Postoperative enteral vs parenteral nutrition. A randomized controlled trial.
Twenty patients undergoing major upper-gastrointestinal-tract or pancreaticobiliary surgery were randomized to receive postoperative nutritional support by total parenteral nutrition (TPN) or elemental diet administered by needle-catheter jejunostomy (NCJ). Both routes of administration provided adequate nutritional support. No unexpected complications were encountered. The NCJ group compared favorably with the TPN group at the end of the seven-day trial. The NCJ group provided significant cost efficiency while maintaining adequate nutritional support.
D000328:Adult; D001662:Biliary Tract Surgical Procedures; D002986:Clinical Trials as Topic; D013505:Digestive System Surgical Procedures; D004750:Enteral Nutrition; D005260:Female; D005526:Food, Formulated; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008111:Liver Function Tests; D008297:Male; D008762:Methylhistidines / Q000652:urine; D008875:Middle Aged; D009584:Nitrogen / Q000378:metabolism; D010179:Pancreas / Q000601:surgery; D010289:Parenteral Nutrition, Total; D011182:Postoperative Care; D011897:Random Allocation; D012709:Serum Albumin / Q000032:analysis
D008762:Methylhistidines; D012709:Serum Albumin; C028118:3-methylhistidine; D009584:Nitrogen