The effect of nutritional support on the immune function in the acute postoperative period after esophageal cancer surgery : total parenteral nutrition versus enteral nutrition
スポンサーリンク
概要
- 論文の詳細を見る
Background : Enteral nutrition (EN) is now used more frequently than totalparenteral nutrition (TPN) for nutritional support after resection for esophageal cancer.But consensus regarding which type of nutrition should be used does not exist. We studiedthe effect of TPN and EN on patients’ nutritional status and immune function in theimmediate postoperative period after esophageal cancer resection. Methods : We enrolled30 patients (27 men and 3 women) who underwent subtotal esophagectomy. The patientswere randomly assigned to TPN or EN group. Either TPN or EN was begun on postoperativeday 1. On postoperative days 1, 3, and 7, three endpoints were measured : albumin,C-reactive protein, and Th1/Th2 balance. Results : All patients completed the study. Anastomoticleaks occurred in 6 patients in the TPN group and 7 patients in the EN group.Albumin, Th1/Th2 balance, and C-reactive protein did not differ between the groups.Th1/Th2 balance was not different regardless of the preoperative treatment or complications.Conclusions. No differences in immune function, nutritional state, or inflammatoryresponse were seen between patients supported with TPN and those supported with EN.The results of our study suggest that perioperative nutritional support can be safelyperformed either with TPN or EN.
論文 | ランダム
- 文献抄録 水道管内の生物膜;飲料水における異臭味の潜在的な原因(ノルウェー)
- 京都市の異臭味対策の取組み (特集:水道の課題(民営化と高度浄水処理))
- 生物接触ろ過法による水道原水の処理効果
- BI-4-7 100Gトランスポート環境におけるアプリケーション性能課題(BI-4.テラビットネットワーク時代の100Gトランスポート技術とアプリケーション,依頼シンポジウム,ソサイエティ企画)
- P27 導入・侵入水生植物等が藍藻類に及ぼすアレロパシー活性評価手法の検討