Enteral nutrition led to fewer postoperative complications than did parenteral feeding in gastrointestinal cancer.

نویسنده

  • Ronald L Koretz
چکیده

P a t i e n t s 317 patients who were ≥ 18 years of age (mean age 64 y, 58% men) and had weight loss ≥ 10% of usual body weight in the previous 6 months, histologically confirmed cancer, and planned major elective surgery. Exclusion criteria were hepatic, renal, or cardiac dysfunction; Karnofsky performance status < 60; pregnancy; ongoing infection; and intestinal anastomosis of the large bowel without a diverting stoma. Follow-up was complete.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Early Post Operative Enteral Versus Parenteral Feeding after Esophageal Cancer Surgery

Introduction: The incidence of malnutrition in hospitalized patients is reported to be high. In particular, patients with esophageal cancer are prone to malnutrition, due to preoperative digestive system dysfunctions and short-term non-oral feeding postoperatively. Selection of an appropriate method for feeding in the postoperative period is important in these patients.   Materials and Methods:...

متن کامل

Enteral vs parenteral nutrition after major abdominal surgery: an even match.

HYPOTHESIS Immediate enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition. DESIGN A prospective multicenter randomized trial. SETTING A university hospital department of digestive surgery. PATIENTS AND INTERVENTIONS Two hundred forty-one malnourished patients undergoing major elective abdominal surgery ...

متن کامل

Nutrition support to patients undergoing gastrointestinal surgery

Nutritional depletion has been demonstrated to be a major determinant of the development of post-operative complications. Gastrointestinal surgery patients are at risk of nutritional depletion from inadequate nutritional intake, surgical stress and the subsequent increase in metabolic rate. Fears of postoperative ileus and the integrity of the newly constructed anastomosis have led to treatment...

متن کامل

Enteral or parenteral feeding after total gastrectomy: prospective randomised pilot study.

OBJECTIVE To compare the efficacy and cost of enteral and parenteral feeding after total gastrectomy. DESIGN Prospective randomised open study. SETTING University hospital, Finland. SUBJECTS 29 patients undergoing curative total gastrectomy for gastric cancer. INTERVENTIONS 13 patients were given early enteral feeding by nasojejunal tube and 16 patients parenteral nutrition by central v...

متن کامل

Complications of Enteral Nutrition

ENTERAL nutrition is the preferred route for providing nutrition support when the gastrointestinal (GI) tract is functional. Compared with conventional central venous feeding, enteral feeding is associated with fewer serious complications, is more nutritionally complete, is more effective in maintaining or restoring host immune response, and takes advantage of normal physiologic and metabolic p...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • ACP journal club

دوره 136 3  شماره 

صفحات  -

تاریخ انتشار 2002