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Perioperative enteral supplementation with glutamine, fiber, and oligosaccharide reduces early postoperative surgical stress following esophagectomy for esophageal cancer

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Abstract

Background

We clarified the effects of perioperative enteral supplementation with glutamine, fiber, and oligosaccharide (GFO) after an esophagectomy on preventing surgical stress.

Methods

Of 326 patients with esophageal cancer, 189 received GFO administration (GFO group) and 137 did not (control group). The propensity score matching method was used to identify 89 well-balanced pairs of patients to compare postoperative laboratory parameters and clinical and postoperative outcomes.

Results

The duration of the systemic inflammatory response syndrome (SIRS) was significantly shorter in the GFO group compared to the control group (p = 0.002). Moreover, the lymphocyte/neutrophil ratio (L/N ratio) had significantly recovered in the GFO group on postoperative day-3, and the CRP value was significantly lower in the GFO group than that in the control group on postoperative day-2.

Conclusions

Perioperative use of enteral supplementation with glutamine, fiber, and oligosaccharide likely contributes to a reduction in early surgical stress after an esophagectomy. These beneficial effects can bring about early recovery from postoperative immunosuppressive conditions after radical esophagectomy.

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Acknowledgements

The authors thank Professor Kenichi Yoshimura (Innovative Clinical Research Center, Kanazawa University) for guidance on statistical analysis.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya, Aichi, 464-8681, Japan

    Tetsuya Abe, Takahiro Hosoi, Ryosuke Kawai, Norihisa Uemura, Eiji Higaki, Byonggu An, Jiro Kawakami, Takuya Saito & Yasuhiro Shimizu

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  1. Tetsuya Abe
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  2. Takahiro Hosoi
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  3. Ryosuke Kawai
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  4. Norihisa Uemura
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  9. Yasuhiro Shimizu
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Correspondence to Tetsuya Abe.

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This was a retrospective study approved by the review board of the Aichi Cancer Center Hospital.

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The authors have no conflicts of interest to disclose.

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Abe, T., Hosoi, T., Kawai, R. et al. Perioperative enteral supplementation with glutamine, fiber, and oligosaccharide reduces early postoperative surgical stress following esophagectomy for esophageal cancer. Esophagus 16, 63–70 (2019). https://doi.org/10.1007/s10388-018-0630-z

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  • DOI: https://doi.org/10.1007/s10388-018-0630-z

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