Effect of postoperative nutritional support by different mode in patients with esophageal neoplasm

Objective: To study the rational way of postoperative nutritional support by comparison with different nutritional support mode.Methods: One hundred and seventeen cases were randomized into three groups: parenteral nutrition(PN) group(n=38),enteral nutrition(EN) group(n=38) and PN+EN group(n=39).Another 42 cases with only supported normal liquid were regarded normal liquid group.Body weight,serum total protein,albumin,prealbumin and hemoglobin,total lymphocytes count were monitored on the first preoperative day and first,eighth postoperative day.Hospital stay and cost were marked.Results: Their body weight was all decreased on the eighth postoperative day,but the decrease body weight of the normal liquid group was more than the PN+EN and PN group(P0.05).Serum total protein,albumin,prealbumin and hemoglobin were significantly increased on the eighth postoperative day compared with the first postoperative day in the PN+EN and PN groups(P0.05),and there were significant differences compared with normal liquid group(P0.05).Serum total protein and albumin were significantly decreased in the normal liquid group(P0.05).The EN group,although prealbumin and hemoglobin were significantly increased on the eighth postoperative day(P0.05),but were lower than that of the PN+EN and PN groups(P0.05).The hospital cost of PN group was significantly higher than that of EN and PN+EN groups(P0.05).The hospital stay of PN,PN+EN and EN group were significantly shorter than that of the normal liquid group(P0.05).Conclusion: Combined use of PN and EN can abstain from the shortcoming of only using the PN or EN in postoperative patients with esophageal neoplasm,and can help to maintain and improve the nutrition state and cut down the hospital stay and cost.