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Related Experiment Videos

Immediate postoperative feeding in urological surgery.

E J Seidmon, K V Pizzimenti, F A Blumenstock

    The Journal of Urology
    |June 1, 1984
    PubMed
    Summary

    Immediate postoperative enteral nutrition with an elemental diet via a Moss tube improved nitrogen balance and prevented paralytic ileus in urological surgery patients. This method is a well-tolerated, cost-effective alternative to parenteral nutrition.

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    Area of Science:

    • Urology
    • Surgical Nutrition
    • Gastroenterology

    Background:

    • Radical urological surgery can lead to significant catabolic stress.
    • Postoperative nutritional support is crucial for recovery and preventing complications.
    • Enteral feeding offers advantages over parenteral nutrition when feasible.

    Purpose of the Study:

    • To evaluate the efficacy of immediate postoperative enteral hyperalimentation using an elemental diet delivered via a Vivonex Moss tube.
    • To compare outcomes in patients receiving nutritional support versus those without.

    Main Methods:

    • A study of 32 patients undergoing radical urological surgery.
    • 21 patients received an elemental diet (high nitrogen Vivonex) via a 3-lumen Moss tube for 4 days.
    • 11 patients received only a nasogastric tube without nutritional support.

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  • Key parameters assessed included nitrogen balance, albumin, transferrin, and ileus incidence.

    • Main Results:

    • Patients with Moss tube feeding achieved positive nitrogen balance within 4 days.
    • The nasogastric tube group remained in negative nitrogen balance.
    • Postoperative paralytic ileus was prevented in most patients on Moss tube feeding.
    • The Moss tube was well-tolerated and easy to insert.

    Conclusions:

    • Immediate postoperative enteral hyperalimentation with an elemental diet via a Moss tube is effective in urological surgery patients.
    • This approach supports positive nitrogen balance and reduces ileus.
    • The Moss tube is a cost-effective and well-tolerated alternative to parenteral nutrition.