Next Article in Journal
Previous Article in Journal
Previous Article in Special Issue
Nutrients 2013, 5(9), 3461-3469; doi:10.3390/nu5093461
Article

Is Early Enteral Nutrition Better for Postoperative Course in Esophageal Cancer Patients?

, * ,
,
,
,
 and
Received: 2 August 2013; in revised form: 26 August 2013 / Accepted: 27 August 2013 / Published: 3 September 2013
(This article belongs to the Special Issue Enteral Nutrition)
View Full-Text   |   Download PDF [185 KB, uploaded 3 September 2013]
Abstract: We retrospectively examined esophageal cancer patients who received enteral nutrition (EN) to clarify the validity of early EN compared with delayed EN. A total of 103 patients who underwent transthoracic esophagectomy with three-field lymphadenectomy for esophageal cancer were entered. Patients were divided into two groups; Group E received EN within postoperative day 3, and Group L received EN after postoperative day 3. The clinical factors such as days for first fecal passage, the dose of postoperative albumin infusion, differences of serum albumin value between pre- and postoperation, duration of systematic inflammatory response syndrome (SIRS), incidence of postoperative infectious complication, and use of total parenteral nutrition (TPN) were compared between the groups. The statistical analyses were performed using Mann-Whitney U test and Chi square test. The statistical significance was defined as p < 0.05. Group E showed fewer days for the first fecal passage (p < 0.01), lesser dose of postoperative albumin infusion (p < 0.01), less use of TPN (p < 0.01), and shorter duration of SIRS (p < 0.01). However, there was no significant difference in postoperative complications between the two groups. Early EN started within 3 days after esophagectomy. It is safe and valid for reduction of albumin infusion and TPN, for promoting early recovery of intestinal movement, and for early recovery from systemic inflammation.
Keywords: early enteral nutrition; esophageal cancer; TPN; systematic inflammatory response syndrome early enteral nutrition; esophageal cancer; TPN; systematic inflammatory response syndrome
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Export to BibTeX |
EndNote


MDPI and ACS Style

Kobayashi, K.; Koyama, Y.; Kosugi, S.-I.; Ishikawa, T.; Sakamoto, K.; Ichikawa, H.; Wakai, T. Is Early Enteral Nutrition Better for Postoperative Course in Esophageal Cancer Patients? Nutrients 2013, 5, 3461-3469.

AMA Style

Kobayashi K, Koyama Y, Kosugi S-I, Ishikawa T, Sakamoto K, Ichikawa H, Wakai T. Is Early Enteral Nutrition Better for Postoperative Course in Esophageal Cancer Patients? Nutrients. 2013; 5(9):3461-3469.

Chicago/Turabian Style

Kobayashi, Kazuaki; Koyama, Yu; Kosugi, Shin-ichi; Ishikawa, Takashi; Sakamoto, Kaoru; Ichikawa, Hiroshi; Wakai, Toshifumi. 2013. "Is Early Enteral Nutrition Better for Postoperative Course in Esophageal Cancer Patients?" Nutrients 5, no. 9: 3461-3469.



Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert