Tube Feeding Improves Intestinal Absorption in Short Bowel Syndrome Patients
| Autor: | Olivier Corcos, Xavier Dray, Bernard Messing, L. Barbot, Francisca Joly, Nathalie Kapel |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Short Bowel Syndrome medicine.medical_specialty Calorie Absorption (skin) Enteral administration Gastroenterology Intestinal absorption Eating Enteral Nutrition Internal medicine medicine Humans Postoperative Period Prospective Studies Prospective cohort study Aged Cross-Over Studies Hepatology business.industry Middle Aged Short bowel syndrome medicine.disease Crossover study Intestinal Absorption Female Energy Intake business Oral feeding |
| Zdroj: | Gastroenterology. 136:824-831 |
| ISSN: | 0016-5085 |
| Popis: | Background & Aims: Tube feeding, recommended for patients with short bowel syndrome in only the postoperative period, has not been compared with oral feeding for absorption. We studied whether tube feeding increased absorption in patients with short bowel syndrome following the postoperative period. Methods: A randomized crossover study compared absorption between isocaloric tube feeding and oral feeding in 15 short bowel syndrome patients more than 3 months after short bowel constitution. An oral feeding period combined with enriched (1000 kcal ● day 1 ) tube feeding was also tested. We measured the net intestinal absorption rates of proteins, lipids, and total calories using elemental nitrogen, Van de Kamer, and bomb calorimetry methods, respectively. Results: Tube feeding increased the mean (SD) percent absorption (P < .001) of proteins (72% 13% vs 57% 18%), lipids (69% 25% vs 41% 27%), and energy (82% 12% vs 65% 16%) compared with oral feeding. In the group given the combined feedings (n 9), the total enteral intake and net percent absorption increased (P < .001) for proteins (67% 10%), lipids (59% 19%), and total energy (75% 8%) compared with oral feeding. Absorption (kcal ● day 1 ) was greater (P < .001) with tube (2225 457) and combined feedings (2323 491) than with oral feeding (1638 458). Conclusions: In patients with short bowel syndrome, continuous tube feeding (exclusively or in conjunction with oral feeding) following the postoperative period significantly increased net absorption of lipids, proteins, and energy compared with oral feeding. |
| Databáze: | OpenAIRE |
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