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A survey of perioperative nutritional support for open radical gastric cancer surgery
Received:November 08, 2020  Revised:March 16, 2021  Click here to download the full text
Citation of this paper:XÜ Zhi-hong,SONG Yue-jiao,PAN Yan,LIAO Qing-wu,GE Sheng-jing.A survey of perioperative nutritional support for open radical gastric cancer surgery[J].Chinese Journal of Clinical Medicine,2021,28(4):550-555
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Author NameAffiliationE-mail
XÜ Zhi-hong Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Department of Anesthesia, the First Affiliated Hospital of Xiamen University, Xiamen 361003, Fujian, China 
 
SONG Yue-jiao Department of Anesthesia, Xiamen Branch of Zhongshan Hospital, Fudan University, Xiamen 361015, Fujian, China  
PAN Yan Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LIAO Qing-wu Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
GE Sheng-jing Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai 200032, China ge.shengjin@zs-hospital.sh.cn 
Abstract:Objective: To analyze the current status and possible deficiencies of perioperative nutritional support treatment for patients undergoing open radical gastric cancer surgery, in order to improve the perioperative nutritional support treatment. Methods: A total of 1 304 patients who completed open radical gastric cancer surgery in Zhongshan Hospital, Fudan University from January to December 2019 were included, the clinical data of all patients were analyzed retrospectively. The perioperative nutritional support ratio, approach, and composition, as well as relevant laboratory parameters were analyzed. Results: The patients received preoperative nutritional support only, postoperative nutritional support only, and preoperative plus postoperative nutritional support accounted for 1.7%, 56.9%, and 8.6%, respectively. 67.2% (876/1 304) patients were given nutritional supports during the perioperative time. Before surgery, the total parenteral nutrition (TPN) and enteral nutrition (EN) were used in 112,21 patients, respectively, and the ratio was 5.3:1. After the operation, TPN, EN, and PN+EN were used in 558, 102, and 194 patients, respectively, and the ratio was 5.5:1:1.9. Among patients who used TPN after surgery, 107 patients used all in one (AIO) nutrients and total calories, calories/kg, protein/kg, and heat-nitrogen ratio were (1 256.7±169.4) kcal/d, (20.7±4.0) kcal·kg-1·d-1, (1.2±0.5) g·kg-1·d-1, and (101.1±53.8):1 in these patients, respectively; 451 patients used single bottle of nutrients, and total calories, calories/kg, protein/kg, and heat-nitrogen ratio were (325.2±79.2) kcal/d, (5.4±1.7) kcal·kg-1·d-1, (0.4±0.1) g·kg-1·d-1, and (58.0±23.7):1. The preoperative levels of albumin and prealbumin of the patients receiving AIO were (39.7±5.0) g/L and (211.2±55.6) mg/L, and were significantly lower than those of patients receiving single bottle nutrient support ([41.3±4.0] g/L,[222.4±52.0] mg/L; P<0.05), and the postoperative level of blood glucose was (6.3±2.0) mmol/L and was significantly higher than that of patients receiving single bottle of nutrients (5.5±1.3) mmol/L (P<0.01). Conclusions: Nutritional support has been gradually improved, the proportion of perioperative nutritional support is higher, but protein/amino acid supplied by postoperative TPN does not meet the clinical requirements.
keywords:open radical gastric cancer surgery  perioperative nutritional support  status survey  amino acid
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