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Effect of early enteral nutrition on laparoscopic common bile duct exploration with enhanced recovery after surgery protocols

European Journal of Clinical Nutrition volume 74, page 666 (2020)Cite this article

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With the global promotion of enhanced recovery after surgery (ERAS), Xiang et al. [1] research is a particularly meaningful study. Although we believe it is a very interesting topic, we do not agree on some points and conclusions that are derived from this study, as explained below.

First, the author did not compare the postoperative blood amylase in the two groups. We know that it is easy to induce pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). For example, in the early enteral nutrition group, patients with potential pancreatitis may be present after ERCP. These people induce pancreatitis after eating early, but not very severe pancreatitis. These people may have abdominal distention after eating early. In the control group, the eating time was later, the pancreas was fully rested, and those with potential pancreatitis recovered due to adequate rest of the pancreas. If this is the case, the probability of abdominal distention in the EEN group is higher than that in the control group, but the pancreatic related factors are not considered in this paper.

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References

  1. Xiang Q, Yuan H, Cai W, Qie S. Effect of early enteral nutrition on laparoscopic common bile duct exploration with enhanced recovery after surgery protocols. Eur J Clin Nutr. 2019;73:1244–9.

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  2. Hu Q, He T, Sun Y, Wang F, Wu J. Effect of fast-track surgery on inflammatory response and immune function in patients with laparoscopic distal gastrectomy. Eur Surg. 2019;51:254–60.

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  1. Department of General Surgery, Tongde Hospital of Zhejiang Province, Zhejiang, 310012, China

    Hu Qiang & Sun Yuanshui

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  1. Hu Qiang
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  2. Sun Yuanshui
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Correspondence to Sun Yuanshui.

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Qiang, H., Yuanshui, S. Effect of early enteral nutrition on laparoscopic common bile duct exploration with enhanced recovery after surgery protocols. Eur J Clin Nutr 74, 666 (2020). https://doi.org/10.1038/s41430-020-0565-z

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  • DOI: https://doi.org/10.1038/s41430-020-0565-z

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