ArticleFrontiers in nutrition2026
Post-operative early enteral nutrition intolerance in elderly patients undergoing laparoscopic gastric cancer surgery: current status and nursing strategies.
Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Early enteral nutrition (EEN) is a core component of perioperative management for elderly patients undergoing laparoscopic gastric cancer surgery, but nutritional intolerance is a common clinical problem that impairs the effectiveness of nutritional support. This study aimed to evaluate the influencing factors of post-operative EEN intolerance and constructing a predictive model for clinical nursing management. Methods: A retrospective case-control study was conducted, elderly patients undergoing laparoscopic gastric cancer surgery were included. Correlation analysis and Logistic regression analysis were performed to screen independent risk factors of EEN intolerance. A predictive model was constructed based on the independent risk factors, and the receiver operating characteristic (ROC) curve was used to evaluate its predictive efficacy. Results: A total of 346 elderly patients undergoing laparoscopic gastric cancer surgery were included, of whom 194 (56.1%) developed post-operative EEN intolerance. Spearman correlation analysis identified significant positive correlations between EEN intolerance and age, TNM stage, diabetes mellitus, surgical scope, and intraoperative blood loss (all Conclusion: Post-operative EEN intolerance occurs frequently in elderly patients undergoing laparoscopic gastric cancer surgery and is associated with multiple independent risk factors. The constructed predictive model demonstrated good predictive efficacy in this cohort. Clinical application of targeted perioperative management strategies based on these risk factors may help reduce the incidence of EEN intolerance and improve nutritional outcomes in this vulnerable population.
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