospital stay and the
time of anal exhaust were compared between the two groups. Results The
incidence of
nutrition -related
complications was 10 cases (15. 38%) and 4 cases (6. 15%) in EEN group and PN group, that was not statistically different (P = 0. 157). The
incidence of
infection -related
complications was 3 cases (4. 61%) and 5 cases (7. 69%) in EEN group and PN group, that was not statistically different (P = 0. 715). The postoperative
hospital stay was 11 days (range, 10-15) and 12 days (range, 11-13) in EEN group and PN group, that was not statistically different (P = 0. 233). The first anal exhaust
time and
defecation timewere 64 hours (range, 52-77) and 87 hours (range, 76-100) in EEN group and 72 hours (range, 60-86) and 96 hours (range, 86-120) in PN group, that was statistically different (P=0. 001, P=0. 034). Conclusion
Enhanced recovery after surgery , early
enteral nutrition after
gastric cancer surgery may promote the recovery of intestinal function, but the
complications and
hospital stay after operation are not improved.