Application Experience Elderly Gastric Cancer after Total Gastrectomy the Early Enteral Combined Parenteral Nutrition Support

【Astract】 Objective:To investigate the elderly gastric cancer patients with total gastrectomy early postoperative enteral nutrition and parenteral nutrition combination clinical value.Method:From January 2008 to December 2012,52 elderly patients( 60 years) with gastric cancer treated with radical total gastrectomy(D2) were randomly divided into 2 groups:(1) parenteral nutrition group(TPN group,n=27);(2)enteral nutrition and parenteral nutrition combined group(CEP,n=25).To observe the incidence of complications,postoperative patients with gastrointestinal function recovery time,hospital stay,and postoperative hospitalization expenses of each index in the treatment process of the two groups,and to do comparative analysis.Result:CEP group anal exhaust time and hospitalization time compared to the TPN group was significantly shorter(P0.01),hospitalization costs than TPN group(P0.01);heart failure and lung infections and other complications had no significant difference(P0.05).Conclusion:Elderly gastric cancer underwent total gastrectomy joint early postoperative enteral parenteral nutrition is safe and feasible,it shortens the duration of hospitalization,and reduce the cost of treatment,particularly for primary hospital.