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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外科手術; 術后早期腸內營養

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腸內或稱經腸營養(enteral nutrition)是經胃腸道用口服或管飼來提供可滿足、超過或補充代謝需要的營養基質及其他各種營養素的營養方式［1］。經過漫長的臨床實踐與技術發展，腸內營養的優越性越來越為人們所重視。“如果腸道有功能，就應使用腸道”的原則已為大多數臨床醫師所接受。近年來外科術后早期腸內營養（early enteral nutrition）的研究亦有較多的進展。

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.	蔣朱明，朱預主編. 人工胃腸支持腸外與腸內營養 [M]. 第1版. 北京：人民衛生出版社，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，劉寒. 腸內營養與胃腸動力 [J]. 中國實用外科雜志， 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.	張思源, 劉燕萍. 胃腸內營養支持的并發癥 [J]. 中國實用外科雜志， 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. 蔣朱明，朱預主編. 人工胃腸支持腸外與腸內營養 [M]. 第1版. 北京：人民衛生出版社，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，劉寒. 腸內營養與胃腸動力 [J]. 中國實用外科雜志， 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. 張思源, 劉燕萍. 胃腸內營養支持的并發癥 [J]. 中國實用外科雜志， 2003； 23（2）∶83.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Early Enteral Nutrition After Operation

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