Effect of early enteral combined with parenteral nutrition in patients undergoing pancreaticoduodenectomy

Table 4 Comparison of liver function in the two groups (mean ± SD)

	Normal value	Group	Day 1	Day 6	Decrease (days 6-1)
ALT (μ/L)	5-40	TPN	138.2 ± 48.4	82.5 ± 42.3a	55.7 ± 31.5
		EEN/PN	145.1 ± 39.2	77.4 ± 37.6a	67.7 ± 36.2
AST (μ/L)	8-40	TPN	97.6 ± 36.2	55.1 ± 31.5a	42.5 ± 26.2
		EEN/PN	102.3 ± 41.3	63.2 ± 36.3a	39.1 ± 22.0
TB (μmol/L)	5-20.5	TPN	112.5 ± 37.5	66.2 ± 29.4a	46.3 ± 34.3
		EEN/PN	106.8 ± 36.2	41.5 ± 34.1b	65.3 ± 36.2c
DB (μmol/L)	1.7-6.8	TPN	78.6 ± 30.2	38.1 ± 26.2a	40.5 ± 21.3
		EEN/PN	81.7 ± 35.6	22.4 ± 16.2b	59.3 ± 28.1c
LDH (μ/L)	109-245	TPN	332.6 ± 89.4	264.3 ± 101.3a	68.3 ± 51.2
		EEN/PN	316.2 ± 98.1	211.5 ± 86.2a	104.7 ± 76.8c

^aP < 0.05,

^bP < 0.01 vs day 1;

^cP < 0.05 vs total parenteral nutrition (TPN) group. PN: Prognostic nutritional; EEN: Early enteral nutrition; TB: Total bilirubin.