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首页> 外文期刊>World Journal of Gastroenterology >Benefits of early postoperative jejuna I feeding in patients undergoing duodenohemipancreatectomy
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Benefits of early postoperative jejuna I feeding in patients undergoing duodenohemipancreatectomy

机译：十二指肠半胰切除术术后早期空肠I喂养的好处

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摘要

AIM: To study whether early postoperative enteral nutrition reduces the incidence of complications and/or improves nutritional status following duodenohemipancre atectomy (DHP). METHODS: We studied 39 patients who underwent DHP for a peri-ampullary mass. Twenty-three patients received total parental nutrition and then started to have an oral intake of nutrition between postoperative day (POD) 7 and 14 [late postoperative enteral nutrition (LPEN) group]. Sixteen patients started to have enteral feeding through a jejunostomy catheter the day after the operation [early postoperative enteral nutrition (EPEN) group]. The incidence of complications and laboratory data at the early postoperative stage were studied in comparison between LPEN and EPEN groups. RESULTS: Serum levels of albumin and total protein in the EPEN group were significantly higher than those in the LPEN group. The loss of body mass index was significantly suppressed in the EPEN group as compared to the LPEN group. The lymphocyte count decreased immediately after the operation was restored significantly faster in the EPEN group than in the LPEN group. The EPEN group showed significantly fewer incidences of postoperative pancreatic fistulas, as well as a significantly shorter length of hospitalization than the LPEN group. There were no significant differences in the incidences of other postoperative complications between the two groups, such as delayed gastric emptying, surgical site infection, cholangitis, and small bowel obstruction. CONCLUSION: EPEN is a safe and beneficial opportunity for patients who have undergone DHP for a peri-ampullary mass.
机译：目的：研究术后早期肠内营养是否能减少十二指肠半结肠切除术（DHP）后并发症的发生率和/或改善营养状况。方法：我们研究了39名接受壶腹周围肿物的DHP的患者。 23例患者接受了全部父母营养，然后在术后第7天至第14天[术后肠内营养（LPEN）组]开始口服营养。术后第二天，有16例患者开始通过空肠造口导管进行肠内喂养[术后早期肠内营养（EPEN）组]。比较LPEN组和EPEN组在术后早期并发症的发生率和实验室数据。结果：EPEN组的血清白蛋白和总蛋白水平明显高于LPEN组。与LPEN组相比，EPEN组的体重指数损失得到显着抑制。 EPEN组术后恢复后淋巴细胞计数立即下降，而LPEN组显着更快。与LPEN组相比，EPEN组的术后胰瘘发生率显着降低，住院时间也明显缩短。两组其他术后并发症的发生率在两组之间没有显着差异，例如胃排空延迟，手术部位感染，胆管炎和小肠梗阻。结论：EPEN对于接受壶腹周围肿块的DHP的患者是安全和有益的机会。

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