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ENTERAL TUBE FEEDING AFTER SURGERY FOR UPPER GASTROINTESTINAL MALIGNANCIES

机译:对上胃肠道恶性肿瘤手术后的肠道喂养

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摘要

Patients with major upper gastrointestinal (UGI) resections that were made nil by mouth for 7-10 days postoperatively with pre-existing weight loss and depleted energy reserves in addition to increased metabolic rate needs nutritional support which serves to shorten the postoperative recovery phase and minimizes the number of complications. This may be supplemented by total parenteral nutrition (TPN) which is not available in our hospitals for over a decade. This problem led us to use a feeding jejunostomy tube after major resections for UGI malignancies.This is a prospective study conducted between May 1999 and December 2004 at First Surgical Unit, Basrah General Hospital. The study aimed to examine the efficacy of Enteral Tube Feeding (ETF) as a method of nutritional support in patients with major resections for UGI malignancies.A total of 76 patients, 42 males and 34 females. Mean age, 50 years (range, 27-72 years) underwent major UGI resections for gastric(64), oesophageal (10) and pancreatic(2) malignancies. ETF lasted for 12-41 days with diarrhoea and abdominal discomfort were the major complications in 14 and 8 patients respectively. .Diarrhoeal tolerance was established in 12 out of 14 patients and controlled in the other two by antidiarrhoeal drugs. There were improved body weight and serum albumin level after ETF and no septic complications or related mortality. ETF is a safe, feasible, cost effective, with few controllable complications rendering it a satisfactory alternative to total parenteral nutrition.
机译:患者的主要上消化道(UGI),其由口由零为术后7-10天预先存在的减肥和除了代谢率增加能量耗尽储备切除需要这有助于缩短术后恢复阶段,最大限度地减少营养支持并发症的数量。这可能是由全胃肠外营养(TPN)这是不是在我们的医院提供了十多年的补充。这个问题导致我们使用喂食管空肠造口术之后UGI malignancies.This主要切除是首先手术单位,巴士拉总医院1999年5月和2004年12月间进行了一项前瞻性研究。该研究的目的是检查肠内管饲(ETF)作为患者的营养支持与UGI malignancies.A总共76例患者,42名男性和女34主要切除的方法的功效。平均年龄50岁(范围27-72岁)进行主要UGI切除胃(64),食管(10)和胰腺(2)恶性肿瘤。 ETF持续12-41天,腹泻和腹部不适分别为14本8例患者的严重并发症。 .Diarrhoeal宽容成立于12出来的14名患者和止泻药在其他两个控制。有改善的体重和血清白蛋白和ETF后水平无化脓性并发症或相关的死亡率。 ETF是一种安全的,可行的,具有成本效益,很少可控并发症渲染它全肠外营养一个满意的选择。

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