The support effects of PN with EN after total gastrectomy

Objective: To evaluate the support effects of PN （parenteral nutrition） with EN （enteral nutrition） and PN on a trial of 16 patients with total gastrectomy.Methods: All subjects were randomly divided into 2 groups of PN+EN and PN, and received iso-nitrogenous, iso-caloric nutritional support form POD（Post Operation Day） 1 to POD 11. Results: The weight losts was （1.2±0.22）kg in PN+EN patients where as 2.6±0.16 kg in PN group. Also PN+EN patients was superior to PN patients in cumulative nitrogen; and the following parameters were also significantly different between PN+EN and PN, as serum albumin loss was （0.6±0.2）g/L vs（6.0±0.3）g/L;serum glutamine loss was （18±6.4）μmol/L vs （107±7.8）μmol/L and serum C 3 loss was （11±32） mg/L vs（102±62）mg/L respectively （P＜0.05~0.01） Conclusion: Our data indicate that PN+EN is more efficient in total gastrectomy than PN.