Limited efficacy of early enteral nutrition in patients after total gastrectomy

Abstract

Background: Evaluable data documenting the efficacy of early enteral nutrition (EEN) in patients after total gastrectomy are still limited.

Aims: This study aimed to evaluate the clinical efficacy of EEN through a nasojejunal tube on the recovery of patients after total gastrectomy compared with that of patients receiving only total parenteral nutrition (TPN).

Materials and methods: One hundred and sixteen patients who underwent total gastrectomy were divided into the EEN and TPN groups. The clinical recovery and postoperative complications of these two groups were compared.

Results: There were 62 patients in the EEN group and 54 in the TPN group. The postoperative length of hospital stay, time of flatus passage, and time to start a semisolid diet were similar in the two groups. In the TPN group, however, patients started a liquid diet earlier. No difference in any postoperative complications or perioperative death were found between the EEN and TPN groups.

Conclusion: Since there was no significant difference regarding either the postoperative recovery course or complications, the routine placement of a nasojejunal tube for EEN is unnecessary in elective total gastrectomy.