食管癌切除术后超早期经口进食的现状和进展

Status and progress of ultra-early oral feeding after esophagectomy

食管切除术创伤大、并发症多,同时食管癌患者常存在不同程度的营养不良,因此食管癌术后营养支持非常重要。经口进食通常被认为食管手术成功、患者初步康复的标志。早期经口进食作为消化道手术加速康复的重要内容,是临床研究的热点,但目前尚无统一的临床执行策略。本文将国内、外相关临床研究总结归纳,就食管切除术后经口进食的策略,包括进食时机、进食前检查、饮食内容、咀嚼方式及辅助药物等内容进行综述。

There are postoperative trauma and complications associated with the esophageal resection,and patients with esophageal cancer often have different degrees of malnutrition.Therefore,nutritional support after esophagectomy is very important.Oral feeding is regarded as a symbol of successful esophagectomy and initial recovery.As a hot spot of clinical research,early oral feeding plays an important part of accelerating recovery from gastrointestinal surgery,but there is no unified clinical strategy.This review checks the relevant clinical trials at home and abroad,and summarizes the strategies of oral feeding after esophagectomy,including the timing of feeding,pre-eating inspection,dietary content,chewing methods and appetite stimulating drugs.