Use of elemental diets to correct catabolic states prior to surgery.
An elemental diet was used to prepare 11 severely debilitated malnourished patients for operation. Indications included: 1) as a substitute for parenteral hyperalimentation when catheter sepsis occurred with the latter; 2) high small fistulae; 3) short bowel syndrome; 4) radiation enteritis; and 5) partial obstruction of the gastrointestinal tract. All patients were converted to a positive nitrogen balance as evidenced by a substantial gain in weight and in serum albumin levels. All tolerated corrective operations without difficulty and their wounds healed per primum.
D000293:Adolescent; D000368:Aged; D000596:Amino Acids / Q000008:administration & dosage; D001835:Body Weight; D002100:Cachexia / Q000628:therapy; D004035:Diet Therapy; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004751:Enteritis / Q000628:therapy; D004940:Esophageal Stenosis / Q000628:therapy; D005260:Female; D005402:Fistula / Q000628:therapy; D006801:Humans; D007412:Intestinal Fistula / Q000628:therapy; D007415:Intestinal Obstruction / Q000628:therapy; D008286:Malabsorption Syndromes / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009584:Nitrogen / Q000008:administration & dosage / Q000378:metabolism; D009748:Nutrition Disorders / Q000628:therapy*; D010288:Parenteral Nutrition; D011300:Preoperative Care; D011832:Radiation Injuries / Q000628:therapy; D012709:Serum Albumin / Q000032:analysis; D012871:Skin Diseases / Q000628:therapy; D013272:Stomach Diseases / Q000628:therapy
D000596:Amino Acids; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D012709:Serum Albumin; D009584:Nitrogen