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Early postoperative enteral nutrition of esophageal cancer clinical observation


6-12 hours after the small intestine will be able to accept the input of nutrients. Therefore, under the premise of stable hemodynamics, patients with severe trauma of major surgery, the ideal of early enteral nutrition can be started within 24 hours after the operation. In this study, started 24-48 hours after enteral nutrition, the application process except for a few patients have mild abdominal distension were well tolerated with Bu Xi. No reflux, diarrhea, no serious complications such as anastomotic leakage, suggesting that early postoperative enteral nutrition is feasible and safe. Albumin is a protein-energy nutritional status reflects the body more sensitive indicator of visceral protein depletion in the body, but a long half-life, and not sensitive to short term changes in nutritional status. In this study, after 7 days compared with the preoperative have increased,[link widoczny dla zalogowanych], but no statistical significance, there are significant differences after two weeks, indicating that short-term nutritional support via the body, machine 124 1O Chinese Journal of Clinical Nutrition Volume gut protein consumption has been be restored. Correct the hypoproteinemia, improve the nutritional status of patients is conducive to the recovery of organ function after surgery, to a certain extent, reduce the incidence of complications and improve the cure rate. Surgery, post-traumatic intestinal structure and function is closely related with the metabolic state. Early postoperative enteral nutrition, reduce the mechanism of infectious complications may be: by increasing intestinal blood flow leading to an increased hepatic blood flow, protect the liver reticuloendothelial system, the application of this study is rich enteral nutrition fiber, protein from casein, containing the glutamine is intestinal epithelial cells and intestinal lymphocytes in primary energy metabolism,[link widoczny dla zalogowanych], may promote mucosal regeneration. Protection of dietary fiber with a variety of mucosal barrier function,[link widoczny dla zalogowanych], prevention of diarrhea, constipation, delayed absorption of sugar. The normal intestinal microbial cellulose for the maintenance of ecological balance is very important, they protect the intestinal barrier and also improve the intestinal immune function, prevention of intestinal infection and multiple organ failure. Early postoperative enteral nutrition support for common complications abdominal distension, diarrhea, nausea, vomiting. Our clinical observation of the occurrence of these complications and the rate of infusion of nutrient solution, temperature, and location of the feeding tube. Intraoperative feeding tube should be placed distal jejunum,[link widoczny dla zalogowanych], especially after the first day or two should be uniform, slow infusion, mild abdominal distension and gastric motility drug can be given. To prevent reflux,[link widoczny dla zalogowanych], the head should be boosted 15-2O degrees. Instillation of cold weather in winter can be heated fully. A small number of patients may have increased frequency of bowel movements, usually 2-3 days and relieve itself. Early enteral nutrition after esophageal cancer can be carried out to provide the necessary nutrients to the body, improve the nutritional status of patients and reduce complications, but also feasible and safe.
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