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To assess the impact of early enteral nutrition(EN) on the intestinal motility of patients after esophagectomy. Thirty-five consecutive patients undergoing esophagectomy for esophageal cancer by a single surgical team from the Peking University Cancer Hospital from June 2011 to July 2011 were enrolled. Patients were randomly divided into EN group (n=20) and parenteral nutrition group (control group, n=15) within 24 h after esophagectomy procedure. Bowel sound recovery time was monitored by auscultation, and the gastrointestinal tract symptoms were recorded. Bowel sound recovery time was (45.1±20.3) h in the EN group, and was (56.7±17.0) h in the control group(P=0.082). Gastrointestinal symptoms such as nausea, abdominal distension, diarrhea occurred in 4 patients in EN group and 3 patients in control group and were alleviated by lowering infusion speed and more off-bed ambulation, and no significant difference was seen between the two groups(P=1.000). Early enteral nutrition in the patients after esophagectomy is safe and feasible. Early enteral nutrition does not delayed bowel function recovery or increase gastrointestinal symptoms.


Hua-qing Feng, Liang Dai, Shao-hua Ma, Xiao-zheng Kang, Yong-qiang Yang, Ke-neng Chen. Impact of early enteral nutrition on the intestinal motility of patients after esophagectomy]. Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery. 2012 Sep;15(9):957-9

PMID: 22990933

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