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在食道胃癌切除后,长期营养支持的预测因素
P Chana1,2, J L Moore2,3, J Esteves-Cores2
1Imperial College London, UK.
Annals of the Royal College of Surgeons of England
|January 20, 2026
概括
在食管胃外科手术后确定需要长时间的肠外营养的患者可以节省成本. 老年和减肥等因素预测了更长时间的支持需求,表明量身定制的营养策略是有益的.
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:
- 在食管胃癌切除中多样化使用术后养辅助剂缺乏明确的临床益处.
- 影响手术后长期辅助营养支持的术前因素尚未明确.
研究的目的:
- 在食管胃癌手术后,确定与长期使用腹腔营养相关的术前临床病理因素.
- 评估这些患者长时间的亲肠道营养对经济的影响.
主要方法:
- 一项对518名接受食管胃切除并接受外科手术期间关肠营养的患者的队列研究.
- 用多变量物流回归和ROC分析来确定预测因素.
- 一个经济模型根据并发症率和NHS关税来评估成本.
主要成果:
- 长时间的肠外营养的预测因素包括年龄>65,手术前体重减轻>10%,开放手术和部解.
- 接收机操作员特征分析显示,曲线下的面积为0.72.
- 专为高风险患者提供肠外营养可以节省75,912.12英的预计年度成本.
结论:
- 特定的手术前因素预测在食管胃手术后需要长时间的营养支持.
- 在低风险患者中,可能不需要常规使用术后养辅助剂.
- 量身定制的营养路径可以节省大量的成本.
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