食管癌围术期肠内营养的研究进展  

Study progress of enteral nutrition during perioperative period of esophageal cancer

作　　者：朱小康[1] 赵海龙 李斌[1] 朱公建 ZHU Xiaokang;ZHAO Hailong;LI Bin;ZHU Gongjian(Second Department of Thoracic Surgery,Gansu Provincial Tumer Hospital,Lanzhou,Gansu 730050,China)

机构地区：[1]甘肃省肿瘤医院胸外二科

出　　处：《重庆医学》2020年第5期828-832,共5页Chongqing medicine

基　　金：甘肃省省级科技计划项目（1205TCYA031）;甘肃省重点研发计划（17YF1FA111）

摘　　要：食管癌是我国乃至全世界最常见的恶性肿瘤之一,发病率及病死率均位于前列,由于经济状况及疾病本身特点,食管癌患者常伴随营养不良或恶液质。目前食管癌的治疗仍以外科手术为主,结合放化疗等多学科综合治疗。术前及术后均需要营养支持治疗,其中术后肠内营养支持治疗尤为关键。常见的肠内营养方式有经口途径及经管途径,经管途径有鼻十二指肠管途径和空肠造瘘途径,由于食管癌手术方式所限,术后实施肠内营养支持治疗途径也不尽相同,对于术后选择何种有效的方式进行肠内营养尚未形成统一结论。现就食管癌围术期肠内营养的最新研究进展综述如下。Esophageal cancer is one of the most common malignant tumors in China and even in the world.The morbidity and mortality are in the forefront.Due to the economic status and the characteristics of the disease itself,the patients with esophageal cancer are often accompanied by malnutrition or cachexia.At present,the treatment of esophageal cancer is still dominated by surgery,which is combined with radio chemotherapy and other multidisciplinary comprehensive treatment.Preoperative and postoperative nutritional support therapy is needed,especially the key is postoperative enteral nutrition therapy.The common enteral nutrition methods include oral route and canal route,and the canal route includes nasal duodenum and jejunostomy route.Because of the limitation of the operative methods of esophageal carcinoma,there are different ways of postoperative enteral nutrition support therapy.There is no unified conclusion on selecting what effective way of postoperative enteral nutrition.This article reviews the latest research progress in perioperative enteral nutrition for esophageal carcinoma.

关 键 词：食管肿瘤 肠内营养 肠外营养 空肠造瘘 

分 类 号：R735.1[医药卫生—肿瘤]