Early enteral nutrition in patients subjected to a total gastrectomy
| Autor: | Papapietro V,Karin, Díaz G,Emma, Csendes J,Attila, Díaz J,Juan C, Burdiles P,Patricio, Maluenda G,Fernando, Braghetto M,Italo, Llanos B,José L, D'Acuña A,Sonia, Rappoport S,Jaime |
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| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2002 |
| Předmět: | |
| Zdroj: | Revista médica de Chile, Volume: 130, Issue: 10, Pages: 1125-1130, Published: OCT 2002 Revista médica de Chile v.130 n.10 2002 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Background: Total parenteral nutrition has a high cost and frequency of complications. Enteral feeding is a feasible alternative that can be started early in the postoperative period. Aim: To assess digestive tolerance to early enteral feeding in cancer patients undergoing total gastrectomy and to compare early enteral feeding (EEF) with total parenteral nutrition plus enteral feeding (TPN+EF), initiated after overcoming postoperative ileus. Patients and methods: Subjects with a resectable gastric cancer were considered eligible for the study. During surgery a nasoenteral tube was placed and patients were prospectively randomized to EEF or TPN+EF. Digestive tolerance, effectiveness, complications and costs between both modalities of nutritional support were compared. Results: Twenty eight patients (15 male, aged 63±14 years old) were studied. Fourteen patients were randomized to EEF and 14 to TPN+EF. Diarrhea occurred in 14 and 29% of EEF and TPN+EF patients respectively, (p: NS). Patients with TPN+EF received an average of 28 Cal/kg/day and 1.1 g/kg/day proteins. Patients with EEF received an average of 29 Cal/kg/day and 0.8 g/kg/day proteins. At the eighth postoperative day, serum albumin was 3.9±0.7 and 3.2±0.5 g/dl in EEF and TPN+EF patients respectively (p |
| Databáze: | OpenAIRE |
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