Tactics of perioperative nutritional support in liver transplantation        HUO Feng, WANG Shao-ping, LI Peng, et al. Department of Hepatobililiary Surgery and  Liver Transplantation Center, Guangzhou General Hospital of Guangzhou Command, Guangzhou 510010, China
Corresponding  author ：HUO Feng, E-mail：gzhuofeng@163.com
Abstract    Objective    To comprehend the nutritional support methods of the patients with liver transplantation during the perioperation. Methods    The clinical data of 205 patients with liver transplantation performed at Guangzhou General Hospital of Guangzhou Command were analyzed retrospectively. The 205 patients were treated with the nutritional support methods and relevant index between two stages, which were Group A from the August 2003 to December 2006 and Group B from January 2007 to March 2010. Results    The rate of the severe malnutrition in Group B before operation was 28.2%, which was higher significantly than Group A (18.9%). During the perioperation, the patients of Group B were paid more attention to the nutritional support, and were assisted with the nasal feeding or enteroclysis with the Chinese medicine DaHuang and pars umbilicalis spreading with the Chinese medicine WuZhuYu. The middle time of passage of gas and stool by anus after operation in Group B was 3.5 days. The incidence of the infection complications was 51.35%. There was significant difference between two groups. Conclusion    During the perioperation of the liver transplantation, it could make the patients enhance the toleration, facilitate the gastrointestinal motility, and degrade the postoperative infection by the means of the nutritional support and the improvement of gastrointestinal function.