Wang Q, Liu ZS, Qian Q, Sun Q, Pan DY, He YM. Treatment of upper gastrointestinal fistula and leakage with personal stage nutrition support. World J Gastroenterol 2008; 14(32): 5073-5077 [PMID: 18763292 DOI: 10.3748/wjg.14.5073]
Corresponding Author of This Article
Zhi-Su Liu, Professor, Department of General Surgery, Zhongnan Hospital, Wuhan University, No. 169, Donghu Road, Wuhan 430071, Hubei Province, China. swander@126.com
Article-Type of This Article
Rapid Communication
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World J Gastroenterol. Aug 28, 2008; 14(32): 5073-5077 Published online Aug 28, 2008. doi: 10.3748/wjg.14.5073
Table 1 Levels of Alb, TSF and pre-Alb at different time points in the two groups (mean ± SD)
Time
Alb (g/L)
TSF (g/L)
Pre-Alb (mg/L)
A
B
P
A
B
P
A
B
P
1 d before treatment
40 ± 2.1
39 ± 3.2
0.11
3.51 ± 0.17
3.49 ± 0.14
0.78
340 ± 51
341 ± 28
0.64
1 d after treatment
39 ± 3.6
37 ± 2.5
0.06
3.27 ± 0.26
3.18 ± 0.21
0.26
327 ± 43
308 ± 19
0.15
15 d after treatment
37 ± 2.7
35 ± 3.5
0.05
3.20 ± 0.33
2.98 ± 0.25
0.45
321 ± 37
271 ± 21
0.001
30 d after treatment
38 ± 3.8
33 ± 3.2
0.001
3.28 ± 0.35
2.77 ± 0.22
0.001
325 ± 24
236 ± 17
0.001
Table 2 Nitrogen balance between the two groups at different time points (mean ± SD)
Time
Nitrogen balance (g)
A
B
P
1 d before treatment
-10 ± 3.6
-8 ± 4.1
0.17
1 d after treatment
-11 ± 2.1
-9 ± 4.5
0.81
15 d after treatment
2 ± 2.9
2 ± 3.1
0.95
30 d after treatment
6 ± 4.2
5 ± 4.8
0.51
Table 3 Liver function of patients in the two groups at different time points (mean ± SD)
Time
AST (U/L)
ALT (U/L)
T bill (mol/L)
A
B
P
A
B
P
A
B
P
1 d before treatment
26 ± 2.2
27 ± 1.9
0.27
27 ± 1.9
26 ± 1.6
0.85
15 ± 1.6
14 ± 1.8
0.68
1 d after treatment
28 ± 2.4
29 ± 2.6
0.31
29 ± 2.3
30 ± 2.4
0.24
18 ± 2.1
19 ± 2.4
0.14
15 d after treatment
42 ± 3.5
44 ± 3.1
0.07
52 ± 1.8
60 ± 1.5
0.001
30 ± 1.4
32 ± 2.6
0.004
30 d after treatment
35 ± 3.3
63 ± 3.6
0.001
36 ± 2.7
65 ± 2.3
0.001
26 ± 3.7
48 ± 3.1
0.001
Table 4 Complications, hospitalized time and cost of the two groups
A (n = 20)
B (n = 20)
P
Stoma fistula
0
2
Infection of incisional wound
0
3
Abdominal distension
2
0
Diarrhoea
1
0
Infection of abdominal cavity
1
1
Total incidence rate (%)
20%(4/20)
30%(6/20)
0.53
Average stay (d)
40 ± 2.6
50 ± 3.7
0.001
Average expenditure(10 thousand yuan)
2.3 ± 0.5
3.9 ± 0.8
0.001
Citation: Wang Q, Liu ZS, Qian Q, Sun Q, Pan DY, He YM. Treatment of upper gastrointestinal fistula and leakage with personal stage nutrition support. World J Gastroenterol 2008; 14(32): 5073-5077