Clinical research of early enteral nutrition after gastrectomy of gastric carcinoma

Aim To study the safety and feasibility of clinical effect of early enteral nutrition after total gastrectomy.Methods 90 cases of postoperative patients of stomach carcinoma after total gastrectomy were randomly divided into three groups(n =30),enteral nutrition 24 hours after operation(EN group),par-enteral nutrition 8 days after operation(PN group) and routine supplement group(control group).The energy was approximately equal among three groups.The nutritional status of patients were measured before and after nutritional support,and vital signs and recovery of gastrointestinal function,the complications,hospital stay and hospitalized charge were also evaluated.Results The level of serum total protein,albumin,transferring ferroprotein and weight in the three groups were declined after operation and it was more obvious in the control group(P0.01).The level of pre-albumin was obviously elevated in PN and EN groups(P0.01).The bowel moved obviously earlier in EN group than the other two groups and the rate of morbidity was the lowest after operation.Time in hospital was shortest and the cost was low in EN group.Conclusion The early enteral nutrition after total gastrectomy is effective,safe,economic and better for maintaining the gastroenteric function and nutrition condition of patients.