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Early enteral nutrition in neonates with partial gastrectomy: a multi-center study

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机构: [1]Nanjing Med Univ, Nanjing Childrens Hosp, Dept Neonatal Surg, 72 Guangzhou Rd, Nanjing 210008, Jiangsu, Peoples R China; [2]Capital Med Univ, Beijing Childrens Hosp, Dept Neonatal Surg, Beijing, Peoples R China; [3]Anhui Prov Childrens Hosp, Dept Neonatal Surg, Hefei, Peoples R China
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关键词: early enteral nutrition partial gastrectomy neonate total parenteral nutrition gastric perforation

摘要:
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.

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 4 区 营养学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 营养学
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出版当年[2014]版:
Q3 NUTRITION & DIETETICS
最新[2023]版:
Q4 NUTRITION & DIETETICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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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;
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通讯机构: [1]Nanjing Med Univ, Nanjing Childrens Hosp, Dept Neonatal Surg, 72 Guangzhou Rd, Nanjing 210008, Jiangsu, Peoples R China;
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