结肠切除术养对食管切除术后营养结果的影响
Sarah J Davies1,2,3, Sally Wheelwright1,4
1School of Health Sciences, Southampton, UK.
概括
绝缘食管可以帮助患者在食道切除手术后保持体重. 这种方法有助于营养状况,并减少由于营养不良而导致的再入院.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
背景情况:
- 消化管切除术后,长期营养状况通常会受到损害.
- 最佳的手术后营养支持策略仍在争论中,其中包括多种多样地使用结肠切除管.
研究的目的:
- 为了比较接受结肠管切除术后食的患者和没有接受结肠管切除术后食的患者之间的营养和临床结果.
- 为了评估凝结管在手术后维持营养状况方面的有效性.
主要方法:
- 165名因癌症接受食道切除术的成年患者的回顾性服务评估 (2016年4月 - 2019年7月).
- 营养和临床结局对 (n=24) 与没有 (n=141) 结肠切割养的患者的比较.
主要成果:
- 术后的6个月和12个月,吉努诺斯托米患者的体重减轻显著减少.
- 腹养与出院后家庭肠道养中位数为10周有关.
- 营养不良导致43.2%的非jejunostomy组的再入院.
结论:
- 排泄后的短期补充性阴茎食改善了食道切除术后的体重维持.
- 建议进行进一步的随机对照试验以验证这些发现.
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