title: Influencing factors and interventional strategies for early enteral nutrition after gastric carcinoma surgery.
abstract: OBJECTIVE
  The aim of this study is to investigate the factors influencing early enteral nutrition (EN) to develop guidelines after gastric carcinoma (GC) surgery, and to propose appropriate interventions.
  
  
  METHODS
  A total of 118 GC patients have administrated EN 24 h after surgery and were divided into standard-achieving and nonstandard-achieving groups based on meeting 60% of energy needs. The clinical data of these two groups were retrospectively analyzed and compared.
  
  
  RESULTS
  The intraoperative blood loss, proportion of those with body mass ≤60 kg, and those cases tolerating EN in the standard-achieving group were significantly greater than in the nonstandard-achieving group, and the differences were statistically significant (P < 0.05). Gender, age, operative time, catheter length, American Society of Anesthesiologists risk class, and postoperative exhaust time showed no statistically significant differences (P > 0.05). However, logistic regression analysis revealed that intraoperative blood loss, body mass, and EN tolerance were independent risk factors influencing achievement of standards for early postoperative EN in GC patients (P < 0.05).
  
  
  CONCLUSIONS
  Individual differences should be considered when performing EN, and individualized nutritional support should be provided to improve the standard-achieving rate.
authors.affiliation: Department of General Surgery, Laiwu People's Hospital, Laiwu 271100, Shandong, China.
authors.forename: Nian-Mei
authors.initials: NM
authors.lastname: Li
authors.affiliation: Department of General Surgery, Laiwu People's Hospital, Laiwu 271100, Shandong, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Liu
authors.affiliation: Department of General Surgery, Laiwu Iron and Steel Group Hospital, Laiwu 271100, Shandong, China.
authors.forename: Feng-Ying
authors.initials: FY
authors.lastname: Lv
authors.affiliation: Department of General Surgery, Laiwu People's Hospital, Laiwu 271100, Shandong, China.
authors.forename: Qi-Wen
authors.initials: QW
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000601:surgery / Q000628:therapy*; D061665:Time-to-Treatment; D016896:Treatment Outcome; D055815:Young Adult