Treatment of Chronic Radiation Intestinal Injury by Ileostomy Combined with Perioperative Nutrition Support Therapy
10.16151/j.1007-810x.2018.02.006
- VernacularTitle:回肠造口联合营养支持治疗慢性放射性肠损伤
- Author:
Gu-Nan LI
1
;
Kang-Wen CHENG
;
Zhen-Guo ZHAO
;
Jian WANG
;
Wei-Ming ZHU
;
Jie-Shou LI
Author Information
1. 苏州大学附属常州肿瘤医院胃肠外科
- Keywords:
Chronic radiation intestinal injury;
Ileostomy;
Nutrition support therapy
- From:
Parenteral & Enteral Nutrition
2018;25(3):147-150
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To review the application of ileostomy combined with perioperative nutrition support therapy in the treatment of chronic radiation intestinal injury. Methods: The clinical data of patients with chronic radiation intestinal injury who received ileostomy combined with perioperative nutrition support therapy in the department of general surgery, Nanjing General Hospital of Nanjing Military Command from January 2012 to December 2016 were retrospectively analyzed. The short-term complications and perioperative nutrition process were recorded, and the long-term prognoses were followed up. Results: Forty-six patients were included in the study. The overall postoperative complication rate was 36. 96％. All the patients restored total enteral nutrition at the time of discharge (18±15) days. There was no post-operative mortality. Thirty-six patients were followed up (follow-up rate of 78. 26％), and the follow-up time was (25 ± 17) months. Tumor recurrence was occurred in 7 patients (19. 44％) during follow-up and 6 deaths (16. 67％). All of the 30 (83. 33％) survived patients maintained total enteral feeding, 27 of whom (75％) returned to normal diet. Twenty-one patients (58. 33％) underwent a second staging ostomy surgery in our hospital and recovered well. Conclusion: For selected patients with chronic radiation intestinal injury, ileostomy combined with perioperative nutrition support therapy could effectively restore intestinal patency and total enteral nutrition, and reduce the mortality.
