Impact of early enteral nutrition on the intestinal motility of patients after esophagectomy

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Author:
FENG Hua-qing(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education), Thoracic Surgery Department Ⅰ , Peking University Cancer Hospital & Institute, Beijing 100142, China)
DAI Liang(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education), Thoracic Surgery Department Ⅰ , Peking University Cancer Hospital & Institute, Beijing 100142, China)
MA Shao-hua(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education), Thoracic Surgery Department Ⅰ , Peking University Cancer Hospital & Institute, Beijing 100142, China)
KANG Xiao-zheng(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education), Thoracic Surgery Department Ⅰ , Peking University Cancer Hospital & Institute, Beijing 100142, China)
YANG Yong-qiang(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education), Thoracic Surgery Department Ⅰ , Peking University Cancer Hospital & Institute, Beijing 100142, China)
CHEN Ke-neng(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education), Thoracic Surgery Department Ⅰ , Peking University Cancer Hospital & Institute, Beijing 100142, China)
Journal Title:
Chinese Journal of Gastrointestinal Surgery
Issue:
Volume 15, Issue 09, 2012
DOI:
10.3760/cma.j.issn.1671-0274.2012.09.023
Key Word:
Esophageal neoplasms ; Esophagectomy ; Enteral nutrition ; Intestinal motility

Abstract: Objective To assess the impact of early enteral nutrition (EN) on the intestinal motility of patients after esophagectomy.Methods Thirty-five consecutive patients undergoing esophagectomy for esophageal cancer by a single surgical team from the Peking University Cancer Hospital from June 2011 to July 2011 were enrolled.Patients were randomly divided into EN group (n=20) and parenteral nutrition group (control group,n=15) within 24 h after esophagectomy procedure.Bowel sound recovery time was monitored by auscultation,and the gastrointestinal tract symptoms were recorded.Results Bowel sound recovery time was (45.1±20.3) h in the EN group,and was (56.7±17.0) h in the control group (P=0.082).Gastrointestinal symptoms such as nausea,abdominal distension,diarrhea occurred in 4 patients in EN group and 3 patients in control group and were alleviated by lowering infusion speed and more off-bed ambulation,and no significant difference was seen between the two groups (P=1.000).Conclusions Early enteral nutrition in the patients after esophagectomy is safe and feasible.Early enteral nutrition does not delayed bowel function recovery or increase gastrointestinal symptoms.

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