Background and Objectives: Compared with total parenteral nutrition (TPN), enteral nutrition is more suitable for patients post-operatively. Our aim was to determine the safety and feasibility of early enteral nutrition (EEN) using a jejunum feeding tube in neonates after undergoing a partial gastrectomy. Methods and Study Design: This was a retrospective review of 46 patients who underwent partial gastrectomies for gastric perforation in our hospital. These patients were categorized into two groups (EEN group [n=24 patients], a jejunal feeding tube was inserted during surgery; and a control group [n=22 patients], a jejunal feeding tube was not placed). Differences in operative time, time to first defecation post-operatively, time to first oral feeding post-operatively, length of hospital stay post-operatively, nutrition indices, and post-operative complications (died due to septic shock, cholestasis, pneumonia, abdominal distension, and diarrhea) were reviewed. Results: There were no significant differences in the operative time and the time to first oral feeding post-operatively between the two groups; however, the time to first defecation post-operatively in the EEN group and the hospital length of stay post-operatively for the EEN group were significantly shorter than the control group. The levels of albumin, retinol binding protein, and prealbumin were not significantly different between the two groups pre-operatively and 14 days post-operatively. The incidence of cholestasis and abdominal distention in the EEN group was significantly lower than the control group. Conclusion: EEN using a jejunal feeding tube in neonates who have undergone a partial gastrectomy for gastric perforation is safe, easy, and has fewer complications than TPN.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81100318]; Abbott Fund Institute of Nutrition Science [AFINS-HOPE-201301]; Nanjing Medical Science and Technology Development Project [ZKX11010, ZKX14014]
第一作者机构:[1]Nanjing Med Univ, Nanjing Childrens Hosp, Dept Neonatal Surg, 72 Guangzhou Rd, Nanjing 210008, Jiangsu, Peoples R China;
通讯作者:
通讯机构:[1]Nanjing Med Univ, Nanjing Childrens Hosp, Dept Neonatal Surg, 72 Guangzhou Rd, Nanjing 210008, Jiangsu, Peoples R China;
推荐引用方式(GB/T 7714):
Jiang Weiwei,Zhang Jie,Geng Qiming,et al.Early enteral nutrition in neonates with partial gastrectomy: a multi-center study[J].ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION.2016,25(1):46-52.doi:10.6133/apjcn.2016.25.1.16.
APA:
Jiang, Weiwei,Zhang, Jie,Geng, Qiming,Xu, Xiaoqun,Lv, Xiaofeng...&Tang, Weibing.(2016).Early enteral nutrition in neonates with partial gastrectomy: a multi-center study.ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION,25,(1)
MLA:
Jiang, Weiwei,et al."Early enteral nutrition in neonates with partial gastrectomy: a multi-center study".ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION 25..1(2016):46-52