초록접수 현황
| 17F-067 | 구연 미채택시 포럼 발표 |
The Change of Post-esophagectomy Nutritional Status after Combined Enteral Feeding through Jejunostomy.
Young Ran Kim¹, Dal Lae Ju¹, Misun Park¹, Kwan Yong Hyun², Samina Park², In Kyu Park², Young Tae Kim², Chang Hyun Kang²
¹Department of Food Service and Nutrition Care, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea., ²Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
Purpose : Early post-esophagectomy oral feeding is not always successful because of common postoperative symptoms including dysphagia, early satiety, reflux and anorexia. Postoperative enteral feeding through jejunostomy is generally recommended as a supportive method for oral feeding to prevent progressive weight loss and malnutrition. This study aimed to elucidate the role of jejunostomy on the postoperative calorie intake and nutritional status.
Methods : A total of 64 patients who underwent pre-and postoperative nutritional assessment after esophagectomy between Apr 2013 and Aug 2014 were included in the study. Nutritional assessment was performed by Scored Patient Generated Subjective Global Assessment (PG-SGA) at admission and at the 1st postoperative outpatient clinic visit. Calorie intake was assessed by 3-day meal record or 24-hour recalling method.
Results : The mean age of the patients were 65.4±7.9 years and mean BMI was 22.8±2.5 kg/m2. The mean postoperative weight loss was 3.9±2.5 kg (6.1%) during admission and additionally 1.1±1.8 kg (1.8%) weight loss occurred until the first outpatient clinic visit. Postoperative PG-SGA grade was significantly deteriorated compared to preoperative PG-SGA grades (p<0.001). Oral calorie intake at the 1st outpatient clinic visit was 1,000±433 Kcal (48.9% of recommended amount), however, additional jejunostomy feeding increased calorie intake up to 1.512±390 Kcal (73.9% of recommended amount). Postoperative calorie intake was significantly related with postoperative weight loss (p=0.026) and PG-SGA grades (p<0.001).
Conclusion : Combined oral and jejunostomy feeding increased post-esophagectomy calorie intake. Sufficient calorie intake prevented weight loss and malnutrition postoperatively and it should be considered for early post-esophagectomy recovery and balanced nutritional status.
Methods : A total of 64 patients who underwent pre-and postoperative nutritional assessment after esophagectomy between Apr 2013 and Aug 2014 were included in the study. Nutritional assessment was performed by Scored Patient Generated Subjective Global Assessment (PG-SGA) at admission and at the 1st postoperative outpatient clinic visit. Calorie intake was assessed by 3-day meal record or 24-hour recalling method.
Results : The mean age of the patients were 65.4±7.9 years and mean BMI was 22.8±2.5 kg/m2. The mean postoperative weight loss was 3.9±2.5 kg (6.1%) during admission and additionally 1.1±1.8 kg (1.8%) weight loss occurred until the first outpatient clinic visit. Postoperative PG-SGA grade was significantly deteriorated compared to preoperative PG-SGA grades (p<0.001). Oral calorie intake at the 1st outpatient clinic visit was 1,000±433 Kcal (48.9% of recommended amount), however, additional jejunostomy feeding increased calorie intake up to 1.512±390 Kcal (73.9% of recommended amount). Postoperative calorie intake was significantly related with postoperative weight loss (p=0.026) and PG-SGA grades (p<0.001).
Conclusion : Combined oral and jejunostomy feeding increased post-esophagectomy calorie intake. Sufficient calorie intake prevented weight loss and malnutrition postoperatively and it should be considered for early post-esophagectomy recovery and balanced nutritional status.
책임저자: Chang Hyun Kang
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
발표자: Young Ran Kim, E-mail : nutrani@snuh.org