Research on the impact of early prognosis of postoperation enteral nutrition supportive therapy in patients with radical surgery for esophageal cencer
Lin Honglan
Ren Yanjun
Yang Wenchao
Hui Xinxin
He Shu
Cheng Xiaoli
Luo Min
Abstract：Objective To explore the clinical application value of early postoperative enteral nutrition supportive therapy on patients with radical operation for esophageal cancer.Methods A total of 96 cases with esophageal carcinoma radical resection from January 2017 to February 2023 were used as research objects.The patients were divided into the control group and the observation group according to random method,with 48 cases in each group.Patients in the control group received the postoperative conventional fasting,Parenteral nutrion support and related care.The patients in the observation group were given early postoperative enteral nutrition supportive therapy and related intervention.The observation of the gastrointestinal function recovery and the incidence of complications were compared between the two groups.The time of chest tube drawing and length of hospital stay were also compared in two groups.The white blood cell counts were tested on the 2th,4th,6th,and 8th postoperation days.Related factors affecting postoperation by binary logistic regression analysis.Results The white blood cell counts on the 2th,4th,6th,and 8th postoperative day in the observation group were less than that in the control group(t= 2.520,2.128,2.087,P<0.05).The bowel sounds recovery time,first exhaust time and first defecation time in the observation group was significantly better than that in the control group(t=2.837,3.542,2.252,P<0.05).The time of chest tube drawing in the observation group was significantly better than that in the control group(t=7.286,P<0.05).The anastomotic leakage in the observation group(3/48,6.25%)was significantly lower than that in the control group(8/48,16.67%)(χ2 = 4.832,P<0.05).The postoperative hospitalization days in the observation group was less than that in the control group(t = 3.835,P<0.05).The incidence of postoperation anastomtic leakage,and pulmonary infection were the independent risk factors in hospitalization(P<0.05).The early enteral nutrition and early drawing chest tube were important factor of shorter hospitalizations and improve prognosis(P<0.05).Conclusion Early enteral nutrition supportive for patients after esophageal cancer surgery can reduce complications of postoperation,promote the recovery of intestinal function,prove nutrient condition of patients,shorten the retention time of the chest tube,shorten hospital stay and promote the rapid recovery of the patients.It is notable clinical application value and deserves a further research.
Keywords：Radical resection of esophageal cancerEarly enteral nutritionAnastomotic leakageParenteral nutritionApplication value
Publication Date：2023-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 688-690 )