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岭南现代临床外科 ›› 2017, Vol. 17 ›› Issue (01): 119-127.DOI: 10.3969/j.issn.1009?976X.2017.01.029

• 综述 • 上一篇    下一篇

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

廖迎阳 钟鉴宏 黎乐群 彭宁福   

  1. 广西医科大学 附属肿瘤医院
  • 通讯作者: 彭宁福
  • 基金资助:

    Kras突变协同Pten低表达在肝内大胆管周围腺体内胆道干细胞恶化转化中的作用及分子机制;肠外联合肠内免疫营养对胰十二指肠切除术后患者营养状态及免疫功能的影响

Progress in the correlation between enteral nutrition and main complications after pancreaticodu?odenectomy

LIAO Yingyang,ZHONG Jianhong,LI Lequn,PENG Ningfu   

  • Online:2017-02-20 Published:2017-02-20
  • Supported by:

    The combined effects of Kras mutations and low Pten expression on malignant transformation of biliary tree stem/progenitor cells within peribiliary glands of the intrahepatic large bile ducts and the potential molecular mechanism

摘要: 【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。

关键词: 术后胰瘘, 胰十二指肠切除术, 残胰出血, 肠内营养, 感染, 胃排空延迟

Abstract: 【Abstract】 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 post? operative 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.

Key words: postoperative pancreatic fistula, pancreaticoduodenectomy, infectious complication, enteral nutrition, postpancreatectomy hemorrhage, delayed gastric emptying

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