Prospective study of early application of immune-enhanced enteral nutrition and recombined human growth hormone on patients with gastric neoplasms after total gastrectomy.
- Author:
Bei LU
1
;
Yang CAI
;
Guang-Hua FENG
;
Zhong-Yao LUO
;
Wei ZHU
;
Jie NI
;
Xi-Ping ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Enteral Nutrition; methods; Fat Emulsions, Intravenous; Female; Gastrectomy; Human Growth Hormone; immunology; therapeutic use; Humans; Male; Middle Aged; Postoperative Period; Prospective Studies; Recombinant Proteins; immunology; therapeutic use; Stomach Neoplasms; therapy
- From: Chinese Journal of Gastrointestinal Surgery 2007;10(6):550-554
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the effect of immune-enhanced enteral nutrition (IEN) together with recombined human growth hormone (rhGH) on patients after total gastrectomy.
METHODSForty-eight patients after total gastrectomy were randomly divided into EN group (n=16), IEN group (n=16) and IEN+ rhGH(n=16) group. Nitrogen balance, nutritional status, immune function and lassitude degree were compared among 3 groups.
RESULTSIEN+rhGH group had better efficacy as compared to EN and IEN group in improving postoperative nutritional status, immune function, nitrogen balance and lassitude degree, and recovered to normal level after 7 days. All the indexes of IEN+rhGH group except CD8 were improved significantly on the 10th day after operation as compared to those of EN group[total protein(66.8 +/- 2.0)g/L vs (65.8 +/- 0.9)g/L, CD3(66.1 +/- 6.3)% vs (60.5 +/- 5.6)%, Christensen score (4.6 +/- 0.9) vs (6.3 +/- 0.9), all P<0.05].
CONCLUSIONEarly application of IEN combined with rhGH plays an effective role in improving protein metabolism and immune function for patients after total gastrectomy in short period.
