Comparison of enteral nutrition with combined enteral and parenteral nutrition in post-pancreaticoduodenectomy patients: A pilot study

Shigeyuki Nagata, Kengo Fukuzawa, Yukio Iwashita, Akira Kabashima, Tadahiko Kinoshita, Kenzo Wakasugi, Yoshihiko Maehara

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background. Many clinical studies have demonstrated that early postoperative enteral nutrition (EN) improved the postroperative course. Post-pancreaticoduodenectomy (PD), patients tend to suffer from postoperative nausea, abdominal distention, and diarrhoea, causing difficulty in the introduction of EN. In this pilot study, we investigated the appropriate nutritional mode post-pancreatic surgery. Methods. Between October 2006 and March 2007 2 postoperative nutritional methods were implemented in 17 patients in a prospective single-centere study. Eight patients received only enteral nutrition (EN group) and 9 patients received enteral nutrition combined with parenteral nutrition (EN + PN group). Results. There were no differences in the patient characteristics and postoperative morbidity between the 2 groups. The rate of discontinuance of enteral feeding was significantly high in the EN group, and the duration of enteral feeding was significantly longer in the EN + PN group. The central venous line was retained for a significantly longer period in the EN + PN group, but there was no difference in the frequency of catheter-related infection between the 2 groups. Conclusion. EN combined with PN is more adequate for patients after pancreatic surgery.

Original languageEnglish
Article number24
JournalNutrition Journal
Volume8
Issue number1
DOIs
Publication statusPublished - Aug 10 2009

Fingerprint

Pancreaticoduodenectomy
Parenteral Nutrition
Enteral Nutrition
Catheter-Related Infections
Postoperative Nausea and Vomiting
Diarrhea

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Comparison of enteral nutrition with combined enteral and parenteral nutrition in post-pancreaticoduodenectomy patients : A pilot study. / Nagata, Shigeyuki; Fukuzawa, Kengo; Iwashita, Yukio; Kabashima, Akira; Kinoshita, Tadahiko; Wakasugi, Kenzo; Maehara, Yoshihiko.

In: Nutrition Journal, Vol. 8, No. 1, 24, 10.08.2009.

Research output: Contribution to journalArticle

Nagata, Shigeyuki ; Fukuzawa, Kengo ; Iwashita, Yukio ; Kabashima, Akira ; Kinoshita, Tadahiko ; Wakasugi, Kenzo ; Maehara, Yoshihiko. / Comparison of enteral nutrition with combined enteral and parenteral nutrition in post-pancreaticoduodenectomy patients : A pilot study. In: Nutrition Journal. 2009 ; Vol. 8, No. 1.
@article{ac5b3263fe784771ac9a263cbf6498c1,
title = "Comparison of enteral nutrition with combined enteral and parenteral nutrition in post-pancreaticoduodenectomy patients: A pilot study",
abstract = "Background. Many clinical studies have demonstrated that early postoperative enteral nutrition (EN) improved the postroperative course. Post-pancreaticoduodenectomy (PD), patients tend to suffer from postoperative nausea, abdominal distention, and diarrhoea, causing difficulty in the introduction of EN. In this pilot study, we investigated the appropriate nutritional mode post-pancreatic surgery. Methods. Between October 2006 and March 2007 2 postoperative nutritional methods were implemented in 17 patients in a prospective single-centere study. Eight patients received only enteral nutrition (EN group) and 9 patients received enteral nutrition combined with parenteral nutrition (EN + PN group). Results. There were no differences in the patient characteristics and postoperative morbidity between the 2 groups. The rate of discontinuance of enteral feeding was significantly high in the EN group, and the duration of enteral feeding was significantly longer in the EN + PN group. The central venous line was retained for a significantly longer period in the EN + PN group, but there was no difference in the frequency of catheter-related infection between the 2 groups. Conclusion. EN combined with PN is more adequate for patients after pancreatic surgery.",
author = "Shigeyuki Nagata and Kengo Fukuzawa and Yukio Iwashita and Akira Kabashima and Tadahiko Kinoshita and Kenzo Wakasugi and Yoshihiko Maehara",
year = "2009",
month = "8",
day = "10",
doi = "10.1186/1475-2891-8-24",
language = "English",
volume = "8",
journal = "Nutrition Journal",
issn = "1475-2891",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Comparison of enteral nutrition with combined enteral and parenteral nutrition in post-pancreaticoduodenectomy patients

T2 - A pilot study

AU - Nagata, Shigeyuki

AU - Fukuzawa, Kengo

AU - Iwashita, Yukio

AU - Kabashima, Akira

AU - Kinoshita, Tadahiko

AU - Wakasugi, Kenzo

AU - Maehara, Yoshihiko

PY - 2009/8/10

Y1 - 2009/8/10

N2 - Background. Many clinical studies have demonstrated that early postoperative enteral nutrition (EN) improved the postroperative course. Post-pancreaticoduodenectomy (PD), patients tend to suffer from postoperative nausea, abdominal distention, and diarrhoea, causing difficulty in the introduction of EN. In this pilot study, we investigated the appropriate nutritional mode post-pancreatic surgery. Methods. Between October 2006 and March 2007 2 postoperative nutritional methods were implemented in 17 patients in a prospective single-centere study. Eight patients received only enteral nutrition (EN group) and 9 patients received enteral nutrition combined with parenteral nutrition (EN + PN group). Results. There were no differences in the patient characteristics and postoperative morbidity between the 2 groups. The rate of discontinuance of enteral feeding was significantly high in the EN group, and the duration of enteral feeding was significantly longer in the EN + PN group. The central venous line was retained for a significantly longer period in the EN + PN group, but there was no difference in the frequency of catheter-related infection between the 2 groups. Conclusion. EN combined with PN is more adequate for patients after pancreatic surgery.

AB - Background. Many clinical studies have demonstrated that early postoperative enteral nutrition (EN) improved the postroperative course. Post-pancreaticoduodenectomy (PD), patients tend to suffer from postoperative nausea, abdominal distention, and diarrhoea, causing difficulty in the introduction of EN. In this pilot study, we investigated the appropriate nutritional mode post-pancreatic surgery. Methods. Between October 2006 and March 2007 2 postoperative nutritional methods were implemented in 17 patients in a prospective single-centere study. Eight patients received only enteral nutrition (EN group) and 9 patients received enteral nutrition combined with parenteral nutrition (EN + PN group). Results. There were no differences in the patient characteristics and postoperative morbidity between the 2 groups. The rate of discontinuance of enteral feeding was significantly high in the EN group, and the duration of enteral feeding was significantly longer in the EN + PN group. The central venous line was retained for a significantly longer period in the EN + PN group, but there was no difference in the frequency of catheter-related infection between the 2 groups. Conclusion. EN combined with PN is more adequate for patients after pancreatic surgery.

UR - http://www.scopus.com/inward/record.url?scp=68149132302&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=68149132302&partnerID=8YFLogxK

U2 - 10.1186/1475-2891-8-24

DO - 10.1186/1475-2891-8-24

M3 - Article

C2 - 19519910

AN - SCOPUS:68149132302

VL - 8

JO - Nutrition Journal

JF - Nutrition Journal

SN - 1475-2891

IS - 1

M1 - 24

ER -