在接受上胃肠道手术的患者中早期口服养:倾向性得分匹配研究
Csenge Papp1, Dóra Lili Sindler2, András Palkovics2
1Department of Surgery, Clinical Center, Medical School, University of Pécs, Pécs, Hungary; pappcse@gmail.com.
In vivo (Athens, Greece)
|December 31, 2024
概括
上部胃肠道手术后的早期口服养 (EOF) 通过减少住院时间和加速肠道功能,显著改善了患者的康复. 这种增强恢复协议显示并发症没有增加,与手术后增强恢复 (ERAS) 的目标保持一致.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 临床营养学 临床营养学
背景情况:
- 手术后增强恢复 (ERAS) 协议已在全球范围内采用,但对于上部胃肠道 (GI) 手术缺乏具体证据,特别是在早期口服养方面.
- 在上部肠道癌症患者中优化术后恢复仍然是一个临床挑战.
研究的目的:
- 评估早期口服养 (EOF) 协议在接受上部肠道癌症手术的患者中所带来的可测量的益处.
- 为了比较EOF的结果与传统的晚期口服养 (LOF) 在倾向得分匹配的队列中.
主要方法:
- 一项倾向分数匹配的研究,涉及72名接受上部肠道癌症手术的患者 (36名EOF,36名LOF).
- 分析前性收集的数据,比较早期和晚期口服养组之间的术后结果.
主要成果:
- 早期口服养的开始时间明显较早 (1.94天 vs. 5.72日术后).
- EOF组的住院时间缩短,肠道功能恢复速度更快,静脉注射液体治疗时间更短.
- 两组之间没有观察到死亡率,解肠缺陷,炎症,狭窄或血清瘤形成的显著差异.
结论:
- 早期的口服营养支持是一种安全有效的策略,可以促进上部肠道癌症手术患者的康复.
- 在不影响安全的情况下,EOF对生活质量指标产生积极影响,与ERAS原则保持一致.
- 这种方法对上部胃肠道癌症手术的术后护理提供了宝贵的增强.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogastric Feeding
192
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
192
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
75
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
75
Peptic Ulcer Disease V: Surgical Management and Nursing Care
224
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
224
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
48
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
48
Endoscopic Procedures I: Esophagogastroduodenoscopy
64
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
64
Upper GI Series: Barium Swallow
112
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
112


