Early Enteral Nutrition After Operation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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胡建昆

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外科手术; 术后早期肠内营养

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肠内或称经肠营养(enteral nutrition)是经胃肠道用口服或管饲来提供可满足、超过或补充代谢需要的营养基质及其他各种营养素的营养方式［1］。经过漫长的临床实践与技术发展，肠内营养的优越性越来越为人们所重视。“如果肠道有功能，就应使用肠道”的原则已为大多数临床医师所接受。近年来外科术后早期肠内营养（early enteral nutrition）的研究亦有较多的进展。

Citation： 胡建昆. Early Enteral Nutrition After Operation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(4): 407-409. doi: Copy

1.	17 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 18Sustic 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.
2.	蒋朱明，朱预主编. 人工胃肠支持肠外与肠内营养 [M]. 第1版. 北京：人民卫生出版社，1993∶179~210.
3.	Berger MM, BergerGryllaki M, Wiesel PH, et al. Intestinal absorption in patients after cardiac surgery [J]. Crit Care Med, 2000； 28(7)∶2217.
4.	秦新裕，刘寒. 肠内营养与胃肠动力 [J]. 中国实用外科杂志， 2003； 23（2）∶81.
5.	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.
6.	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.
7.	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.
8.	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.
9.	Di Carlo V, Gianotti L, Balzano G, et al. Complications of pancreatic surgery and the role of perioperative nutrition [J]. Dig Surg, 1999; 16(4)∶320.
10.	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.
11.	Riso S, Aluffi P, Brugnani M, et al. Postoperative enteral immunonutrition in head and neck cancer patients [J]. Clin Nutr, 2000; 19(6)∶407.
12.	Page RD, Oo AY, Russell GN, et al. Intravenous hydration versus nasojejunal enteral feeding after esophagectomy: a randomised study [J]. Eur J Cardiothorac Surg, 2002; 22(5)∶666.
13.	Aiko S, Yoshizumi Y, Sugiura Y, et al. Beneficial effects of immediate enteral nutrition after esophageal cancer surgery [J]. Surg Today, 2001; 31(11)∶971.
14.	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.
15.	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.
16.	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.
17.	Gianotti L, Braga M, Gentilini O, et al. Artificial nutrition after pancreaticoduodenectomy [J]. Pancreas, 2000; 21(4)∶344.
18.	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.
19.	张思源, 刘燕萍. 胃肠内营养支持的并发症 [J]. 中国实用外科杂志， 2003； 23（2）∶83.

1. 17 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 18Sustic 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.
2. 蒋朱明，朱预主编. 人工胃肠支持肠外与肠内营养 [M]. 第1版. 北京：人民卫生出版社，1993∶179~210.
3. Berger MM, BergerGryllaki M, Wiesel PH, et al. Intestinal absorption in patients after cardiac surgery [J]. Crit Care Med, 2000； 28(7)∶2217.
4. 秦新裕，刘寒. 肠内营养与胃肠动力 [J]. 中国实用外科杂志， 2003； 23（2）∶81.
5. 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.
6. 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.
7. 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.
8. 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.
9. Di Carlo V, Gianotti L, Balzano G, et al. Complications of pancreatic surgery and the role of perioperative nutrition [J]. Dig Surg, 1999; 16(4)∶320.
10. 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.
11. Riso S, Aluffi P, Brugnani M, et al. Postoperative enteral immunonutrition in head and neck cancer patients [J]. Clin Nutr, 2000; 19(6)∶407.
12. Page RD, Oo AY, Russell GN, et al. Intravenous hydration versus nasojejunal enteral feeding after esophagectomy: a randomised study [J]. Eur J Cardiothorac Surg, 2002; 22(5)∶666.
13. Aiko S, Yoshizumi Y, Sugiura Y, et al. Beneficial effects of immediate enteral nutrition after esophageal cancer surgery [J]. Surg Today, 2001; 31(11)∶971.
14. 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.
15. 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.
16. 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.
17. Gianotti L, Braga M, Gentilini O, et al. Artificial nutrition after pancreaticoduodenectomy [J]. Pancreas, 2000; 21(4)∶344.
18. 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.
19. 张思源, 刘燕萍. 胃肠内营养支持的并发症 [J]. 中国实用外科杂志， 2003； 23（2）∶83.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Early Enteral Nutrition After Operation

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