Clinical comparative study of postoperative early enteral nutrition and parenteral nutrition in elder patients with esophageal and cardiac cancer
- VernacularTitle:老年食管贲门癌术后早期肠内营养与肠外营养疗效的对比研究
- Author:
Jun YOU
;
Weixia QIN
;
Peiren WU
;
Ming HONG
;
Jiangfeng QIU
- Publication Type:Journal Article
- Keywords:
Esophageal neoplasm;
Cardiac neoplasm;
Surgical procedure;
Enteral nutrition;
Parenteral nutrition
- From:
Parenteral & Enteral Nutrition
2010;17(2):78-80
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical value of early enteral nutrition(EEN) with total parenteral nutrition(TPN) in postoperative elder patients with esophageal and cardiac cancer. Methods: 102 cases of postoperative elder patients with esophageal and cardiac cancer were randomly divided into EEN group(n=51)and TPN group(n=51).The weight loss,serum albumin, prealbumin,liver function were measured before operation and on the eighth day after operation. The anal exsufflation time, infectious complication, duration of hospital stay and treatment cost were observed. Results: The weight loss in EEN group were less than those of TPN group(P<0.05). The levels of ALT, AST, BIL and GGT in EEN group on the eighth day after operation was lower than those in TPN group(P<0.05). The anal exsufflation time and duration of hospital stay in EEN group were shorter than those of TPN group(P<0.05). The treatment cost of EEN group was significantly less than that of TPN group(P<0.05). The infectious complication rate of EEN group was lower than that of TPN group(P<0.05). Conclusion: EEN in postoperative elder patients with esophageal and cardiac cancer can decrease the postoperative infectious complication and the treatment cost, shorten the duration of hospital stay, improve nutritional status and recovery of gastrointestinal function with less side effects of liver function.