Evaluation of Postoperative Nutrition Support after an Ivor-Lewis Esophagectomy in Patients with Esophageal Cancer

초록

support is critical. Nevertheless, the effectiveness of enteral nutrition (EN) versus parenteral nutrition (PN) isstill controversial. The aim of this study was to investigate the effect of EN and PN on the nutritionalstate and the length of hospital stay for patients who underwent an Ivor-Lewis (IL) esophagectomy. Method: A retrospective clinical analysis was performed that utilized the electronic medical records ofpatients who underwent IL esophagectomy during a 3-year period between January 2010 and December2012 at a tertiary teaching hospital located in Seoul, Korea. The EN group and PN group were analyzedby comparing the nutrition supply, postoperative complications, length of hospital stay, and weight variation. Results: After an IL esophagectomy, the complication rate between the EN group and PN group wasinsignificant and the length of hospital stay was significantly shorter for the PN group compared to theEN group (14 vs. 16 days, respectively; p<0.001). At the time of discharge, those in the PN group lostless weight postoperatively (p=0.003). Conclusion: PN may be considered as safe nutrition support foresophageal cancer patients who underwent an esophagectomy.

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