Influencing factors and interventional strategies for early enteral nutrition after gastric carcinoma surgery.

Autor: Nian-Mei-Li, Fei Liu, Feng-Ying Lv, Qi-Wen Zhang, Li, Nian-Mei, Liu, Fei, Lv, Feng-Ying, Zhang, Qi-Wen
Předmět:
Zdroj: Journal of Cancer Research & Therapeutics; Apr-Jun2016, Vol. 12 Issue 2, p689-692, 4p
Abstrakt: Objective: The aim of this study is to investigate the factors influencing early enteral nutrition (EN) to develop guidelines after gastric carcinoma (GC) surgery, and to propose appropriate interventions.Materials and Methods: A total of 118 GC patients have administrated EN 24 h after surgery and were divided into standard-achieving and nonstandard-achieving groups based on meeting 60% of energy needs. The clinical data of these two groups were retrospectively analyzed and compared.Results: The intraoperative blood loss, proportion of those with body mass ≤60 kg, and those cases tolerating EN in the standard-achieving group were significantly greater than in the nonstandard-achieving group, and the differences were statistically significant (P < 0.05). Gender, age, operative time, catheter length, American Society of Anesthesiologists risk class, and postoperative exhaust time showed no statistically significant differences (P > 0.05). However, logistic regression analysis revealed that intraoperative blood loss, body mass, and EN tolerance were independent risk factors influencing achievement of standards for early postoperative EN in GC patients (P < 0.05).Conclusions: Individual differences should be considered when performing EN, and individualized nutritional support should be provided to improve the standard-achieving rate. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index