Document Detail


Immediate postoperative feeding in urological surgery.
MedLine Citation:
PMID:  6427479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The value of immediate postoperative enteral hyperalimentation with an elemental diet (high nitrogen Vivonex, full strength) at 125 cc per hour for 4 days was assessed in patients after radical urological surgery. Of 32 patients studied 21 received an elemental diet using a Vivonex Moss tube, which is a 3-lumen tube with esophagogastric decompression and simultaneous duodenal feeding, and the remaining 11 had a nasogastric tube only without nutritional support. We have used a selected group of parameters, including serum albumin, serum transferrin, creatinine height index, weight loss, total lymphocyte count, nitrogen balance and plasma fibronectin. All patients in the Moss tube group approached or achieved positive nitrogen balance by 4 days postoperatively, whereas the nasogastric tube group remained in negative nitrogen balance. Postoperative paralytic ileus was prevented in the majority of patients in the Moss tube group while receiving full nutritional support. We have found that the use of the Moss tube is a reasonable approach for postoperative alimentation. The tube is relatively easy to insert and well tolerated, and its use is a less expensive alternative to parenteral hyperalimentation.
Authors:
E J Seidmon; K V Pizzimenti; F A Blumenstock; R P Huben; Z Wajsman; J E Pontes
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of urology     Volume:  131     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-07-12     Completed Date:  1984-07-12     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1113-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Enteral Nutrition*
Female
Food Additives / administration & dosage
Humans
Intubation, Gastrointestinal
Male
Middle Aged
Organic Chemicals
Postoperative Care
Prospective Studies
Urologic Neoplasms / surgery*
Grant Support
ID/Acronym/Agency:
CA-16056/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Food Additives; 0/Organic Chemicals; 93197-02-5/Vivonex

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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