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Chinese Archives of General Surgery(Electronic Edition) ›› 2013, Vol. 07 ›› Issue (05): 363-366. doi: 10.3877/cma.j.issn.1674-0793.2013.05.008

Special Issue:

• Original Article • Previous Articles     Next Articles

Effects of combining early enteral nutrition and immunonutrition on liver function and gut function in the hepatoma patients receiving hepatectomy

Shao-hong HUANG1, Ji-zong LIN2, Shu-hong YAN3, Sheng YE4,()   

  1. 1. Department of Cardiothoracic Surgery, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China
  • Received:2012-11-10 Online:2013-10-01 Published:2013-10-01
  • Contact: Sheng YE
  • About author:
    Corresponding author: YE Sheng, Email:

Abstract:

Objective

To approach the effects of combining early enteral nutritioning with immunonutrition(EIN) on the liver function and gut function in the hepatoma patients receiving hepatectomy.

Methods

Eighty patients who received hepatectomy were randomly assigned to EIN group and parenteral nutrition (PN) group right after operation. At the 1st, 3rd and 7th day after operation, the peripheral white blood cells, ALT, TBIL, the supplement of albumin, plasma endotoxi, postoperation exhaust time and the abnormal rate of fecal microflora were measured.

Results

There was no significant difference in peripheral white blood cells between the two groups. The patients in EIN group had a better recovery of ALT and TBIL, the plasma endotoxi and the fecal microflora abnormal rate was lower than those in PN group.

Conclusion

Therapy of combining early enteral nutrition with immunonutrition has favorable benefit on liver function and gut function than PN therapy, and therefore can quicken the recovery in the hepatoma patients receiving hepatectomy.

Key words: Hepatoma, Hepatectomy, Liver function, Enteral nutrition, Enteral immunonutrition

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