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

研究成果: Contribution to journalArticle査読

21 被引用数 (Scopus)

抄録

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.

本文言語英語
論文番号24
ジャーナルNutrition Journal
8
1
DOI
出版ステータス出版済み - 2009

All Science Journal Classification (ASJC) codes

  • 医学(その他)
  • 栄養および糖尿病

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