Korean Journal of Clinical Pharmacy (한국임상약학회지)

Korean College Of Clinical Pharmacy (한국임상약학회)
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Evaluation of Postoperative Nutrition Support after an Ivor-Lewis Esophagectomy in Patients with Esophageal Cancer

식도암 환자에서 아이보-루이스 식도절제술 시행 후 영양지원 평가

  • Park, Su Jin (Department of Pharmacy, Samsung Medical Center) ;
  • Lee, Young Mi (Department of Pharmacy, Samsung Medical Center) ;
  • Lee, Yu Jeung (College of Pharmacy, Kangwon National University)
  • Received : 2014.09.02
  • Accepted : 2014.12.15
  • Published : 2014.12.31
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Abstract

Objective: Undernutrition is common amongst esophageal cancer patients and therefore appropriate nutrition support is critical. Nevertheless, the effectiveness of enteral nutrition (EN) versus parenteral nutrition (PN) is still controversial. The aim of this study was to investigate the effect of EN and PN on the nutritional state and the length of hospital stay for patients who underwent an Ivor-Lewis (IL) esophagectomy. Method: A retrospective clinical analysis was performed that utilized the electronic medical records of patients who underwent IL esophagectomy during a 3-year period between January 2010 and December 2012 at a tertiary teaching hospital located in Seoul, Korea. The EN group and PN group were analyzed by comparing the nutrition supply, postoperative complications, length of hospital stay, and weight variation. Results: After an IL esophagectomy, the complication rate between the EN group and PN group was insignificant and the length of hospital stay was significantly shorter for the PN group compared to the EN group (14 vs. 16 days, respectively; p<0.001). At the time of discharge, those in the PN group lost less weight postoperatively (p=0.003). Conclusion: PN may be considered as safe nutrition support for esophageal cancer patients who underwent an esophagectomy.

Keywords

References

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