Chen ZP. Effect of eco-enteral nutrition on lymphocyte subsets and intestinal mucosal barrier function in patients with gastrointestinal fistula after gastrointestinal surgery.
Shijie Huaren Xiaohua Zazhi 2018;
26:332-337. [DOI:
10.11569/wcjd.v26.i5.332]
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Abstract
AIM
To investigate the effect of eco-enteral nutrition on lymphocyte subsets and intestinal mucosal barrier function in patients with intestinal fistula after gastrointestinal surgery.
METHODS
Sixty-five patients with intestinal fistula after gastrointestinal surgery treated at our hospital from May 2010 to May 2017 were divided into an observation group (n = 30) and a control group (n = 35). The observation group was given eco-enteral nutrition support, and the control group was given normal enteral nutrition. Indexes including CD4+ lymphocytes, CD8+ lymphocytes, CD4+/CD8+ ratio, endotoxin, and D-lactate were compared between the two groups to compare the intestinal mucosal barrier function and general nutritional status.
RESULTS
Before nutritional support treatment, there was no significant difference between the two groups in lymphocyte subsets (CD4+ lymphocytes, CD8+ lymphocytes, and CD4+/CD8+ ratio), lymphocyte count, or white blood cell count. One or two weeks after treatment, CD4+ lymphocytes, CD4+/CD8+ ratio, lymphocyte count, and white blood cell count in the observation group were significantly higher than those of the control group. Before the nutritional support treatment, there was no significant difference between the two groups in the levels of D-lactate and endotoxin. One or two weeks after treatment, the levels of D-lactate and endotoxin in the observation group were significantly lower than those in the control group. Before nutritional support and treatment, body mass index (BMI), albumin, hemoglobin, and other general nutritional status indicators had no significant difference between the two groups. One or two weeks after treatment, BMI, albumin, and hemoglobin in the observation group were significantly higher than those in the control group.
CONCLUSION
Early nutritional support in patients with gastrointestinal fistula after gastrointestinal surgery can significantly improve patient's lymphocyte subsets and protect the intestinal mucosal barrier function.
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