Document Detail


Postoperative nutritional management after esophagectomy: is TPN the standard of nutritional care?
MedLine Citation:
PMID:  15912897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated the feasibility of early postoperative enteral diet after esophagectomy. Sixteen patients who underwent esophagectomy followed by reconstruction using gastrictube were divided into two groups based on nutritional protocol after surgery: either total parenteral nutrition (TPN) or enteral diet (ENT). TPN patients were nutritionally maintained with only intravenous hyperalimentation. The ENT group was challenged mainly with enteral diet started on day 1. Serum rapid turnover proteins (RTPs; transferrin, prealbumin, retinal-binding protein, and insulin like growth factor-1: IGF-1) were measured two days before (preoperative value) and 3, 5, 7, 10, and 14 days after surgery. The percent value of the four RTPs were decreased at day 3 and gradually recovered. There were no significant differences between the groups according to four RTPs. No major complications due to early enteral diet occurred in ENT patients. We conclude that early enteral diet is nutritionally adequate and might be recommended as standard nutritional care after subtotal esophagectomy.
Authors:
Takeshi Shiraishi; Katsunobu Kawahara; Satoshi Yamamoto; Takafumi Maekawa; Takayuki Shirakusa
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International surgery     Volume:  90     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2005 Jan-Mar
Date Detail:
Created Date:  2005-05-25     Completed Date:  2005-08-15     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  30-5     Citation Subset:  IM    
Affiliation:
Department of Surgery II, Fukuoka University School of Medicine, Fukuoka, Japan. tshiraishi-ths@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Enteral Nutrition*
Esophagectomy*
Female
Humans
Insulin-Like Growth Factor I / analysis
Male
Middle Aged
Nutrition Assessment
Parenteral Nutrition, Total*
Postoperative Period
Prealbumin / analysis
Retinol-Binding Proteins / analysis
Stomach / transplantation
Transferrin / analysis
Chemical
Reg. No./Substance:
0/Prealbumin; 0/Retinol-Binding Proteins; 11096-37-0/Transferrin; 67763-96-6/Insulin-Like Growth Factor I

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


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