Evidence summary for early enteral nutrition support in patients after gastric cancer surgery
10.3760/cma.j.cn115682-20210822-03748
- VernacularTitle:胃癌术后患者早期肠内营养支持的最佳证据总结
- Author:
Yao YAO
1
;
Jie WANG
;
Haifeng ZHAO
;
Haofen XIE
;
Qinhong XU
;
Zejun CAI
;
Zhilong YAN
;
Xiaoyan HUANG
Author Information
1. 宁波市第一医院护理部，宁波 315000
- Keywords:
Stomach neoplasms;
Enteral nutrition;
Postoperative;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2022;28(14):1869-1875
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve relevant evidence for early enteral nutrition support in patients after gastric cancer surgery and summarize the best evidence, so as to provide evidence-based evidence for clinical implementation of postoperative enteral nutrition management for gastric cancer.Methods:Evidence-based questions were established according to PIPOST principles, UpToDate, Cochrane Library, Joanna Briggs Institute Library, BMJ Best Practice, Agency for Healthcare Research and Quality website, Medlive, European Society for Clinical Nutrition and Metabolism website, American Society for Parenteral and Enteral Nutrition website, Embase, Medline, PubMed, SinoMed, Wanfang Database, China National Knowledge Infrastructure were searched according to the "6S" evidence model. The retrieval period of every database was from January 1, 2016 to May 31, 2021. The Evidence Pre-Grading and Evidence Recommendation Grading System (2014) of Australian Joanna Briggs Institute Evidence-Based Health Care Center was used to extract evidence from the literature that met the quality standards, determine the evidence grading and recommendation level and form the best evidence.Results:A total of 317 literatures were retrieved, and 10 literatures were included, including 1 guideline, 4 expert consensus and 5 systematic reviews. The 10 evidences were summarized from 4 aspects, including indication evaluation, timing management, route and preparation management and risk management.Conclusions:Current evidence shows that early enteral nutrition is safe and feasible in patients after gastric cancer surgery. In the process of implementing enteral nutrition, medical staff should fully evaluate the indications and needs of patients and make clear and prudent choices for nutritional support channels and preparations of patients, so as to form the best evidence and clinical management programs for early enteral nutrition support for patients after gastric cancer surgery and accelerate postoperative recovery of patients.
