Early Enteral Nutrition after Abdominal Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Jiang ¹ , LIU Bin ¹ , HOU Yu ² , ZHENG Nan. ¹

Department of Hepatobiliary Surgery， The First Affiliated Hospital of Kunming Medical College, Kunming 650032, China;

Corresponding?author：

Keywords：

Gastrointestinal surgery Therapy Enteral nutrition

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【Abstract】ObjectiveTo generally analyze the current situations of clinical research and applications in early enteral nutrition (EEN) after abdominal surgery.
MethodsThe published papers about the current situations of clinical research and applications in EEN after abdominal surgery were reviewed.
ResultsEEN after abdominal surgery seems to be safe and effective, produces a positive nitrogen balance, keeps the integrality of structure and function of the apparatus, protects gut barrier, and reduces or prevents septic complications.
ConclusionEEN may be of more benefits and will be one of the best methods of nutrition support after abdominal surgery.

Citation： LI Jiang,LIU Bin,HOU Yu,ZHENG Nan.. Early Enteral Nutrition after Abdominal Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(3): 355-357. doi: Copy

1.	Baskin WN. Advances in enteral nutrition techniques [J]. Am J Gastroenterol， 1992; 87(11)∶1547.
2.	胡建昆. 外科術后早期腸內營養 [J]. 中國普外基礎與臨床雜志， 2003； 10(4)∶407.
3.	Braga M, Gianotti L, Gentilini O, et al. Feeding the gut early after digestive surgery: results of a nineyear experience [J]. Clin Nutr， 2002; 21(1)∶59.
4.	Lewis SJ, Egger M, Sylvester PA, et al. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and metaanalysis of controlled trials [J]. BMJ， 2001; 323(7316)∶773.
5.	Brooks AD, Hochwald SN, Heslin MJ, et al. Intestinal permeability after early postoperative enteral nutrition in patients with upper gastrointestinal malignancy [J]. JPEN J Parenter Enteral Nutr， 1999; 23(2)∶75.
6.	McCarter MD, Gomez ME, Daly JM. Early postoperative enteral feeding following major upper gastrointestinal surgery [J]. J Gastrointest Surg， 1997; 1(3)∶278.
7.	Detry R, Ciccarelli O, Komlan A, et al. Early feeding after colorectal surgery. Preliminary results [J]. Acta Chir Belg， 1999; 99(6)∶292.
8.	Pacelli F, Bossola M, Papa V, et al. Enteral vs parenteral nutrition after major abdominal surgery: an even match [J]. Arch Surg， 2001; 136(8)∶933.
9.	Braga M, Gianotti L, Gentilini O, et al. Early postoperative enteral nutrition improves gut oxygenation and reduces costs compared with total parenteral nutrition [J]. Crit Care Med， 2001; 29(2)∶242.
10.	Gianotti L, Braga M, Gentilini O, et al. Artificial nutrition after pancreaticoduodenectomy [J]. Pancreas， 2000; 21(4)∶344.
11.	Stewart BT, Woods RJ, Collopy BT, et al. Early feeding after elective open colorectal resections: a prospective randomized trial [J]. Aust N Z J Surg， 1998; 68(2)∶125.
12.	Hsu TC, Leu SC, Su CF, et al. Assessment of intragastric pH value changes after early nasogastric feeding [J]. Nutrition， 2000; 16(9)∶751.
13.	Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review [J]. Crit Care Med， 2001; 29(12)∶2264.
14.	Soliani P, Dell’Abate P, Del Rio P, et al. Early enteral nutrition in patients treated with major surgery of the abdomen and the pelvis [J]. Chir Ital， 2001; 53(5)∶619.
15.	Bozzetti F, Braga M, Gianotti L, et al. Postoperative enteral versus parenteral nutrition in malnourished patients with gastrointestinal cancer: a randomised multicentre trial [J]. Lancet， 2001; 358(9292)∶1487.
16.	Mochizuki H, Togo S, Tanaka K, et al. Early enteral nutrition after hepatectomy to prevent postoperative infection [J]. Hepatogastroenterology， 2000; 47(35)∶1407.
17.	Hu QG, Zheng QC. The influence of enteral nutrition in postoperative patients with poor liver function [J]. World J Gastroenterol， 2003; 9(4)∶843.
18.	Hochwald SN, Harrison LE, Heslin MJ, et al. Early postoperative enteral feeding improves whole body protein kinetics in upper gastrointestinal cancer patients [J]. Am J Surg， 1997; 174(3)∶325.
19.	Pearlstone DB, Lee JI, Alexander RH, et al. Effect of enteral and parenteral nutrition on amino acid levels in cancer patients [J]. JPEN J Parenter Enteral Nutr， 1995; 19(3)∶204.
20.	Sustic A, Krznaric Z, Uravic M, et al. Influence on gallbladder volume of early postoperative gastric supply of nutrients [J]. Clin Nutr， 2000; 19(6)∶413.
21.	Pupelis G, Austrums E, Jansone A, et al. Randomised trial of safety and efficacy of postoperative enteral feeding in patients with severe pancreatitis: preliminary report [J]. Eur J Surg， 2000; 166(5)∶383.
22.	de Luis DA, Aller R, Izaola O, et al. Postsurgery enteral nutrition in head and neck cancer patients [J]. Eur J Clin Nutr， 2002; 56(11)∶1126.
23.	Rayes N, Seehofer D, Hansen S, et al. Early enteral supply of lactobacillus and fiber versus selective bowel decontamination: a controlled trial in liver transplant recipients [J]. Transplantation， 2002; 74(1)∶123.
24.	Rayes N, Hansen S, Seehofer D, et al. Early enteral supply of fiber and Lactobacilli versus conventional nutrition: a controlled trial in patients with major abdominal surgery [J]. Nutrition， 2002; 18(7-8)∶609.
25.	Braga M, Gianotti L, Nespoli L, et al. Nutritional approach in malnourished surgical patients: a prospective randomized study [J]. Arch Surg， 2002; 137(2)∶174.
26.	Wu GH, Zhang YW, Wu ZH. Modulation of postoperative immune and inflammatory response by immuneenhancing enteral diet in gastrointestinal cancer patients [J]. World J Gastroenterol， 2001; 7(3)∶357.
27.	Kuru B, Dinc S, Altinok G, et al. Effect of different enteral nutrients on bacterial translocation in experimental obstructive jaundice [J]. Eur Surg Res， 2004; 36(1)∶45.
28.	Zulfikaroglu B, Zulfikaroglu E, Ozmen MM, et al. The effect of immunonutrition on bacterial translocation, and intestinal villus atrophy in experimental obstructive jaundice [J]. Clin Nutr， 2003; 22(3)∶277.
29.	伍曉汀. 老年外科手術患者的營養問題 [J]. 中國普外基礎與臨床雜志，2004； 11(2)∶182.

1. Baskin WN. Advances in enteral nutrition techniques [J]. Am J Gastroenterol， 1992; 87(11)∶1547.
2. 胡建昆. 外科術后早期腸內營養 [J]. 中國普外基礎與臨床雜志， 2003； 10(4)∶407.
3. Braga M, Gianotti L, Gentilini O, et al. Feeding the gut early after digestive surgery: results of a nineyear experience [J]. Clin Nutr， 2002; 21(1)∶59.
4. Lewis SJ, Egger M, Sylvester PA, et al. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and metaanalysis of controlled trials [J]. BMJ， 2001; 323(7316)∶773.
5. Brooks AD, Hochwald SN, Heslin MJ, et al. Intestinal permeability after early postoperative enteral nutrition in patients with upper gastrointestinal malignancy [J]. JPEN J Parenter Enteral Nutr， 1999; 23(2)∶75.
6. McCarter MD, Gomez ME, Daly JM. Early postoperative enteral feeding following major upper gastrointestinal surgery [J]. J Gastrointest Surg， 1997; 1(3)∶278.
7. Detry R, Ciccarelli O, Komlan A, et al. Early feeding after colorectal surgery. Preliminary results [J]. Acta Chir Belg， 1999; 99(6)∶292.
8. Pacelli F, Bossola M, Papa V, et al. Enteral vs parenteral nutrition after major abdominal surgery: an even match [J]. Arch Surg， 2001; 136(8)∶933.
9. Braga M, Gianotti L, Gentilini O, et al. Early postoperative enteral nutrition improves gut oxygenation and reduces costs compared with total parenteral nutrition [J]. Crit Care Med， 2001; 29(2)∶242.
10. Gianotti L, Braga M, Gentilini O, et al. Artificial nutrition after pancreaticoduodenectomy [J]. Pancreas， 2000; 21(4)∶344.
11. Stewart BT, Woods RJ, Collopy BT, et al. Early feeding after elective open colorectal resections: a prospective randomized trial [J]. Aust N Z J Surg， 1998; 68(2)∶125.
12. Hsu TC, Leu SC, Su CF, et al. Assessment of intragastric pH value changes after early nasogastric feeding [J]. Nutrition， 2000; 16(9)∶751.
13. Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review [J]. Crit Care Med， 2001; 29(12)∶2264.
14. Soliani P, Dell’Abate P, Del Rio P, et al. Early enteral nutrition in patients treated with major surgery of the abdomen and the pelvis [J]. Chir Ital， 2001; 53(5)∶619.
15. Bozzetti F, Braga M, Gianotti L, et al. Postoperative enteral versus parenteral nutrition in malnourished patients with gastrointestinal cancer: a randomised multicentre trial [J]. Lancet， 2001; 358(9292)∶1487.
16. Mochizuki H, Togo S, Tanaka K, et al. Early enteral nutrition after hepatectomy to prevent postoperative infection [J]. Hepatogastroenterology， 2000; 47(35)∶1407.
17. Hu QG, Zheng QC. The influence of enteral nutrition in postoperative patients with poor liver function [J]. World J Gastroenterol， 2003; 9(4)∶843.
18. Hochwald SN, Harrison LE, Heslin MJ, et al. Early postoperative enteral feeding improves whole body protein kinetics in upper gastrointestinal cancer patients [J]. Am J Surg， 1997; 174(3)∶325.
19. Pearlstone DB, Lee JI, Alexander RH, et al. Effect of enteral and parenteral nutrition on amino acid levels in cancer patients [J]. JPEN J Parenter Enteral Nutr， 1995; 19(3)∶204.
20. Sustic A, Krznaric Z, Uravic M, et al. Influence on gallbladder volume of early postoperative gastric supply of nutrients [J]. Clin Nutr， 2000; 19(6)∶413.
21. Pupelis G, Austrums E, Jansone A, et al. Randomised trial of safety and efficacy of postoperative enteral feeding in patients with severe pancreatitis: preliminary report [J]. Eur J Surg， 2000; 166(5)∶383.
22. de Luis DA, Aller R, Izaola O, et al. Postsurgery enteral nutrition in head and neck cancer patients [J]. Eur J Clin Nutr， 2002; 56(11)∶1126.
23. Rayes N, Seehofer D, Hansen S, et al. Early enteral supply of lactobacillus and fiber versus selective bowel decontamination: a controlled trial in liver transplant recipients [J]. Transplantation， 2002; 74(1)∶123.
24. Rayes N, Hansen S, Seehofer D, et al. Early enteral supply of fiber and Lactobacilli versus conventional nutrition: a controlled trial in patients with major abdominal surgery [J]. Nutrition， 2002; 18(7-8)∶609.
25. Braga M, Gianotti L, Nespoli L, et al. Nutritional approach in malnourished surgical patients: a prospective randomized study [J]. Arch Surg， 2002; 137(2)∶174.
26. Wu GH, Zhang YW, Wu ZH. Modulation of postoperative immune and inflammatory response by immuneenhancing enteral diet in gastrointestinal cancer patients [J]. World J Gastroenterol， 2001; 7(3)∶357.
27. Kuru B, Dinc S, Altinok G, et al. Effect of different enteral nutrients on bacterial translocation in experimental obstructive jaundice [J]. Eur Surg Res， 2004; 36(1)∶45.
28. Zulfikaroglu B, Zulfikaroglu E, Ozmen MM, et al. The effect of immunonutrition on bacterial translocation, and intestinal villus atrophy in experimental obstructive jaundice [J]. Clin Nutr， 2003; 22(3)∶277.
29. 伍曉汀. 老年外科手術患者的營養問題 [J]. 中國普外基礎與臨床雜志，2004； 11(2)∶182.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Early Enteral Nutrition after Abdominal Surgery

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