Efficacy of the nutritional support team model in the management of patients undergoing total gastrectomy combined with Roux-en-Y anastomosis.

Abstract

Objective: To explore the efficacy of the nutritional support team (NST) management model in patients undergoing total gastrectomy combined with Roux-en-Y anastomosis.

Methods: Clinical data of 102 patients who underwent total gastrectomy combined with Roux-en-Y anastomosis in Xingtai Central Hospital from January 2020 to October 2023 were retrospectively collected. Of 102 patients, 53 received the NST model of management (NST group), while 49 were managed by the conventional nutritional support (TN group). The nutritional and immune function status of the two groups before and seven days after the surgery, postoperative rehabilitation status, and the incidence of complications were compared.

Results: After the surgery, levels of albumin and total protein in both groups increased compared to before the surgery and were significantly higher in the NST group compared to the TN group (P<0.05). Levels of CD3⁺, CD4⁺, CD4⁺/CD8⁺ in the two groups increased compared to preoperative levels and were significantly higher than the TN group compared to the NST group. In contrast, postoperative CD8⁺ levels decreased and were significantly lower in the NST group (P<0.05). The duration of anal exhaust, defecation, and hospitalization in the NST group of patients was shorter (P<0.05), but no significance was found in the incidence of complications between the two groups (3.78% versus 16.33%) (P>0.05).

Conclusions: For patients undergoing total gastrectomy combined with Roux-en-Y anastomosis, the NST nutritional management model can effectively improve nutritional status, enhance immune function, shorten the postoperative recovery process, and the incidence of complications is equivalent to that of patients receiving conventional nutritional support.