Zhu J.,PLA Fourth Military Medical University |
Wang S.,Xijing Hospital of Digestive Disease |
Feng X.,Xijing Hospital of Digestive Disease |
Li Q.,Xijing Hospital of Digestive Disease |
And 3 more authors.
Chinese Journal of Clinical Nutrition | Year: 2014
Objective: To evaluate the tolerance of early enteral nutrition (EN) and its related factors among postoperative patients with gastric carcinoma. Methods: All consecutive patients who had received radical surgery for gastric carcinoma in Xijing Hospital of Digestive Diseases from December 2012 to June 2013 was enrolled in this study. Based on the presence or absence of abdominal distension, abdominal pain, diarrhea, or vomiting, patients were divided into tolerance group and intolerance group. The demographic characteristics, surgical approach, complications, and intolerance symptoms were compared between these two groups using univariate and multivariate analyses. Results: A total of 150 patients were enrolled in this study. Among them, 122 (81.3%) and 28 (18.7%) patients were intolerant and tolerant to the early EN, respectively. Diet regularity (P=0.017), weekly consumption of legumes and milk (P=0.017, P=0.003), staple foods (P=0.000), postoperative pain on the day of surgery (P=0.001), and time of ambulation on the first postoperative day (P=0.023) were significantly correlated with the risk of intolerance of early EN. Conclusions: Irregular daily diet, postoperative pain, and ambulation time within the first 24 hours after surgery can contribute to the intolerance of early EN. Effective postoperative analgesia and early ambulation may reduce the incidence of intolerance of early EN. Copyright © 2014 by the Chinese Medical Association.