消化道重建术后的肠内营养支持治疗进展

卞晓洁 王萌 葛卫红 管文贤

卞晓洁, 王萌, 葛卫红, 管文贤. 消化道重建术后的肠内营养支持治疗进展[J]. 中国肿瘤临床, 2014, 41(18): 1150-1153. doi: 10.3969/j.issn.1000-8179.20141377
引用本文: 卞晓洁, 王萌, 葛卫红, 管文贤. 消化道重建术后的肠内营养支持治疗进展[J]. 中国肿瘤临床, 2014, 41(18): 1150-1153. doi: 10.3969/j.issn.1000-8179.20141377
BIAN Xiaojie, WANG Meng, GE Weihong, GUAN Wenxian. Advances in the enteral nutritional support treatment for patients after digestive tract reconstruction[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(18): 1150-1153. doi: 10.3969/j.issn.1000-8179.20141377
Citation: BIAN Xiaojie, WANG Meng, GE Weihong, GUAN Wenxian. Advances in the enteral nutritional support treatment for patients after digestive tract reconstruction[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(18): 1150-1153. doi: 10.3969/j.issn.1000-8179.20141377

消化道重建术后的肠内营养支持治疗进展

doi: 10.3969/j.issn.1000-8179.20141377
详细信息
    作者简介:

    卞晓洁硕士, 主管药师。专业方向为临床药学。E-mail:xiaojiebian@hotmail.com

    通讯作者:

    管文贤  guan-wx@163.com

Advances in the enteral nutritional support treatment for patients after digestive tract reconstruction

More Information
  • 摘要: 消化道重建术后患者存在营养不良及吸收障碍风险, 肠内营养支持能更有效地维持和改善机体的营养状态, 缩短住院时间以及减少并发症的发生, 是术后首选的营养支持方式。本文将消化道重建术后患者肠内营养支持开始的时机、营养支持途径、营养制剂、输注方式的选择, 以及并发症的治疗等方面进行综述。

     

  • [1] 丁一娟.上消化道重建术后的营养支持[J].临床外科杂志, 2006, 14(8), 480. doi: 10.3969/j.issn.1005-6483.2006.08.008

    Ding YJ. Nutritional support in patients after upper digestive tract reconstruction[J]. Journal of Clinical Surgery, 2006, 14(8), 480. doi: 10.3969/j.issn.1005-6483.2006.08.008
    [2] 狄淑群, 彭宏伟.上消化道重建术后肠内肠外联合序贯营养支持[J].江苏医药, 2007, 33(11), 1166-1168. doi: 10.3969/j.issn.0253-3685.2007.11.039

    Di SQ, Peng HW. Combined and sequential enteral and parenteral nutrition after Upper digestive tract reconstruction[J]. Jiangsu Medical Journal, 2007, 33(11), 1166-168. doi: 10.3969/j.issn.0253-3685.2007.11.039
    [3] 成红刚, 丁连安, 牛冬光等.上消化道重建术后早期肠内营养临床有效性研究[J].中国现代普外科进展, 2010, 13(12), 967-969. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgxdptwkjz201012013

    Cheng HG, Ding LA, Niu DG, et al. Applicationg of early nutrition for patients with reconstruction of the upper gastrointestinal tract[J]. Chinese Journal of Current Advances in General Surgery, 2010, 13(12), 967-969. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgxdptwkjz201012013
    [4] Lewis SJ, Andersen HK, Thomas S. Early Enteral Nutrition Within 24 h of Intestinal Surgery Versus Later Commencement of Feeding: A Systematicreview and Meta-analysis[J]. J Gastrointest Surg, 2009, 13(3):569-575. doi: 10.1007/s11605-008-0592-x
    [5] Barlow R, Price P, Reid TD, et al. Prospective multicentre randomised controlled trial of early enteral nutrition for patients undergoing major upper gastrointestinal surgical resection[J]. Clin Nutr, 2011, 30(5):560-566. doi: 10.1016/j.clnu.2011.02.006
    [6] 田莉莉, 李丽, 赵洁, 等.恶性梗阻性黄疸患者术后肠内营养开始时机的研究[J].肠外与肠内营养, 2008, 15(4), 225-231. doi: 10.3969/j.issn.1007-810X.2008.04.009

    Tian LL, Li L, Zhao J, et al. A study on the timing of enteral nutrition in postoperative patients with malignant obstructive jaundice[J]. Parenteral & Enteral Nutrition, 2008, 15(4):225-231. doi: 10.3969/j.issn.1007-810X.2008.04.009
    [7] Velez JP, Lince LF, Restrepo JI. Early Enteral Nutrition in Gastrointestinal Surgery: A Pilot Studv[J]. Nutrition, 1997, 13(5):442-445. doi: 10.1016/S0899-9007(97)91283-1
    [8] 赵占吉, 王国良, 李轩, 等.肠内营养在腹部手术后胃瘫治疗中的应用[J].肠外与肠内, 2010, 17(3):166-167. doi: 10.3969/j.issn.1007-810X.2010.03.013

    Zhao ZJ, Wang GL, Li X, et al. Application of enteral nutrition in the treatment of gastroparesis after abdominal operation[J]. Parenteral & Enteral Nutrition, 2010, 17(3):166-167. doi: 10.3969/j.issn.1007-810X.2010.03.013
    [9] 蓝光会, 梁晓燕, 喻军, 等.两种肠内营养管饲途径在远端胃切除BillrothⅠ式吻合术后的疗效[J].广东医学, 2010, 31(8), 1022-1023. doi: 10.3969/j.issn.1001-9448.2010.08.039

    Lan GH, Liang XY, Yu J, et al. The effect of two different enteral tube feeding way in the distal gastrectomy with Billrot h Ianastomosis[J]. Guangdong Medical Journal, 2010, 31(8):1022-1023. doi: 10.3969/j.issn.1001-9448.2010.08.039
    [10] 朱新华, 仇毓东, 吴亚夫, 等.三腔胃肠管在胰十二指肠切除术后行早期肠内营养的应用价值[J].世界华人消化杂志, 2010, 18(28):3026-3030. http://www.cqvip.com/QK/71135X/201107/36034901.html

    Zhu XH, Chou YD, Wu YF, et al. Value of early enteral nutrition through Freka Trelumina in patients after pancreaticoduodenectomy [J]. World Chinese Journal of Digestology, 2010, 18(28):3026-3030. http://www.cqvip.com/QK/71135X/201107/36034901.html
    [11] 赵玉洲, 韩广森, 马鹏飞, 等.胰十二指肠切除术中经胃造口管放置空肠营养管的临床研究[J].肠外与肠内营养, 2012, 19(1):12-15. doi: 10.3969/j.issn.1007-810X.2012.01.004

    Zhao YZ, Han GS, Ma PF, et al. Clinical application of placement of jejunal feeding tube through gastrostomy tube in pancreaticoduodenectomy[J]. Parenteral & Enteral Nutrition, 2012, 19(1):12-15. doi: 10.3969/j.issn.1007-810X.2012.01.004
    [12] 欧扬, 李玉民, 杨丽萍, 等.胆肠吻合术中空肠盲襻造瘘行肠内营养的临床应用[J].中国普外基础与临床杂志, 2008, 15(11):811-812. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgpwjcylczz200811005

    Ou Y, Li YM, Yang LP, et al. Clinical practice of enteral nutrition with jejunum stoma in choledochojejunostomy[J]. Chin J Bases Clin General Surg, 2008, 15(11):811-812. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgpwjcylczz200811005
    [13] 李月春, 王东霞, 胡夏荣, 等.结直肠癌术后早期肠内营养的应用体会[J].中国普外基础与临床杂志, 2008, 15(8):609-611. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgpwjcylczz200808017

    Li YC, Wang DX, Hu XR, et al. Clinical application of early postoperative enteral nutrition after colorectalectomy[J]. Chin J Bases Clin General Surg, 2008, 15(8):609-611. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgpwjcylczz200808017
    [14] Joos AK, Palma P, Jonescheit JO, et al. Enteral vs parenteral nutrition in reconstructive anal surgery-a prospective-randomized trial [J]. Colorectal Dis, 2008, 10(6):605-609. doi: 10.1111/j.1463-1318.2007.01403.x
    [15] Wang XY, Zhang P, Wu GH, et al. Enteral Nutrition Improves Clinical Outcome and Shortens Hospital Stay After Cancer Surgery [J]. J Invest Surg, 2010, 23(6):309-313. doi: 10.3109/08941939.2010.519428
    [16] Liu H, Ling W, Shen ZY, et al. Clinical application of immune-enhanced enteral nutrition in patients with advanced gastric cancer after total gastrectomy[J]. J Dig Dis, 2012, 13(8):401-406. doi: 10.1111/j.1751-2980.2012.00596.x
    [17] Zhao HY, Zhao HY, Wang Y. Randomized clinical trial of arginine-supplemented enteral nutrition versus standard enteral nutrition in patients undergoing gastric cancer surgery[J]. J Cancer Res Clin Oncol, 2013, 139(9):1465-1470. doi: 10.1007/s00432-013-1466-5
    [18] 邵峰, 杨成刚, 刘鑫, 等.免疫微生态肠内营养在合并糖尿病的胃肠道肿瘤患者中的应用[J].中华胃肠外科杂志, 2012, 15(5):476-479. doi: 10.3760/cma.j.issn.1671-0274.2012.05.019

    Shao F, Yang CG, Liu X, et al. Application of microbiological and immunological enteral nutrition in patients with gastrointestinal cancer complicated with diabetes mellitus[J]. Chinese Journal of Gastrointestinal Surgery, 2012, 15(5):476-479. doi: 10.3760/cma.j.issn.1671-0274.2012.05.019
    [19] Nakao M, Ogura Y, Satake S, et al. Usefulness of soluble dietary fiber for the treatment of diarrhea during enteral nutrition in elderly patients[J]. Nutrition, 2002, 18(1):35-39. doi: 10.1016/S0899-9007(01)00715-8
    [20] 宋茂力, 邹小明, 李晓林.全胃切除术后应用不同营养制剂进行肠内营养58例[J].世界华人消化杂志, 2009, 17(21):2195-2197. doi: 10.3969/j.issn.1009-3079.2009.21.015

    Song ML, Zou Xm, li XL. Enteral nutrition in patients after total gastrectomy: an analysis of 58 cases[J]. World Chinese Journal of Digestology, 2009, 17(21):2195-2197. doi: 10.3969/j.issn.1009-3079.2009.21.015
    [21] 黄尧, 胡青钢, 杨念印, 等.肠内免疫营养在恶性梗阻性黄疸患者术后的临床应用[J].肠外与肠内营养, 2004, 11(4): 205-208. doi: 10.3969/j.issn.1007-810X.2004.04.005

    Huang R, Hu QG, Yang NY, et al. The cl inical appl ication of immune enteral nutrition support to malignant obstructive jaundice patients af ter operation[J]. Parenteral & Enteral Nutrition, 2004, 11(4): 205-208. doi: 10.3969/j.issn.1007-810X.2004.04.005
    [22] 赵明利, 薛琪, 李雅男, 等.腹腔镜结肠癌术后早期口服肠内营养的临床观察[J].中华胃肠外科杂志, 2013, 16(11):1041-1044. doi: 10.3760/cma.j.issn.1671-0274.2013.11.006

    Zhao ML, Xue Q, Li YN, et al. Clinical observation of early oral enteral nutrition after laparoscopic colectomy[J]. Chinese Journal of Gastrointestinal Surgery, 2013, 16(11):1041-1044. doi: 10.3760/cma.j.issn.1671-0274.2013.11.006
    [23] van Berge Henegouwen MI, Akkermans LM, van Gulik TM, et al. Prospective, Randomized Trial on the Effect of Cyclic Versus Continuous Enteral Nutrition on Postoperative Gastric Function After Pylorus-Preserving Pancreatoduodenectomy[J]. Ann Surg, 1997, 226(6):677-685. doi: 10.1097/00000658-199712000-00005
    [24] Martignoni ME, Friess H, Sell F, et al. Enteral Nutrition Prolongs Delayed Gastric Emptying in Patients after Whipple Resection[J]. Am J Surg, 2000, 180(1):18-23. doi: 10.1016/S0002-9610(00)00418-9
    [25] Tien YW, Yang CY, Wu YM, et al. Enteral Nutrition and Biliopancreatic Diversion Effectively Minimize Impacts of Gastroparesis After Pancreaticoduodenectomy[J]. J Gastrointest Surg, 2009, 13(5): 929-937. doi: 10.1007/s11605-009-0831-9
    [26] Rayar M, Sulpice L, Meunier B, et al. Enteral Nutrition Reduces Delayed Gastric Emptying After Standard Pancreaticoduodenectomy with Child Reconstruction[J]. J Gastrointest Surg, 2012, 16(5):1004-1011. doi: 10.1007/s11605-012-1821-x
    [27] Portanova M. Successful enteral nutrition in the treatment of esophagojejunal fistula after total gastrectomy in gastric cancer patients[J]. World J Surg Oncol, 2010, 8:71. doi: 10.1186/1477-7819-8-71
    [28] Akashi Y, Hiki N, Nunobe S, et al. Safe management of anastomotic leakage after gastric cancersurgery with enteral nutrition via a nasointestinal tube[J]. Langenbecks Arch Surg, 2012, 397(5):737-744. doi: 10.1007/s00423-012-0935-7
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出版历程
  • 收稿日期:  2014-07-10
  • 修回日期:  2014-08-25
  • 刊出日期:  2020-12-29

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