The curative effect of early use of enteral immunonutrition in postoperative gastric cancer: a meta-analysis.

Abstract It's uncertain about the clinical efficacy which early enteral immunonutrition in postoperative gastric cancer patients,and this study attempts to assess its clinical efficacy. Use the search engine database incuding the Pubmed,the Cochrane library, Web of Science, Medline,and Embase,which there are comparative studies of early efficacy of enteral immune nutrition and standard enteral nutrition after gastric cancer operation.According to the studies,we use the RevMan 5.3 software to meta-analyse on the CD4 ,CD8, CD4/CD8, length of hospitalization, postoperative complications, and postoperative weight loss. A total of 6 randomized control articles were included in this study,and it comprises 606 patients meta analysed. Among them, there were 308 cases of early postoperative enteral nutrition in patients with gastric cancer, and 298 cases were in standard enteral nutrition. Early postoperative enteral immune nutrition on seventh day of the CD4,CD8, and CD4/CD8 value greatly compared with standard enteral nutrition ,CD4(WMD = 2.71, CI: 2.71 ~ 7.79, P