The Application of Early Postoperative Enteral Nutrition Combinded with Parenteralnutriton in Aged Patients with Gastric Carcinoma

Objective evaluate the clinical effect of enteral nutrition(EN) combined with parenteral nutrition(PN)in aged patients with gastric carcinoma.Methods 153 aged patients of gastric carcinoma undergone gastrectomy were randomly divided into three groups:(1)in PN group(n=50),all patients were treated with total parenteral nutrition.(2)in EN group(n=51),all patients received total enteral nutrition.(3)in conbination of EN and PN(CEP) group(n=52),all patients were given enteral nutrition combined with parenteral nutrition.Complications,passage of flatus,length of postoperative stay,cost and nutritional evaluation were analyzed.Results By the univariate and multivariate analysing,there are no significant difference between EN group and CEP group(P0.05).The time of passage of flatus and the postoperative stay of PE group was longer than that of the other two groups(P0.05),while the cost of PE group was more than the other two groups(P0.05).And among the three groups,no significant differences were indicated about the postoperative variation of complication,albumin,proalbumin,transferrin and weight(P0.05).Conclusion In aged patients with gastric malignant tumor,early enteral nutrition combined parenteral nutrition is safe and feasible.It has the function like TPN in improve nutritional status.And it cost less,has shorter postoperative stay and is easy and convenient in clinical application.