Effect of combined enteral and parenteral nutrition on nutritional and immune status of patients after proximal gastrectomy
10.3760/cma.j.issn.1671-7368.2011.02.024
- VernacularTitle:近端胃切除术后肠内外营养联合应用对血清营养及免疫学指标的影响
- Author:
Jie ZHANG
;
Junben WU
;
Shujing WANG
;
Tongjun ZHANG
;
Bengang GONG
- Publication Type:Journal Article
- Keywords:
Gastrectomy;
Enteral nutrition
- From:
Chinese Journal of General Practitioners
2011;10(2):131-133
- CountryChina
- Language:Chinese
-
Abstract:
Parenteral nutrition (PN) was given to 40 patients with upper gastric carcinoma after proximal gastrectomies; and full enteral nutrition (EN) was subsequently given when bowels function recovered.The nutritional indicators including serum albumin ( Alb),prealbumin .(PA) and transferring,and immunological indicators including IgA,IgG,IgM,C3,C4 were measured before and 1st,8th day after operation.The data were processed by software SPSS 13.0.The average length of hospital stay was 14 d and the aerofluxus time was (58 ±6)hours.There were no changes in blood biochemistry,hepatic function and renal function pre- and post-operation( P ＞0.05 ).The nutritional and immune indicators except the IgM in 1 st day after operation were decreased significantly ( P ＜ 0.05 ).The immune indicators except the IgG in 8th day after operation were significantly improved in comparison of those before and 1st day after operation ( P ＜ 0.05 ).Post-operative complications occurred in 3 patients including 1 case of subphrenic infection and 2 cases of anastomotic leakage.After proper treatment,all patients recovered well.Combined application of EN and PN may improve nutrition and immune status of patients after proximal gastrectomy.
