Chewing 50 times per bite could help to resume oral feeding on the first postoperative day following minimally invasive oesophagectomy
Chewing 50 times per bite could help to resume oral feeding on the first postoperative day following minimally invasive oesophagectomy
复制标题
DOI：
10.1093/ejcts/ezx291
复制
发表时间：
2018-02-01
影响因子：
3.4
通讯作者：
Liu, Qi
中科院分区：
文献类型：
--
作者：
Zhu, Zhengshuai;Li, Yin;Liu, Qi
在我们之前的研究中，McKeown 微创食管切除术 (MIE) 后的早期经口喂养已被证明是早期恢复肠道功能和改善生活质量的安全可行的方法。本研究探讨“每口咀嚼50次”对MIE术后早期经口喂养的影响。2016年5月至2016年12月，我们回顾性分析了我科接受MIE治疗的95例食管癌患者。所有患者均收到术后第 1 天 (POD) 固体食物摄入量“每口咀嚼 50 次”方法的说明。主要终点是肺炎发生率和吻合口漏率。此外，还对术后营养状况进行了研究。总体而言，95名患者愿意在POD 1开始口服营养。吻合口漏和肺炎发生率分别为2.1%和7.4%。 POD 1、POD 3 和 POD 5 的热量摄入平均值分别为 1388 +/- 184、1549 +/- 206 和 1522 +/- 203，分别是平均热量需求的 78%、88% 和 77%。术前测量与出院时测量的蛋白质指数值无显着差异。MIE患者POD 1的“每口咀嚼50次”固体食物摄入方法被证明是可行且安全的，因为该方法的应用有助于将固体食物转化为液体营养。更重要的是，我们证明患者有可能在 MIE 后的第一天随意进食。
In our previous study, early oral feeding following McKeown minimally invasive oesophagectomy (MIE) has been shown to be a safe and a feasible approach for early recovery of intestinal function and an improvement of quality of life. This study investigates the effect of 'chewing 50 times per bite' on early oral feeding following MIE.Between May 2016 and December 2016, we retrospectively analysed 95 cases of oesophageal carcinoma in patients who underwent MIE in our department. All patients received instructions for a 'chewing 50 times per bite' method for solid food intake on postoperative day (POD) 1. The primary end-points were the incidence of pneumonia and anastomotic leakage rate. In addition, postoperative nutritional status was studied.Overall, 95 patients willingly started oral nutrition on POD 1. The rates of anastomotic leakage and pneumonia incidence were 2.1% and 7.4%, respectively. The caloric intake means on POD 1, POD 3 and POD 5 were 1388 +/- 184, 1549 +/- 206 and 1522 +/- 203 respectively, which were 78%, 88% and 77% of the mean caloric requirements, respectively. There were no significant differences in protein index values between the preoperative measurements and the hospital discharge measurements.The '50 chewing times per bite' solid food intake method on POD 1 in patients with MIE was shown to be feasible and safe, because the application of this method helps to convert solid food into liquid nutrition. More importantly, we demonstrated that it is possible for patients to be able to eat at will on Day 1 following MIE.