J.Jpn. Surg. Soc.. 89(6): 815-821, 1988

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Original article

EFFECT OF NUTRITIONAL TREATMENT OF ESOPHAGEAL CANCER PATIENTS ON PRE AND POST-OPERATIVE HEMODYNAMIC CHANGES AND POSTOPERATIVE LUNG COMPLICATIONS

In 35 patients with esophageal cancer,preoperative nutritional state and hemodynamic changes on exercise test using Swan-Ganz catheter were studied. Thirty-five patients were divided into two groups. Group 1; preoperative daily calorie intake was less than 1.75×BEE (basal energy expenditure), Group 2; preoperative daily calorie intake was more than 1.75×BEE. There were significant differences between Group1 and Group 2 in preoperative daily calorie intake, serum transferrin, retional binding protein, pre-albumin and total lymphocyte count. From this result, Group 1 was thought to be malnutritional state, but nutritional state of Group 2 was thought to be improved. From the anlysis of the hemodynamic changes on exercise test using Swan-ganz catheter, the cardiac function was better in Group 2 than in Group 1. The difference of the cardiac function was thought to be brought by the difference of nutritional state. In postoperative hemodynamic changes, Group 2 was better than Group 1 and in the occurrence of lung complications, Group 2 was much less than Group 1. These results was thought to be due to the difference of cardiac function brouught by differences of nutritional state.

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