加速康复外科理念下胰十二指肠切除术后早期经口进食研究进展(综述)

Research progress on the early oral feeding after pancreaticoduodenectomy under the concept of enhanced recovery after surgery

胰十二指肠切除术是腹部外科最大、最复杂的手术之一,患者术后易发生营养不良及各种并发症,影响患者的康复。早期经口进食不增加术后并发症并且可以加快胃肠道功能的恢复,使患者加速康复。目前早期经口进食已成为胰十二指肠术后研究的热点,但对早期进食的时间、食物种类、进食剂量等方面并无统一标准。该文综述了在加速康复外科理念下胰十二指肠术后早期经口进食的研究进展,以期对临床工作提供指导。

Pancreaticoduodenectomy is one of the largest and most complicated operations in abdominal surgery,and patients are prone to malnutrition and various complications after surgery,affecting the recovery of patients.Early oral feeding can promote the recovery of gastrointestinal function of patients after pancreaticoduodenectomy and thus accelerate the recovery of patients.At present,early oral feeding has become a hot topic in postoperative studies of pancreaticoduodenal surgery,but there is no unified standard for the time,type and dosage of early feeding.This paper reviews the research progress of early oral feeding after pancreaticoduodenal surgery under the idea of Enhanced Recovery After Surgery(ERAS),in order to provide guidance for clinical work.