Comparative study of postoperative early enteral nutrition and parenteral nutrition in esophageal carcinoma.
- Author:
Pei-ren WU
1
;
Lin XU
;
Zhi-ming ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Enteral Nutrition; Esophageal Neoplasms; surgery; therapy; Female; Humans; Male; Middle Aged; Nutritional Status; Parenteral Nutrition; Postoperative Period
- From: Chinese Journal of Gastrointestinal Surgery 2006;9(4):320-322
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the effect of postoperative early enteral nutrition (EN) and parenteral nutrition (PN) on nutritional status and morbidity in esophageal carcinoma.
METHODSOne hundred and six patients with esophageal carcinoma were randomly divided into two groups, and received enteral nutrition(n=53) or parenteral nutrition(n=53) continuously for 7 days after operation. The body weight, blood routine test, liver function, and morbidity on postoperative day 8 were compared with those before operation.
RESULTSThe body weight, red blood cell count, and the levels of hemoglobin, serum albumin and transaminase decreased less in EN group than those in PN group(P< 0.01). The complication rates of anastomotic fistula, pulmonary infection, pleural effusion and delayed incision healing were 0, 5.7%, 3.8% and 0 in EN group, and 5.7%, 28.3%, 15.1% and 7.6% in PN group. There were significant differences between the two groups(P< 0.05).
CONCLUSIONEarly postoperative enteral nutrition after esophageal carcinoma surgery can improve nutritional status and reduce complications in comparison with parenteral nutrition.
