Effect of Preoperative Nutritional Risk Screening and Enteral Nutrition Support in Accelerated Recovery after Resection for Esophageal Cancer

Objective. Preoperative nutritional status of patients is closely associated with their recovery after the surgery. This study aims to ascertain the impact exerted by the nutritional risk screening on clinical outcome of patients with esophageal cancer. Methods. 160 patients with esophageal cancer aged over 60, having got therapy at the First Hospital of Jilin University from Jun 2016 to Feb 2017 were evaluated by adopting the NRS2002. 80 cases of patients got active therapy of nutritional support, and the other patients not supported nutritionally were selected as the control group. The comparison was drawn between two groups in serum albumin, serum immunoglobulin, postoperative complications, hospitalization, and hospitalization expenses. Results. For all the patients, in 3 and 7 days after the surgery, the serum albumin in the nutritionally supported group outstripped that in group without nutritional support (P<0.05) regardless of the nutritional risk. For the patients in the risk of nutrition, the IgA in the nutritionally supported group outstripped that of group without nutritional support (P<0.05) in 3 and 7 days before the surgery, and the serum IgG outstripped that of the group without nutritional support in 1 and 3 days before the surgery (P<0.05). In terms of the patients in the risk of nutrition, the average hospitalization of nutritionally supported group was shorter (P<0.05), and the average hospitalization expenses were lower compared with those of the group without nutritional support. And for the patients in no risk, the hospitalization expenses of supported group surmounted those of group without nutritional support (P<0.05), whereas the average hospitalization took on no statistic difference (P>0.05). Conclusion. For the patients in the risk of nutrition, preoperative nutritional support can facilitate the nutritional status and immunization-relative result after surgery, which shall also decrease the average hospitalization and hospitalization cost.

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RA10.03: IMPACT EXERTED BY NUTRITIONAL RISK SCREENING ON CLINICAL OUTCOME OF PATIENTS WITH ESOPHAGEAL CANCER

Diseases of the Esophagus ◽

10.1093/dote/doy089.ra10.03 ◽

2018 ◽

Vol 31 (Supplement_1) ◽

pp. 42-43

Author(s):

Rui Wang ◽

Hongfei Cai ◽

Youbin Cui

Keyword(s):

Esophageal Cancer ◽

Clinical Outcome ◽

Nutritional Status ◽

Serum Albumin ◽

Nutritional Support ◽

Nutritional Risk ◽

Control Group ◽

Risk Screening ◽

The Impact ◽

Nutritional Risk Screening

Abstract Background Preoperative nutritional status of patients is closely associated with their recovery after the surgery. This study aims to ascertain the impact exerted by the nutritional risk screening on clinical outcome of patients with esophageal cancer, to provide scientific determination of nutritional support for patients suffering from esophageal cancer. Methods 160 patients with esophageal cancer aged over 60, having got therapy at the First Hospital affiliated by Jilin University from Jun. 2016to Feb. 2017 were evaluated adopting the NRS2002. 80 cases of patients got active therapy of nutritional support, and the other patients not supported nutritionally were selected as the control group. The comparison was drawn between two groups in serum albumin, serum immunoglobulin, postoperative complications, hospitalization and hospitalization expenses. Experimental data were acquired through adopting t-test and χ2 test for statistical analysis. Results For all the patients, in 3 and7 days after the surgery, the serum albumin in the nutritionally supported group outstripped that in group without nutritional support (P < 0.05) regardless of the nutritional risk. For the patients in the risk of nutrition, the IgA in the nutritionally supported group outstripped that of group without nutritional support (P < 0.05) in 3 and 7 days before the surgery, and the serum IgG outstripped that of the group without nutritional support in 1 and 3 days before the surgery(P < 0.05). Two groups were not statistically different in the rate of postoperative complication (P > 0.05). In terms of the patients in the risk of nutrition, the average hospitalization of nutritionally supported group was shorter(P < 0.05), and the average hospitalization expenses were lower compared with those of the group without nutritional support. And for the patients in no risk, the hospitalization expenses of supported group surmounted those of group without nutritional support (P < 0.05), whereas the average hospitalization took on no statistic difference(P > 0.05). Conclusion For the patients in the risk of nutrition, preoperative nutritional support can facilitate the nutritional status and immunization-relative result after surgery, which shall also decrease the average hospitalization and hospitalization cost. Disclosure All authors have declared no conflicts of interest.

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