Combined nutritional support with enteral nutrition and parenteral nutrition after pancreaticoduodenectomy

Objective:To evaluate the efficiency of enteral nutrition and parenteral nutrition in postoperative patients receiving pancreaticoduodenectomy.Methods: Sixteen patients who underwent pancreaticoduodenectomy and required nutritional support were randomized into two groups: parenteral nutrition(PN) group and enteral + parenteral nutrition(EN+PN) group.The intake of calorie and nitrogen was unified in every patient depending on patient's body weight.The serum albumin,cholesterin and bilirubin levels before operation and 10 days after operation were detected.Results: The albumin and cholesterin levels were higher in the EN+PN group than those in the PN group,but there was no significant difference between the two groups(P0.05).The changes of serum bilirubin in the PN group were significantly lower than those in the EN+PN group(P0.05).Conclusion:Compared with PN support,EN+PN support can efficiently ameliorate the nutrition status of postoperative patients.In postopeartive patients,early enteral nutrition should be recommended.