The clinical observation of early enteral nutrition for gastric cancer patients after total gastrectomy

Objective To explore the clinical efficacy of early enteral nutrition after total gastrectomy for gastric cancer patients.Methods From September 2006 to June 2011,73 patients were treated with total gastrectomy for gastric cancer in general surgery in our hospital and randomly divided into EEN group(38 cases) and TPN group(35 cases).The patients of EEN group was given early gastrointestinal feeding with tube enteral nutrition,and the patients of TPN group was gvien parenteral nutrition from intravenous.The nutrition indicators,liver function and postoperative recovery of patients before treatment and one week after treatment were observed.Results One week after surgery,two groups of patients with body weight,TP and Alb did not change significantly compared with the preoperation,without significant differences(P 0.05).Indicators of liver function in patients with TPN group was significantly higher than the EEN group of patients,with statistically significant difference(P 0.05).EEN group of patients in the postoperative ventilation time,into the liquid diet in time and hospital stay of patients were less than the TPN group,with statistically significant differences(P 0.05).Conclusion EEN and TPN after total gastrectomy can be used as a nutritional support method,EEN is more safety and tolerability.