Effect of percutaneous transhepatic cholangial drainage with bile reinfusion and enteral nutrition via the nasojejunal tube on visceral protein and hepatic function.
- Author:
Wei-dong WANG
1
;
Xiao-wu CHEN
;
Wei HE
;
Qing-bo LIU
;
Zhi-qiang WU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Bile; chemistry; Drainage; methods; Enteral Nutrition; methods; Female; Humans; Intubation, Gastrointestinal; methods; Jaundice, Obstructive; therapy; Liver Function Tests; Male; Middle Aged
- From: Journal of Southern Medical University 2010;30(1):146-148
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the clinical value of percutaneous transhepatic cholangial drainage (PTCD) combined with nasojejunal tube for bile reinfusion and enteral nutrition for patients with malignant obstructive jaundice.
METHODSForty patients with malignant obstructive jaundice were randomly divided into bile reinfusion group (n=20) and exclusive external drainage group (control group, n=20), and the clinical data concerning the hepatic function, visceral protein and postoperative complications of the patients were collected.
RESULTSIn both of the two groups, the levels of ALT, AST, and TB-2 reduced significantly after the operation as compared with the preperative levels (P<0.05), and no significant difference was found in the postoperative hepatic function between the two groups (P>0.05). The postoperative levels of the visceral proteins such as ALB, TRF and PRE increased significantly after the operation (P<0.05), and the changes in ALB and PRE were comparable between the two groups (P>0.05). TRF was significantly higher in bile reinfusion group than in the control group.
CONCLUSIONPTCD combined with bile reinfusion and early enteral nutrition via the nasojejunal tube may facilitate the recovery of hepatic function and visceral proteins in patients with malignant obstructive jaundice.
