The Effect of Immunonutrition on the Postoperative Complications in Thymoma with Myasthenia GravisReportar como inadecuado




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Mediators of Inflammation - Volume 2016 2016, Article ID 8781740, 8 pages -

Clinical Study

Department of Thoracic Surgery, The First Hospital of Jilin University, 71 Xinmin Street, Changchun 130021, China

Institute for the Control of Agrochemicals, Ministry of Agriculture, Beijing 100125, China

Received 30 August 2016; Revised 11 October 2016; Accepted 20 October 2016

Academic Editor: Jie Yin

Copyright © 2016 Yanzhong Xin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Object. To test whether preoperative immunonutrition is efficacious in reducing postoperative complications in patients of thymoma with myasthenia gravis MG. Material and Methods. A total of 244 patients operated on for thymoma with myasthenia gravis were prospectively assigned to two groups, each receiving seven-day preoperative and seven-day postoperative nutrition. The patients in immunonutrition group were given oral immunonutrition IN. The patients in control group received oral standard nutrition. Immunonutritional and inflammatory biomarkers IgA, IgG, IgM, CD3t, CD4t, CD8t, CD4t-CD8t ratio, NK-cell, prealbumin, albumin, white blood cells counts, and C-reactive protein and clinical variables age, gender, BMI, performance status, type of thymoma, type of MG, operative time, pathology, operative approach, postoperative complications, quantity of drainage, hospital stays were examined. Results. A significant reduction in the length of hospital stay, quantity of drainage, and postoperative complications was observed in the IN group . An increase in the level of IgA, IgG, IgM, CD3+T, CD4+T, CD4+T-CD8+T, WBC, CRP, and NK-cell in the IN group was observed after thymectomy, while a decrease was seen with regard to prealbumin and albumin . Conclusion. Preoperative immunonutrition support is effective in reducing postoperative complications in patients of thymoma with MG. It helps to lower the risk of postoperative infectious complications and hospital stays.





Autor: Yanzhong Xin, Hongfei Cai, Lihui Wu, and Youbin Cui

Fuente: https://www.hindawi.com/



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