Home LiteratureArticle Details
PMID: 105777 Published · ppublish English Clinical Trial Journal Article Randomized Controlled Trial

Early postoperative feeding with elemental diet.

British medical journal ·Vol. 1 ·No. 6159 ·1979-02-03 ·Pages 293-5

Sagar S, Harland P, Shields R

Abstract

The value of early postoperative feeding with an elemental diet was assessed in 30 patients after major gastrointestinal operations. The patients were allocated at random to conventional treatment (control group) or feeding with the elemental diet (ED group). The clinical and metabolic course of the 15 patients in the ED group was significantly better than that of the controls. Patients in the ED group lost less weight and had a shorter stay in hospital. Negative nitrogen balance was more pronounced in the control group throughout the seven postoperative days. Energy intake was higher in the ED group. Provided elemental feeding is used with caution, it may be given from the first postoperative day. Patients do better metabolically and require shorter stays in hospital.

MeSH Terms
Body Weight Clinical Trials as Topic Energy Intake Enteral Nutrition Female Food, Formulated Gastrointestinal Diseases/surgery Humans Length of Stay Male Middle Aged Nitrogen/metabolism Postoperative Care/methods Random Allocation
Chemicals
Nitrogen
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Sagar S
Harland P
Shields R
References (16)
16 references, click to expand
  1. Ileus and postoperative intestinal motility.
    Lancet. 1961 Jul 15;2(7194):136-7 PMID: 13784245
  2. Postoperative nutritional support using needle catheter feeding jejunostomy.
    Ann Surg. 1977 Aug;186(2):165-70 PMID: 407853
  3. A prospective study of subclavian vein catheters used exclusively for the purpose of intravenous feeding.
    Br J Surg. 1978 Jun;65(6):393-5 PMID: 418841
  4. The effects of intravenous and intraduodenal feeding on nitrogen balance after surgery.
    Br J Surg. 1973 Aug;60(8):589-94 PMID: 4198922
  5. A comparison of nutritional gains resulting from intravenous and enteral feeding.
    Surg Gynecol Obstet. 1974 Aug;139(2):179-84 PMID: 4210397
  6. Jejunostomy by a needle catheter technique.
    Surgery. 1973 May;73(5):786-90 PMID: 4697097
  7. Evaluation of nutritional status of selected hospitalized patients.
    Am J Clin Nutr. 1973 Sep;26(9):931-8 PMID: 4727752
  8. Use of an elemental diet for long-term nutritional support in Crohn's disease.
    Lancet. 1976 Jan 17;1(7951):122-4 PMID: 54639
  9. Postoperative ileus.
    Am J Surg. 1968 Sep;116(3):369-74 PMID: 5675907
  10. Absorption of water and electrolytes by the human small intestine after surgical operations.
    Br J Surg. 1969 Sep;56(9):708 PMID: 5808434
  11. Malnutrition in surgical patients. An unrecognised problem.
    Lancet. 1977 Mar 26;1(8013):689-92 PMID: 66485
  12. Intravenous glucose, aminoacids, and fat in the postoperative period. A controlled evaluation of each substrate.
    Lancet. 1977 Jul 2;2(8027):8-11 PMID: 69143
  13. Oral alimentation following intubation for esophageal carcinoma.
    Ann Surg. 1977 Dec;186(6):759-61 PMID: 74985
  14. Elemental diets.
    Gut. 1975 Jan;16(1):68-79 PMID: 806492
  15. The elemental diet.
    Surg Gynecol Obstet. 1976 Jun;142(6):925-32 PMID: 820006
  16. Intravenous aminoacids and intravenous hyperalimentation as protein-sparing therapy after major surgery. A controlled clinical trial.
    Lancet. 1978 Apr 15;1(8068):788-91 PMID: 85812
Article Info
Journal
British medical journal
Abbr.
Br Med J
ISSN
0007-1447
Published
1979-02-03
Pages
293-5
Language
English
Region
England
NLM ID
0372673
PMCID
PMC1597649
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com