肠内营养与胰十二指肠切除术后并发症的相关性研究进展  

Progress in the correlation between enteral nutrition and main complications after pancreaticoduodenectomy

作　　者：廖迎阳[1] 钟鉴宏[2] 黎乐群[2] 彭宁福[2] LIAO Yingyang ZHONG Jianhong LI Lequn PENG Ningfu(Department of Clinical Nutrition, the Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China Department of Hepatopancreatobiliary Surgery, the Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China.)

机构地区：[1]广西医科大学附属肿瘤医院临床营养科,广西南宁530021 [2]广西医科大学附属肿瘤医院肝胆胰外科

出　　处：《岭南现代临床外科》2017年第1期119-121,127,共4页Lingnan Modern Clinics in Surgery

基　　金：国家自然科学基金(81560460/H1602);广西区卫计委项目(Z2016479)

摘　　要：胰十二指肠切除术(PD)存在30%~50%合并症,主要包括术后胰瘘、残胰出血、感染及胃排空延迟等。PD术后患者常出现围手术期营养失调,尤其术后早期,并影响并发症发生率。迄今,较少研究聚焦于肠内营养(EN)与PD术后并发症的关联性。本文旨在综述至今仅有的随机对照研究和设计良好的研究证据,探索EN与PD术后主要并发症的相关性。Pancreaticoduodenectomy（PD） contributes to 30%-50% of morbidity,mainly including postoperative pancreatic fistula（POPF）,postpancreatectomy hemorrhage（PPH）,infectious complication and delayed gastric emptying（DGE）. Patients who have undergone pancreaticoduodenectomy often present perioperative malnutrition that is worse in the early postoperative days,and affects the number of postoperative complications. Few studies focus on the relation between enteral nutrition（EN）and postoperative complications. Our aim was to perform a review,including only randomized controlled trial（RCT）or well-designed studies,of evidence regarding the correlation between EN and main complications after pancreatico duodenectomy.

关 键 词：胰十二指肠切除术 肠内营养 术后胰瘘 残胰出血 感染 胃排空延迟 

分 类 号：R459.3[医药卫生—治疗学]