Comparison of different pathways of early enteral nutrition after liver transplantation recipients
10.3760/cma.j.issn.1674-2907.2011.17.005
- VernacularTitle:肝移植受者术后早期肠内营养不同途径的效果比较
- Author:
Xu WANG
1
;
Cheng-Mei YAN
;
Hai-Ying XIE
;
Ting-Lu ZHAO
;
Yi JIANG
Author Information
1. 福建医科大学
- Keywords:
Enteral nutrition;
Liver transplantation;
Nasogastric tube;
Gastrostomy-jejunal tube;
Model for end-stage liver disease(MELD) score;
Recipient
- From:
Chinese Journal of Modern Nursing
2011;17(17):2001-2004
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the choice of pathway of early enteral nutrition after orthotopic liver transplantation.Methods 96 liver transplantation recipients were separated into nasogastric tube group(42 cases) and gastrostomy-jejunal tube group (54 cases) in our center. The preoperative general condition, nutritional status and basic diseases in two groups were collected. The complications and treatment results of two groups were compared.Results Compared with nasogastric tube group, the start time of enteral nutrition was significantly advanced[(2.33±0.25) vs (0.52±0.12), t=46.770,P<0.01]; the effective use of time of the feeding tube was markedly extended [(8.7±3.9) vs (28.6±17.9),t=7.071, P<0.01]; the supplementary from the third to the 7th day were observably increased in the gastrostomy-jejunal tube group(P<0.01). In Meld score above 15, incidence of gastric retention[5.1%(2/39) vs 25%(8/32), χ2=5.736,P=0.035] and the feeding tube accidently pulled out[0 vs 12.5%(4/32),χ2=5.166,P=0.037], postoperative hospital stay and hospital costs in gastrostomy-jejunal tube group were significantly lower than that of nasogastric tube group(P<0.05). The incidence of diarrhea and tube blockage was no significant difference(P>0.05). Meld score in different circumstances, between the two groups of pulmonary infection, abdominal infection, acute renal failure and acute rejection were not significantly different(P>0.05).Conclusions The use of percutaneous gastrostomy-jejunal tube has the advantages of early postoperative enteral nutrition in patients with Meld score above 15 ,it is worth to apply.
