Effect of Parenteral Nutrition on Nutrition Status After Bariatric Surgery for Morbid Obesity
| Autor: | P. Parada González, J. E. Casal Núñez, I. Otero Martínez, E. Pena González, I. Maruri Chimeno, M. A. Martínez Olmos, M.T. Inaraja Bobo, M. J. Morales Gorría, M. J. Martínez Vázquez |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Parenteral Nutrition medicine.medical_specialty 030309 nutrition & dietetics Bariatric Surgery Nutritional Status Medicine (miscellaneous) 030209 endocrinology & metabolism Enteral administration Perioperative Care Body Mass Index 03 medical and health sciences Postoperative Complications 0302 clinical medicine Weight loss Humans Medicine Ingestion Serum Albumin Biliopancreatic Diversion 0303 health sciences Nutrition and Dietetics business.industry Perioperative Length of Stay medicine.disease Obesity Obesity Morbid Surgery Treatment Outcome Parenteral nutrition Female medicine.symptom business Body mass index |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 29:445-450 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1177/0148607105029006445 |
| Popis: | To evaluate the influence of nutrition support (parenteral nutrition [PN] vs no parenteral nutrition [nPN]) on nutrition outcome, complications, and hospital stay after bariatric surgery (BS).Sixty-seven consecutive BS patients (17 gastric bypass and 50 biliopancreatic diversion). The first 38 received PN and the next 29 did not (nPN) during the fasting postoperative (PO) period. In both groups, after fasting, a progressive oral diet was introduced. Data related to nutrition status, perioperative complications, and postsurgical hospital stay were compared.Sixty-seven patients (58 women), mean age 39.4 +/- 11.0 years, body mass index (BMI) 50.7 +/- 6.1 kg/m(2), were included. Thirty-eight patients received PN during 8.7 +/- 2.6 days. Ingestion was initiated at a median 8 PO days in PN vs 6.5 PO days in nPN (p.04). No significant differences between groups were found in age, final fasting serum albumin (SA), and 30 days postoperative SA, with a similar weight loss. Nonsignificant differences were found in non-catheter-related infectious complications, being mainly urinary tract infections. Catheter-related infections were present in 21.1% in the PN group and 13.8% in the nPN (p = .33). Median hospital stay after surgery was 14 +/- 10 days in PN and 12 +/- 10 days in nPN (p = .003).(1) Nutrition status after BS PO and 30 days postsurgery was no different between PN and nPN. (2) Postsurgery hospital stay was significantly decreased in the nPN group, without a greater incidence of complications. (3) According to nutrition outcome, PN seems unnecessary at the perioperative period in BS unless there are other postsurgical complications. |
| Databáze: | OpenAIRE |
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