Effect of appetite condition reflex stimulation on tolerance of early enteral nutrition after colorectal-carcinoma surgery
1Department of General Surgery, the Baoshan People's Hospital, Bao Shang 678000, Yun Nan, China; 2Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Kunming Medical University/Research Center for Surgical Clinical Nutrition of Yunnan Province, Kunming 650000, China
Abstract：Objective This study aims to discuss effects of appetite condition reflex stimulation on early enteral nutrition tolerance, complications and postoperative hospital stay of patients after colorectal-carcinoma surgery. Methods A total of 70 patients (42 cases of colon cancer and 28 cases of rectal cancer) scheduled for laparoscopic colorectal cancer surgery in department of gastrointestinal surgery, the 2th Affiliated Hospital of Kun Ming Medical University from February to December, 2017 were divided into stimulate appetite group (experimental group, n=35) and conventional treatment group (control group, n=35) randomly. Both of the two groups were treated with EEN, and the tolerance of EEN, the rate of surgery complications and the time of postoperative hospital stay were compared respectively. Results There were 66 cases, including 34 cases in experimental group and 32 cases in control group, were finished the relevant experiment. Patients in experimental group had better tolerance of EEN than patients in control group (rates of nausea, vomiting, bloating, use of prokinetic drugs, and gastric tube replacement were lowers than control group, P<0.05), and shorter time to tolerate regular eating (5.0±1.0 d vs. 6.4±1.9 d in control group, P<0.05) and shorter time of postoperative hospital stay (7.0±2.0 d vs. 8.0±1.8 d in control group, P<0.05). No significant difference of complication was detected (P>0.05). Conclusions Appetite condition reflex stimulation can improve tolerance of EEN, shorten time to ordinary diet recovery and shorten time of hospital stay, does not increase the incidence of surgical complications, so it is a group of simple, feasible, safety and economical measures to enhance patients recovery after surgery.
2018, Vol. 5 
