[The usefulness of dietetic supplementation in feeding after gastric and pancreatic surgeries].
We evaluated the efficacy of an oral artificial supplementation in 22 patients who underwent surgery for gastric or pancreatic cancer. From 8th to 14th postoperative day, 11 patients (cases) received a diet consistent in their REE, and an oral integrator (40% of REE); controls received only the diet. On 7th and 15th day, nutritional and anthropometric parameters were evaluated, and bioelectrical impedance analysis (BIA) was performed to assess body composition. The dietary caloric input was similar in cases (1154 kcal, 86.0% of REE) and controls (1393 kcal, 92.3% of REE). Due to the integrator, cases reached 121.4% of REE (p less than 0.001). The nutritional and anthropometric parameters studied did not show significant variations in the two groups, but BIA showed a decrease of fat mass in controls with respect to cases (p less than 0.02). Our results demonstrate that the oral artificial supplementation was well tolerated, and did not reduce food intake, but induced a significant increase of total caloric input.
IRCCS Ospedale San Raffaele, Università di Milano.
S
S
Dal Cin
M
M
Braga
M
M
Molinari
G
G
Panigoni
W
W
Zuliani
M
M
Cristallo
V
V
Di Carlo
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001823:Body Composition; D004035:Diet Therapy; D002149:Energy Intake; D005069:Evaluation Studies as Topic; D005260:Female; D005743:Gastrectomy / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D010190:Pancreatic Neoplasms / Q000178:diet therapy / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000534:rehabilitation*; D011182:Postoperative Care; D013274:Stomach Neoplasms / Q000178:diet therapy / Q000601:surgery; D013997:Time Factors
Utilità di un integratore dietetico nella rialimentazione dopo chirurgia gastrica e pancreatica.