[Enteral nutrition in the postoperative period: advantages of the polymeric diets over the elemental ones].
The authors present their experience with catheter jejunostomy for post-operative enteral feeding in 74 cases. The patients were retrospectively divided into two groups according to the type of diet administered; the first group, of 8, received a second generation powdered elemental diet while the other, of 63, received a normocalorific polypeptide fluid diet. The aim was to compare the clinical differences between the contribution of elemental and polymeric diets. Of the 74 jejunal catheters, 3 were not used in the long run, while the overall figure of complications in the 71 remaining cases was 12% (9 patients): there were 3 cases of catheter complications and 6 of gastrointestinal complications which made it necessary to suspend the diet in 2 patients due to untreatable diarrhea (more than 4 movements per day), and in 4 due to clinical pictures of abdominal distension, pain and occasional vomiting. In analysing these complications in terms of diet type, it was found that in the first group (on oligomeric diets) 50% suffered gastrointestinal complications, i.e. 4 of the 8 (with diarrhea in 1 case and distension in 3), while only 2 of the patients, 3.2%, in the second group, of 63, suffered this type of complication. In conclusion, it is affirmed that the contribution of liquid polymeric diets significantly simplifies post-operative enteral nutrition, minimising intestinal complications.
Sánchez Nebra
J
J
Unidad de Alimentación Artificial, Hospital Montecelo, Pontevedra.
Toscano Novella
E
E
Lago Silva
E
E
Samartín Bienzobas
C
C
Echávarri Guerra
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004750:Enteral Nutrition / Q000009:adverse effects*; D005526:Food, Formulated; D006801:Humans; D008875:Middle Aged; D011108:Polymers / Q000008:administration & dosage; D011182:Postoperative Care / Q000379:methods*
D011108:Polymers
Nutrición enteral en el postoperatorio: ventajas de las dietas poliméricas sobre las elementales.