Clinical application of early enteral nutrition support after operation of esophagus carcinoma / 肿瘤

ABSTRACT

Objective: To study the effects of early postoperative enteral nutrition support on nutritional parameters specifically on prevention of postoperative complications for patients with esophagus carcinoma. Methods: Five hundred and thirty seven patients were randomly divided into 2 groups enteral nutrition (EN) support group and parenteral nutrition (PN) support group. The duodenal feeding tubes were placed during surgery in patients in EN group who received nutritional support from day 1. The patients in PN group received nutrition support through peripheral vein on day 1 after surgery. The body weight, the level of plasma albumin and urea nitrogen, and the postoperative complications were monitored on day 1 before operation and on day 5 and day 8 post operation. Results: There was no difference between the two groups in body weight and the level of plasma albumin. EN was better than PN in prevention of postoperative complications (P < 0.01). Conclusion: Early postoperative enteral nutrition support significantly decreased the occurrence rate of post-operative complications and improved the nutritional parameters with low cost for patients with esophagus carcinoma.