Maruyama Michio, Nagahama Takeshi, Maruyama Shouji
Dept of Surgery, Tokyo Metropolitan Ohkubo Hospital.
Gan To Kagaku Ryoho. 2006 Dec;33 Suppl 2:329-31. doi: 10.2217/14750708.3.3.329.
Gastrectomy patients are always likely to face malnutrition because of a small volume intake, chemotherapy, recurrence of cancer, etc. Authors achieved "Seamless Nutritional Support" for gastrectomy patients using jejunostomy. We applied jejunostomy using a NCJ kit for 244 gastrectomy patients during the gastrectomy operation. Forty four patients did the night time home EN using jejunostomy. The patients maintained a good QOL because of this nutritional support at home. Sixty percent of the patients were performed outpatient chemotherapy with home EN. They could continue the chemotherapy safely on the basis of nutritional care.
由于摄入量少、化疗、癌症复发等原因，胃癌切除患者总是容易面临营养不良的问题。作者通过空肠造口术为胃癌切除患者实现了“无缝营养支持”。我们在胃癌切除手术期间，对244例胃癌切除患者使用NCJ套件进行了空肠造口术。44例患者通过空肠造口术进行了夜间家庭肠内营养。由于在家中获得了这种营养支持，患者维持了良好的生活质量。60%的患者在接受家庭肠内营养的情况下进行了门诊化疗。基于营养护理，他们能够安全地继续化疗。
