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. 2023 Apr 14:56:e12421.
doi: 10.1590/1414-431X2023e12421. eCollection 2023.

Nutrition management by a multidisciplinary team for prevention of nutritional deficits and morbidity following esophagectomy

Juan Chen  1 , Ai-Lin Luo  1 , Lin Yang  1 , Wei Wang  1 , Xian Zhou  1 , Mei Yang  1
Affiliations

Nutrition management by a multidisciplinary team for prevention of nutritional deficits and morbidity following esophagectomy

Juan Chen et al. Braz J Med Biol Res. .

Abstract

This study evaluated the effects of perioperative nutrition management by a multidisciplinary team on nutrition and postoperative complications of patients with esophageal cancer. A total of 239 patients with esophageal cancer who underwent esophagectomy and gastric conduit reconstruction for esophageal or esophagogastric junction cancer between February 2019 and February 2020 were included in the study. They were divided into the experimental group (120 patients) and the control group (119 patients) using the random number table method. Control group patients received routine diet management and experimental group patients received perioperative nutrition management by a multidisciplinary team. The differences of nutriture and postoperative complications between the two groups were compared. At 3 and 7 days after surgery, the experimental group patients had higher total protein and albumin levels (P<0.05), shorter postoperative anal exhaust time (P<0.05), lower incidence of postoperative gastrointestinal adverse reactions, pneumonia, anastomotic fistula, hypoproteinemia (P<0.05), and lower hospitalization costs (P<0.05) than the control group. Nutrition management by a multidisciplinary team effectively improved the nutriture of patients, promoted the rapid recovery of postoperative gastrointestinal function, reduced postoperative complications, and reduced hospitalization costs.

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Figures

Figure 1
Figure 1. Clinical trial flowchart.
Figure 2
Figure 2. Intervention flowchart.
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