Application of different nutritional supports in gastric cancer patients undergoing radical resection

Objective:To evaluate the effects of different nutritional supports in gastric cancer patients undergoing radical resection.Methods:Sixty patients with gastric cancer were randomly divided into three groups: parenteral nutrition(PN)group,enteral nutrition(EN) group and parenteral nutrition combined with enteral nutrition(PN-EN) group.The rate of complication, recovery time of the gut function,average post-operative hospital stay,changes of liver function,levels of blood glucose,serum albumin,prealbumin and transferrin,levels of nitrogen balance and change of body weight were observed in the three groups.The therapeutic effects of post-operational nutritional support were studied.Results:There are no significant difference in the rate of complication,average post-operative hospital stay,changes of liver function and level of blood glucose.The recovery time of the gut function in EN group was shorter than that in PN and PN-EN groups(P0.05).The levels of serum albumin,prealbumin and transferrin were significantly increased after nutritional support in all groups(P0.05).And the negative nitrogen balance was recovered after PN or/and EN support.Conclusion:PN or/and EN support can improve the patient′s nutrition status.In some aspects,PN combined with EN is superior than PN or EN support.