The clinical effect of early enteral nutrition in liver-transplanted patients: a systematic review and meta-analysis - 14/05/21
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| pages | 10 |
| Iconographies | 2 |
| Vidéos | 0 |
| Autres | 0 |
Highlights |
• | EEN can effectively reduce the incidence of postoperative infection |
• | EEN may shorten ICU hours, hospital stay, time of bowel ventilation as well as strengthen nutritional status of LT patients |
• | Part of the patients were intolerant to EEN |
Abstract |
Background |
Appropriate nutritional support is critical for patients undergoing liver transplantation (LT). Early enteral nutrition (EEN) has been considered effective in critically ill patients. However, the clinical effect of EEN on liver-transplanted patients is unclear.
Aim |
To evaluate the clinical effect of early enteral nutrition in patients receiving a liver transplant.
Methods |
A systematic search was performed on the Cochrane Library, PubMed, CINAHL, EMBASE, Web of Science, WanFang database, Chinese Biomedical Literature Database and China National Knowledge Infrastructure to collect relevant studies up to January, 2020. The results of these studies were pooled to calculate relative risk and mean differences with 95% confidence intervals for dichotomous data and continuous data. All statistical analysis was carried out by Review Manager 5.3.
Results |
9 RCTs and 10 cohort studies with 1300 patients were included in this meta-analysis. Compared with TPN, EEN reduced postoperative infection rates, ICU hours, length of hospitalization, and the duration of bowel ventilation as well as strengthening the nutritional status and liver function of LT patients. There is no difference in mortality rates, blood glucose levels or gastrointestinal complications. Compared to TPN, the combined EN + PN method more effectively prevented infection.
Conclusion |
For patients undergoing liver transplantation, early enteral nutrition with or without combination may considered as a better nutritional therapy than total parenteral nutrition.
Le texte complet de cet article est disponible en PDF.Abbreviations : LT, EEN, EN, TPN, ALT, AST, ICU, Alb, PA, BG, CI, MD, RR, RCTs
Keywords : Liver transplantation, Early enteral nutrition, Meta-Analysis
Plan
Vol 45 - N° 3
Article 101594- mai 2021 Retour au numéro
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