An up-to-date method of early postoperative enteral feeding.
A case of early postoperative enteral feeding through a jejunostomically inserted catheter is reported. A child 9 years of age was operated upon for congenital brachyoesophagus. In the course of the operation a Jejunocath (Pfrimmer, Erlangen, FRG) was introduced to provide enteral nutrition with the oligopeptide diet Peptisorb (Pfrimmer). Punp controlled feeding was started on the first postoperative day. The amount of the diet was gradually raised in the first 4 postoperative days reaching a peak amount of 6980 kJoule/24 hours (230 kJ/kg BW). The maximum speed of administration was 80 ml/hour. No deviation in blood or urine was found, intestinal motility was normal. During ten days total and additional four days partial enteral feeding the child's bodyweight and skinfold thickness remained unchanged. It has been concluded that enteral feeding is a useful tool in postoperative nutrition in many cases.
D002648:Child; D004750:Enteral Nutrition / Q000379:methods*; D004935:Esophageal Diseases / Q000151:congenital / Q000601:surgery; D006801:Humans; D007441:Intubation, Gastrointestinal; D007583:Jejunum; D008297:Male; D011182:Postoperative Care / Q000379:methods*