[Comparative study of postoperative early enteral nutrition and parenteral nutrition in esophageal carcinoma].
OBJECTIVE
To investigate the effect of postoperative early enteral nutrition (EN) and parenteral nutrition (PN) on nutritional status and morbidity in esophageal carcinoma.


METHODS
One hundred and six patients with esophageal carcinoma were randomly divided into two groups, and received enteral nutrition(n=53) or parenteral nutrition(n=53) continuously for 7 days after operation. The body weight, blood routine test, liver function, and morbidity on postoperative day 8 were compared with those before operation.


RESULTS
The body weight, red blood cell count, and the levels of hemoglobin, serum albumin and transaminase decreased less in EN group than those in PN group(P< 0.01). The complication rates of anastomotic fistula, pulmonary infection, pleural effusion and delayed incision healing were 0, 5.7%, 3.8% and 0 in EN group, and 5.7%, 28.3%, 15.1% and 7.6% in PN group. There were significant differences between the two groups(P< 0.05).


CONCLUSIONS
Early postoperative enteral nutrition after esophageal carcinoma surgery can improve nutritional status and reduce complications in comparison with parenteral nutrition.
Wu
Pei-ren
PR
Department of Oncology Surgery, The First Affialiated Xiamen Hospital, Fujian Medical University, Xiamen 361003, China. wupeiren@csco.org.cn
Xu
Lin
L
Zhang
Zhi-ming
ZM
D000328:Adult; D000368:Aged; D004750:Enteral Nutrition; D004938:Esophageal Neoplasms / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D010288:Parenteral Nutrition; D011184:Postoperative Period