Postoperative early enteral nutrition by Freka trelumina or feeding jejunostomy in old patients with gastric cancer

VernacularTitle:三腔喂养管和空肠造瘘术在老年胃癌患者术后早期肠内营养中的临床疗效
Author: Yikuan CHEN ; Danping SHEN ; Zizhen ZHANG ; Jiahua LIU ; Hao CHEN ; Jianming WEI ; Xingzhi NI
Publication Type:Journal Article
Keywords: Stomach neoplasms; Gastrectomy; Enteral nutrition
From: Chinese Journal of General Surgery 2015;30(12):961-964
CountryChina
Language:Chinese
Abstract: Objective To compare the clinical efficacy of Freka trelumina (FT) vs.feeding jejunostomy (FJ) in carrying out postoperative early enteral nutrition (EEN) in old patients with gastric cancer.Method 168 old gastric cancer cases were derided into FT group (n =54) with EEN, FJ group (n =50) with gastric tube and EEN, and total parenteral nutrition (TPN) group (n =64).Results Compared with TPN group, postoperative body weight, serum albumin and prealbumin level in FT and FJ groups were significantly higher, intestinal function recovery time, days of postoperative hospitalization and costs were significantly lower.The incidence of cough, sputum and sore throat of patients in FT group were significantly higher than those in FJ and TPN groups (P ＜ 0.05).Conclusions Postoperative EEN through FT and FJ was effective to improve nutritional parameter, accelerate intestinal function recovery, reduce the number of days of postoperative hospitalization, total costs, anastomotic stomal leak and gastroparesis rate.