Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 6, Number 1, February 2014, pages 53-58


Is Early Enteral Nutrition Initiated Within 24 Hours Better for the Postoperative Course in Esophageal Cancer Surgery?/b>

Tables

Table 1. Pre- and Peri-Operative Clinicopathological Feature
 
TotalD1 (n = 15)D2-3 (n = 27)P value (Mann-Whitney test)
TPN: total parenteral nutrition.
Age (years)61.5 ± 6.660.5 ± 6.362.1 ± 6.80.5373
BMI (kg/m2)21.8 ± 3.120.9 ± 2.422.4 ± 3.40.1246
Body weight (kg)57.7 ± 9.855.1 ± 9.559.1 ± 9.90.1488
Albumin (mg/dL)4.0 ± 0.43.9 ± 0.54.0 ± 0.30.6600
Operative time (min)470 ± 83475 ± 83467 ± 850.9060
Blood loss (mL)676 ± 280679 ± 273673 ± 2900.7528
P value (Chi square test)
Sex0.8950
  Male361323
  Female624
Stage0.1536
  0211
  I15411
  IIA716
  IIB211
  III862
  IVA303
  IVB523
Preop. chemotherapy0.0129
  No22418
  Yes20119
Postop. TPN use0.2348
  No321319
  Yes1028

 

Table 2. Postoperative Complications and Mortality
 
TotalD1 (n = 15)D2-3 (n = 27)P value
Postop. complications3613230.8954
Non-infectious218130.7474
  Recurrent nerve palsy228140.9266
  Anastomotic dehiscence14590.9999
  Tracheal damage1100.6657
  Aortic rupture1100.6657
Infectious176110.9626
  Pneumonia7520.0308
  Wound infection7340.6657
  Sepsis3030.4749
Mortality1100.6657

 

Table 3. Postoperative Outcomes of Early EN Initiated Within 24 h and During 24 - 72 h
 
TotalD1 (n = 15)D2-3 (n =27)P value
Δalbumin: difference in serum albumin values between postoperative day 7 and pre-operation; SIRS: systematic inflammatory response syndrome; LOH: length of hospital stay.
EN calorie (kcal/kg)28.4 ± 8.526.5 ± 8.129.4 ± 8.60.3249
First fecal passage (day)6.5 ± 2.34.8 ± 1.75.5 ± 1.60.2535
Albumin infusion (mL)83.1 ± 61.779.3 ± 66.985.0 ± 59.80.8031
Δalbumin (mg/dL)-1.18 ± 0.5-1.3 ± 0.6-1.1 ± 0.40.4833
SIRS duration (day)4.0 ± 5.15.8 ± 8.33.0 ± 2.00.9525
Respirator duration (day)3.7 ± 7.35.9 ± 11.92.6 ± 1.60.5636
LOH (day)54.2 ± 52.068.9 ± 74.046.0 ± 33.40.6087