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《Journal of Jiangsu Clinical Medicine》 2004-05
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EARLY ENTERAL NUTRITION WITH FRESUBIN AFTER GASTROINTESTINAL AND PANCREAS OPERATION

WANG Dao-rong1, LU Hui-jun2, ZHU Lin-hai2, CHEN Guo-yu1, LIU Xun-li ang1(1. Department of General Surgery, People′s Hospital of Jiangsu Province, Nanji ng, Jiangsu, 21009; 2. Department of General Surgery, Subei People′s Ho spital of Jiangsu Province, Yangzhou, Jiangsu, 225001)  
Objective To study the effect of early enteral nutrition u si ng Fresubin after gastrointestinal operation and pancreas operation. Me thods 68 postoperative patients were divided into two groups. The jeju nostic tube group (A group, n=50) received the enteral nutrition (Fresubin) 6h after operation, and the control group (B group, n=18) received the intra venous infusion and then the oral liquid diet after the bowel movement recovery. The clinical finding, operative complications, blood glucose, the function of l ive and kidney, IgA, IgM, IgG, electrolytes and nutrition status were observed. Results The recovery of bowel movement in group A was much ea rlier than that in group B (P0.01). Nausea and vomiting occurred in four patients and relieved by slowing the administration rate in group A. Abdominal p ain occurred in three patients and relieved by regulating the temperature of Fre subin in group A. Diarrhea occurred in three patients. No patient had the compli cations such as intestinal obstruction, intestinal fistula and metabolic disorde r in group A and the levels of prealbumin and RBP were significantly higher in g roup A than those in the control group. Conclusions Using Fre subin for early enteral nutrition through jejunostic tube is safe and effective after gastrointestinal operation and pancreas operation and effective after gast rointestinal operation. It is beneficial to the recovery of gastrointestinal fun ction and effective after gastrointestinal operation and has a positive role in improving the patients′ nutritional status. KEY WORDS early enteral nutrition; gastrointestinal and pancreas oper ation; Fresubin
【CateGory Index】: R459.3
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