Postoperative Enteral Nutrition Research Articles

Immediate post-operative enteral (E.N) versus parenteral nutrition (P.N) in esogastric surgery for cancer: A controlled prospective study. F.Tandonnet : [formula omitted], M.Henry-Amar, D.Elias, B.Escudier, B.Leclercq. (Unités de Réanimation, de Statistiques et de Chirurgie, Institut G.Roussy, Villejuif, France)

Immediate post-operative enteral (E.N) versus parenteral nutrition (P.N) in esogastric surgery for cancer: A controlled prospective study. F.Tandonnet : [formula omitted], M.Henry-Amar, D.Elias, B.Escudier, B.Leclercq. (Unités de Réanimation, de Statistiques et de Chirurgie, Institut G.Roussy, Villejuif, France)

CHANGES IN THE INTESTINAL MICROFLORA IN TUBE FEEDING

During the course of post-operative enteral nutrition in cases of gastric cancer, the changes occurring in the intestinal microflora and their relationship to clinical symptoms or biochemical examination levels were investigated. Nutritive agents used were Elental, Besvion and Hinex-R, each of which had a different carbohydrate composition. The subjects were divided into three groups: Elental group (group E), Besvion group (group B) and Hinex-R group (group H). Diarrhea occurred in 40% of cases in groups E and H and in 10% of those in group B while enteral nutrition was being carried out. Observation of the changes in intestinal microflora during use of the nutritive agents revealed that anaerobes decreased to 1/100-1/10000 in the three groups due to the antibiotics used postoperatively. There were different changes in Bifidobacterium among the three groups, in particular a marked decrease in groups E and H, both during and after the use of antibiotics which was not marked in group B, the levels of which returned to those existing preoperatively. These results were considered to be caused by the difference in carbohydrates contained in the nutritive agents, suggesting that in group B, the nutritive agent of which contained not only dextrin but also galactose, glucose and lactose, the carbohydrates accelerated an increase in Bifidobacterium, inhibiting the occurrence of diarrhea. Hardly any changes in electrolyte, GOT, GPT, LDH, BUN, creatinine and serum protein (T-p) were found, showing levels within the normal range. It was therefore thought that there was no relation between changes in intestinal microflora and biochemical examination levels.

Early Postoperative Enteral Feeding Through a Needle Catheter Jejunostomy*

The advantages of early postoperative enteral nutrition through a needle catheter jejunostomy in 13 operated children (1 day to 14 years) are analysed. They presented various surgical or medical diseases. 8 of them had a duodenal atresia or stenosis. Their postoperative follow-up was compared with other children suffering from the same pathology without early postoperative enteral feeding. The simplicity of the realimentation, the absence of septic complications and the metabolic advantages of this method prove to be extremely efficient when a protein and calorie malnutrition must be avoided and fractionated oral feeding is impossible.

A comparison of immediate post-operative enteral and parenteral nutrition in patients with gastric carcinoma

Fourteen patients with gastric carcinoma were studied in the first post-operative week following the administration of immediate post-operative nutrition. Eight received Clinifeed ISO ® enteral feed and six received parenteral nutrition (TPN) (Vamin-glucose, dextrose and Intralipid ®). Plasma albumin and transferrin concentrations decreased post-operatively in both groups, but did not differ significantly between the groups. Positive nitrogen balance was achieved on the fifth post-operative day in the enteral group and on the first post-operative day in the TPN group. There were no significant differences in the pre and post-operative weights and anthropometric measurements in either group. One patient in each group developed a subphrenic abscess, six patients in the enteral group experienced nausea and diarrhoea and two of these also vomited. The results indicate that immediate post-operative enteral nutrition is accompanied by a degree of negative nitrogen balance because a 3 day ‘build up’ period is necessary to achieve a full intake and with a higher incidence of minor gastro-intestinal complications which are easily controlled.

P.4 A comparison of immediate post-operative enteral and parenteral nutrition in patients with gastric carcinoma

P.4 A comparison of immediate post-operative enteral and parenteral nutrition in patients with gastric carcinoma

Immediate postoperative enteral nutrition with a jejunal catheter : [formula omitted]. Universitätsspital Zürich

Immediate postoperative enteral nutrition with a jejunal catheter : [formula omitted]. Universitätsspital Zürich

Immediate postoperative enteral nutrition with a nonelemental diet

Immediate postoperative enteral nutrition with a nonelemental diet