| Short term benefits of post-operative oral dietary supplements in surgical patients. | |
| | |
MedLine Citation:
|
PMID: 16840018 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
The present study was undertaken to investigate the short term clinical efficacy of oral dietary supplements administered post-operatively to patients undergoing predetermined moderate to severe gastrointestinal surgery. Trial end points for comparison included effects of oral dietary supplements on nutritional intake, nutritional status and incidence of serious complications. 54 patients who were scheduled to undergo predetermined moderate to major gastrointestinal surgical procedures entered the study. They were randomly assigned to receive a normal ward diet post-operatively or the same diet supplemented ad libitum by an oral nutritional sip feed. The study period was defined as commencing from the day patients were adjudged to be capable of ingesting 'free fluids' to the day of hospital discharge. 40 patients (20 in each group) completed the study. The mean daily energy intake (KCal/day) assessed from 7 day food diaries was significantly higher in the treatment group (1833 +/- SEM 99) than in the control group (1108 +/- 56, p < 0.0001). This increase occurred not only as a consequence of energy intake from the oral dietary supplements (470 +/- 30) but also because more energy was consumed from the ward diet by the treatment than the control patients (1353 +/- 92 vs 1108 +/- 56, p < 0.02). The mean daily protein intake g/day in the treatment group (66.0 +/- 3.4) was also greater than in the control group (52.9 +/- 29 p < 0.0001). This difference was due solely to the intake in protein from the oral dietary supplements (15.7 +/- 1.0), protein intake from the ward diet being similar in the treatment (50.1 +/- 3.2) and control (52.9 +/- 29) groups. Patients in the treatment group maintained their pre-operative weight where as control patients had lostsignificant amount of their pre-operative weight by study day 3 (4.5 +/- 12 kg and by discharge (4.7 +/- 1.2 kg, p < 0.02). Pre-operative muscle function as evidenced by grip strength dynamometry decreased to a greater extent in the control than treatment group patients by study day 3 (14.6 +/- 2.2 KPa vs 2.8 +/- 2.4 < 0.03) and by discharge (10.4 +/- 3.1 KPa vs 0.10 +/- 1.9 p < 0.03). The incidence of serious infections (pneumonia, wound infection) was significantly higher in the control group (10) than in the treatment group (3, p < 0.02). It is concluded that the prescription of oral dietary supplements on an ad libitum basis to post-operative patients undergoing moderate to major gastrointestinal surgery results in clinically significant short term benefits. |
| | |
Authors:
|
S K Rana; J Bray; N Menzies-Gow; J Jameson; J J Payne James; P Frost; D B Silk |
Related Documents
:
|
19296528 - Prospective study of percutaneous endoscopic gastrostomy tubes versus nasogastric tubes... 1494208 - Continuous compared with intermittent tube feeding in the elderly. 16167748 - A randomised controlled trial of early initiation of oral feeding after caesarean deliv... 14577078 - Early enteral feeding after closure of colostomy in pediatric patients. 11720158 - The presentation, aetiology, management and outcome of optic neuritis in an asian popul... 16795348 - Intrinsic reinforcers in a classroom token economy. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Clinical nutrition (Edinburgh, Scotland) Volume: 11 ISSN: 0261-5614 ISO Abbreviation: Clin Nutr Publication Date: 1992 Dec |
Date Detail:
|
Created Date: 2006-07-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309603 Medline TA: Clin Nutr Country: England |
Other Details:
|
Languages: eng Pagination: 337-44 Citation Subset: - |
Affiliation:
|
Department of Gastroenterology and Nutrition, Central Middlesex Hospital Trust, Acton Lane, London, NW10 7NS, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
| Comments/Corrections | |
Comment In:
|
Clin Nutr. 1993 Aug;12(4):246; author reply 246-7
[PMID:
16843321
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The role of home parenteral nutrition in the management of intestinal failure - report of 400 cases.
Next Document: Nutrient utilisation in muscle and in the whole body of patients receiving total parenteral nutritio...