Nutritional support after pancreatoduodenectomy and nursing therapy in.doc

 PAGE \* MERGEFORMAT 9 Nutritional support after pancreatoduodenectomy and nursing therapy in [Keywords:] Pancreaticoduodenectomy enteral parenteral nutrition care Pancreaticoduodenectomy technical complexity, longer operation time, trauma, postoperative complications, mortality rate highest in the first abdominal surgery. Postoperative patients often associated with anemia, hypoalbuminemia, coagulation, gastrointestinal and liver dysfunction. because surgery altered the normal gastrointestinal, biliary and pancreatic anatomy, their nutritional mode choice more difficult than in other critically ill patients. in our hospital from March 1999 to October 2007 were treated 24 cases of pancreatoduodenectomy Patients, patients were given nutritional therapy, now the effect of retrospective analysis, reported below. Materials and Methods 1. General Information Pancreatoduodenectomy in 24 patients, 16 males and 8 females, aged 26 to 80 years, mean 57.25 + -13.72 years. Ampullary carcinoma in 8 cases, 9 cases of pancreatic cancer, duodenal cancer 2 cases, 1 case of pancreatic cystadenoma, gastric carcinoma invading the duodenum pancreatic capsule and 1 case of chronic pancreatitis and 2 cases of inflammatory pseudotumor, hepatic flexure of colon cancer, duodenum in 1 case. after use of enteral nutrition (EN + PN (PN14 cases, a single parenteral nutrition (TPN10 cases. 2. Intubation methods and materials In the process of pancreatic resection, the nasal intestine into the output loop gastrojejunostomy jejunum 20 cm below the bypass anastomosis. Feeding tube currently used mainly in the poly acid or silica material, the quality soft and small diameter, the patient feels comfortable, and not through the X line, easy to observe its position. 3. Dietary choices Enteral nutrition has elements of food and the formation of non-factor meal preparation and application-specific agents. Elements of diet, such as Ellen and more, to the full, a hundred othe