【摘要】 目的 探讨全胃切除术后早期肠内营养的途径及疗效。方法 对59例全胃切除术后早期肠内营养患者的营养状况、肠内营养支持途径及并发症进行回顾性分析。结果 术后主要通过空肠造瘘和鼻空肠管进行肠内营养。肠内喂养最早始于术后48小时，平均为(5.2±1.1)天，肠内营养时间平均(12.9±6.5)天。因腹泻、腹胀不耐受而中断肠内喂养2例，因导管堵塞中断1例，无其他喂养并发症。结论 全胃切除术患者术中放置导管式营养性空肠造瘘是安全、有效和廉价的营养支持途径。

Total gastrectomy and enteral nutrition

HUA Tianfang, CAI Wenwei. Department of General Surgery, Shanghai First People's Hospital, Shanghai 200080

【 Abstract】 Objective To assess ways and outcomes of early postoperative enteral feeding in patients undergoing total gastrectomy. Methods Nutritional status, ways of enteral feeding and complications of 59 patients undergoing total gastrectomy were reviewed retrospectively. Results Enteral feeding was mainly given by catheter jejunostomy or nasojejunal tubes. Enteral feeding started as early as 48 hours after operation. The average time was (5.2±1.1) days. Enteral feeding continued for (12.9±6.5) days. Enteral feeding was interrupted in 3 patients because of diarrhea, abdominal distention or embolism of catheter. Conclusion Enteral feeding by catheter nutritional jejunostomy in patients undergoing total gastrectomy is safe, effective and less expensive.

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