Comparative study of postoperative early enteral nutrition and parenteral nutrition in total gastrectomy

Objective:to explore the effect of postoperative early enteral nutrition(EEN) and total parenteral nutrition(TPN) on nutritional status and complications in total gastrectomy.Methods:86 patients with radical total gastrectomy were randomly divided into two groups,and received EEN(n=43)or TPN(n=43) continuously for 7 days after operations.8 days later,the body weight,blood routine test,liver function,prealbumin and C-reactive protein were compared with those before operation.complications and the costs were also compared.Results:The body weight,albumin,prealbumin decreased less in EEN group than those in TPN group.Meanwhile,the WBC count,transaminase and C -reactive protein increased less in EEN group than those in TPN group.The complication rates of anastomotic fistula,pulmonary infection and delayed incision healing were 0,7.0% and 0 in EEN group,and 2.3%,20.9% and 11.6% in TPN group.There were significant differences between the two groups(P0.01).The costs in EEN group were significant less than those in TPN group(P0.01).Conclusion:Early postoperative enteral nutrition after total gastrectomy can improve nutritional status and reduce complications and the medical costs in comparison with total parenteral nutrition.