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[Enteral or parenteral feeding therapy. Comparative clinical study]
Infusionstherapie Und Klinische Ernahrung
|December 1, 1983
Summary
Early jejunal tube feeding (enteral nutrition) and parenteral nutrition show similar nutritional effects in postoperative patients. Tube feeding is well-tolerated and absorbed, offering a viable alternative in intensive care.
Area of Science:
- Clinical Nutrition
- Surgical Metabolism
Background:
- Postoperative nutritional support is crucial for recovery.
- Parenteral nutrition (PN) is common, but enteral nutrition (EN) may offer benefits.
- Early initiation of feeding is desirable.
Purpose of the Study:
- To compare the nutritional effects of early parenteral nutrition versus enteral nutrition.
- To evaluate the tolerance and absorption of jejunal tube feeding post-surgery.
Main Methods:
- Randomized study of 20 postoperative patients over six days.
- Two groups received either PN or EN with identical calorie and nitrogen content.
- EN was delivered via jejunal tube; PN via central venous catheter.
Main Results:
- No significant differences in nutritional effects were observed between PN and EN groups.
- Daily data changes were consistent with the typical post-aggression syndrome.
- Jejunal tube feeding was well-tolerated and fully absorbed.
Conclusions:
- Early jejunal tube feeding is a safe and effective nutritional strategy.
- Enteral nutrition via tube feeding is a viable alternative to parenteral nutrition in the early postoperative period.
- This approach is suitable for intensive care unit patients and post-surgery recovery.