Comparison The Effect Of Enteral Nutrition Via Different Feeding Catheter After Resection Of Esophageal Cancer

Background:Nowadays,the esophageal cancer in Asia, especially in our country, the incidence of rising year by year, with people living standard, lifestyle changes, and new medical technology has made the more to the discovery of early esophageal cancer; Anatomically the esophageal can be divided into three sections: upper,middle, lower.common pathological types of squamous cell carcinomas, patients often due to progressive difficulty in feeding or eat not see a doctor. In esophageal dissection on the chest, breast, chest under paragraphs, in esophageal cancer occurs in breast,Esophageal cancer diagnosis and treatment methods for comprehensive treatment of surgery or radiation and chemotherapy, but the preferred surgical removal of the lesions, radiation and chemotherapy only as an aid in the treatment of esophageal cancer.Postoperatively enteral nutrition (EN) is the main way of nutritional support, both at home and abroad recognized clinicians use traditional nasal jejunum nutrition tube (bean catheter) BiSi, mostly can reach nutrition indicators, but clinicians generally ignored the nutrition tube to the discomfort of the patients. In recent years, more and more kinds of enteral feeding tube used in clinical, such as spiral nasal jejunum nutrition tube, puncture of jejunum nutrition tube and double cavity nutrition tube, etc., offers a variety of options for clinicians. But the most is the doctor is to choose feeding tube according to personal habits and the way to feeding, for all kinds of nutrition and way is still lack of horizontal comparison, the advantages and disadvantages of for how to choose different feeding tubes and surgical procedure correct way is lack of uniform norms. This study aims to through the different tube enteral nutrition in esophageal cancer operation method, the application of comparison, to illustrate the advantages and disadvantages of various nutrition tube clinical application, thus for esophageal cancer patients provide clinical reference basis for the selection of postoperative enteral nutrition.Objective:To explore the different in esophageal cancer surgery patients of enteral nutrition tube, in the patient’s subjective comfort, postoperative nutritional index and complications of different influence, line of enteral nutrition for esophageal cancer surgery patient, choose nutrition input way to provide a reference basis..Material and Method:1. The object of studyTo collect2013-01to2014-04second hospital of shandong university disease of43patients with esophageal cancer in the hospital surgery number, respectively for the breasts without laparotomy patients with chest under paragraphs random application of normal stomach tube+17cases of duodenal nutrition tube, double cavity nutrition tube14cases,12cases patients given failure for merger laparotomy fistula.2Method2.1grouping ordinary nutrition tube+duodenal nutrition tube as control group, the ordinary stomach tube+duodenal nutrition tube as the control group, double cavity nutrition tube, jejunum nutrition tube as the experimental group.2.2data acquisition based on self-designed comfort evaluation, respectively in line2days postoperatively and nutrition tube evaluating records, records of patients with gastric tube and pull out the tube drain time every day, in2days,7days exsanguinate check liver result, record albumin values, the records of patients discharged time etc.Result:1,The No.6patient in control group, In the4days after surgery of cervical oesophageal carcinoma, died for severe infection, which is not included in the analysis.2,Double cavity nutrition tube group, Jejunostomy tube group compared with the general nutritional tube group, the patient’s general information including gender, age, smoking history, pathological changes and postoperative pathological staging, P>0.05, no statistical significance between three groups, has the very good match.3,comfort comparison:double cavity nutrition tube and Jejunostomy tube compared with general nutrition tube on the relative index of nausea, vomiting, P=0.006<0.05, there is statistical significance, other indexes (P>0.05,) no statistical significance.4,Patients with postoperative day7compared with postoperative day1albumin difference, double lumen tube failure and fistula nutrition than ordinary nutrition between P value=0.980>0.05, no statistical significance.5,The general nutritional tube, Jejunostomy nutrition tube group on postoperative day3at peak and double cavity nutrition tube reaches peak,3,or4days after operation three groups of nutrition tube in led traffic and extubation time (P<0.05, there is statistical significance6,three groups on the length of hospital stay compared P=0.937>0.05, no statistical significance.ConclusionsFor esophageal cancer patients enteral nutrition, different advantages and disadvantages of each tube enteral nutrition application failure fistula is relatively common nutritional tube and double cavity nutrition tube, on the basis of not affect postoperative enteral nutrition, to reduce the patient’s nasal stimulation, improve, improve the patient’s comfort level reflects the strong advantage, especially in the period of esophageal cancer patients on breast, conducive to thoracotomy patients postoperative cough, sputum, reduce pulmonary complications.