Comparison of the metabolic effects of continuous postoperative enteral feeding and feeding at night only
| Autor: | S Judd, R P Morton, L M Shapiro, I. T. Campbell, Ian A. Macdonald, P M Stell |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Blood Glucose
medicine.medical_specialty Nitrogen balance Resuscitation Nitrogen Urinary system Medicine (miscellaneous) Adenocarcinoma Enteral administration Phosphates Excretion Catecholamines Enteral Nutrition Oxygen Consumption Animal science Internal medicine Humans Insulin Medicine Postoperative Period Laryngeal Neoplasms Morning Analysis of Variance Nutrition and Dietetics business.industry Middle Aged Parenteral nutrition Endocrinology Carcinoma Squamous Cell Catecholamine Mouth Neoplasms business Blood Chemical Analysis medicine.drug |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0002-9165 |
| Popis: | The effects of two different feeding patterns on oxygen consumption, nitrogen balance, blood biochemis- try, and urinary catecholamine excretion were investigated over 5 d in patients after major head and neck surgery. Both groups of nine patients each were fed a regimen that provided 4.7 MJ on day 1 and 10 MJ on days 2-5 via a nasogastric tube by continuous infusion with an enteral feeding pump. One group was fed continuously for 24 h, the other was fed only at night, ie, from 1700 to 0900 the next morning. Oxygen con- sumption was significantly higher (P < 0.01), nitrogen balance better (P < 0.05), and urinary catecholamine excretion higher (P < 0.05) in the 24-h-fed patients than in the night-fed pa- tients. Postoperatively, feeding at night only is more energy efficient than is feeding continuously for 24 h, but is associated with poorer nitrogen balance. These differences may be mcdi- ated by sympathoadrenal mechanisms. Am J C/in Nutr 1990;52:1107-12. |
| Databáze: | OpenAIRE |
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