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Effects of early nutritional support in patients with abdominal trauma

S Seri, E Aquilio

    The Italian Journal of Surgical Sciences
    |January 1, 1984
    PubMed

    Insights

    Early nutritional support for abdominal trauma patients, delivered via jejunostomy, reduces septic complications and improves nutritional markers. This early intervention is safe and effective, enhancing patient recovery outcomes.

    Area of Science:

    • Surgical Nutrition
    • Trauma Care
    • Clinical Nutrition

    Background:

    • Abdominal trauma often leads to malnutrition, increasing the risk of complications.
    • Optimal timing and method for nutritional support in these patients remain under investigation.

    Purpose of the Study:

    • To evaluate the benefits of early enteral nutritional support in patients with abdominal trauma.
    • To compare nutritional markers and septic complication rates between early enterally fed patients and controls.

    Main Methods:

    • A randomized study comparing early enteral nutrition (via catheter jejunostomy) with conventional treatment.
    • 18 patients (8 control, 10 enterally fed) received nutritional support starting 12 hours postoperatively.
    • Nutritional assessment included serum albumin, transferrin, and nitrogen balance over 7 days.

    Main Results:

    • Enterally fed patients showed improved nitrogen balance (from -7.8 to +2.9 g/day) and stable/improved nutritional markers.
    • Septic complications were lower in the enterally fed group (10%) compared to the control group (25%).
    • Control group experienced negative nitrogen balance and decreased serum albumin and transferrin levels.

    Conclusions:

    • Early nutritional support significantly decreases septic complications in abdominal trauma patients.
    • Enteral nutrition via catheter jejunostomy, initiated 12 hours postoperatively, is safe and improves nutritional status.
    • Early nutritional intervention is crucial for better outcomes in abdominal trauma management.

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