Aims: Esophageal replacement by gastric tube is present the procedure of choice in surgical treatment of carcinoma of esophagus. We would like to present our experiences in esophageal replacement by gastric tube without pyloroplasty in the Gastrointestinal Surgical Division at Binh Dan Hospital. Results: During 22 years (1979-2000), we performed 80 cases of esophagoplasty by gastric tube without pyloroplasty for 3 females and 77 males. The patient mean age was 61 years old. There were 51 cases of cancer of middle 1/3, 27 cases of cancer of the lower 1/3 and 2 cases of cancer of the cardio with esophageal extension. We had 24 cases of total esophagectomy, 29 cases of blunt esophagestomy and 27 cases of esophageal reconstruction by gastric tube. In 53 cases, gastric tube was in posterior mediastinum and 27 cases in substernal position. There were 15 patients presented postoperative pneumonia, 8 cases of anastomotic leakage in the neck, 4 cases of pneumothorax, 1 case with splenic rupture, 1 case of jejunal perforation, 2 cases of leakage of abdominal esophageal stump. The mean hospital stay was 20 days. No gastric emptying trouble was noted in this study. The functional results were good in patients survived this operation. Conclusion: The vascularization of the stomach was very good. In our experiences, esophageal reconstruction by gastric tube foiling Akiyama technique without pyloroplasty was suitable for all cases of esophageal cancer.
Enteral Nutrition ; Esophageal Diseases

Enteral feeding therapy has existed since ancient Egypt, but most of the major advances in enteral nutrient techniques and formulas have taken place during the 20th century through the development of sources and ingredients This review provides a historical account of enteral nutrition (EN), including the sources and formulation of macro-and micro-nutrients in the formula and how to manufacture them. The formulas were improved by the development of raw materials that are easier to digest and the next formula is expected to develop functionality using more raw materials, such as ω-3, amino acid, and more functional ingredients to heal the disease.
Egypt ; Enteral Nutrition*

Objectives: To compare the clinical outcomes of rapid versus slow enteral feeding advancement in preterm low birth weight neonates.

Methods: Searches for randomized controlled trials evaluating the effect of rapid versus slow rate of enteral feeding advancement on the clinical outcomes of preterm, low birth weight neonates were performed in different databases. Two authors screened the articles for inclusion and statistical analysis was done using Review Manager Version 5.3 (RevMan) software.

Results: Six trials with a total of 680 subjects comparing enteral feeding advancement protocols were identified. The number of days to reach full feeds in rapid enteral feeding was shorter by 2.79 days (95% CI 1.39, 4.19) and time to regain weight by 3.72 days (95% CI 2.86, 4.59) compared to slow enteral feeding. There was no significant difference in the incidence of feeding intolerance (OR 0.69, 95% CI 0.42, 1.11) and NEC (OR 0.88, 95% CI 0.45, 1.72) between the two groups.

Conclusions: Rapid enteral feeding protocols reduce the time to establish full enteral feeds and to regain birth weight in preterm low birth weight neonates. Rapid enteral feeding may facilitate early discharge and help reduce hospital costs for the care of these neonates.

No abstract available.
Enteral Nutrition* ; Evidence-Based Medicine*

Although considerable clinical problems were solved by parenteral nutrition since 1960s, because of the risk of infectious and metabolic complications and advance in feeding tube placement, feeding methods, and artificial ingredient nutrients, enteral nutrition from 400 years ago has been brought to attention again. This review article is aimed to illustrate the issues related to enteral tube feeding in esophageal surgery.
Enteral Nutrition ; instrumentation ; methods ; Humans

Enteral Nutrition ; Humans ; Pancreatitis ; therapy ; Parenteral Nutrition

Esophagectomy can result in various postoperative nutrition-related complications that may impair the nutritional status of the patient. In our institution, we usually initiate 16-hour continuous jejunostomy feeding using an enteral feeding pump on postoperative day 2 as a routine protocol after esophagectomy. The target calorie intake was achieved in 6-7 days with this protocol, which is longer than that required with other recently reported feeding protocols. Accordingly, early jejunostomy feeding protocol, which starts on postoperative day 1 and continues for 24 hours was attempted. In the present report, we described 3 cases of early 24-hour continuous jejunostomy feeding after esophagectomy. The use of this new protocol reduced the duration required to achieve the target calorie intake as less than 5 days without any enteral feeding-related complications.
Enteral Nutrition ; Esophagectomy* ; Humans ; Jejunostomy* ; Nutritional Status

Traditionally, total parenteral nutrition(TPN) has been used when patients with hypaemesis gravidarum failed to respond to conservative management, but now many physicians attempt to enteral feeding via nasogastric tube because TPN is expensive and has many complications. Recently, we experienced 2 cases of hyperemesis gravidarum successfully managed by enteral feeding via nasogastric tube, therefore we think that this method may be carefully considered to the patients with hyperemesis gravidarum failed to respond to conservative management. So we report them with brief review of the literatures.
Enteral Nutrition* ; Female ; Humans ; Hyperemesis Gravidarum* ; Pregnancy

Enteral Nutrition ; methods ; Humans ; Intestines ; pathology ; physiopathology

Enteral nutrition can provide adequate nutrients and enhance immunity. Because it is inexpensive, no significant side effects, and convenient, enteral nutrition has been used widely. However, enteral nutrition has its limitation, therefore some details should be noticed during the management. In this paper, we discuss the details about enteral nutrition based on the data of our gastric carcinoma patients.
Enteral Nutrition ; Humans ; Stomach Neoplasms ; therapy