[Postoperative enteral nutrition with a high content of mono- and polyunsaturated fatty acids].
We have done a clinical study in patients with benign biliary disease and indication for surgery, with the aim of analyzing some parameters of gastric secretion, biliary and pancreatic function, and gastrointestinal hormones in relation to the quantity and quality of the dietary fat (monounsaturated and polyunsaturated fatty acids), acting on the postoperative enteral ingestion, modifying the lipid source by its elaboration. In the present work we show the results derived from the analysis of the gastric and duodenal juices in relation to the type of fat administered, with a global description of the study being necessary. The studied sample consisted of 20 patients diagnosed with simple gallstones, who were divided into two groups (n = 10) according to the usual ingestion of fats: olive oil (Olive Group) or sunflower oil (Sunflower Group). A control group (n = 10) has also been considered, without taking into account their dietary habits. The patients were subjected to surgery, and after the immediate postoperative period they were fed, orally, with an enteral diet prepared with commercially available formulae (modular EDA); as a lipid source we have added olive oil, rich in monounsaturated fatty acids, for the Olive Group, and sunflower oil, rich in polyunsaturated oil, for the Sunflower Group. In the control group cream was added as lipid source (mono and polyunsaturated fatty acids). The caloric value of the diet is calculated based on the caloric value of its components (protein: 17%, carbohydrate: 53%, lipid 30%). The daily caloric requirements are determined based on the daily basal metabolism, according to the Harris-Benedick formula.(ABSTRACT TRUNCATED AT 250 WORDS)
Serrano Paz
P
P
Servicio de Cirugía, Hospital Universitario de Elche, España.
González Bueno
V
V
Diego Estévez
M
M
Medrano
J
J
Ballesta
M C
MC
Martínez-Victoria
E
E
Calpena
R
R
Mataix
J
J
Yago
M D
MD
D000704:Analysis of Variance; D001659:Biliary Tract / Q000503:physiopathology; D002769:Cholelithiasis / Q000503:physiopathology / Q000628:therapy; D002149:Energy Intake; D004750:Enteral Nutrition / Q000379:methods* / Q000706:statistics & numerical data; D005229:Fatty Acids, Monounsaturated / Q000008:administration & dosage*; D005231:Fatty Acids, Unsaturated / Q000008:administration & dosage*; D005753:Gastric Mucosa / Q000378:metabolism; D006801:Humans; D010179:Pancreas / Q000503:physiopathology; D011182:Postoperative Care / Q000379:methods* / Q000706:statistics & numerical data
D005229:Fatty Acids, Monounsaturated; D005231:Fatty Acids, Unsaturated
Nutrición enteral postoperatoria con alto contenido en ácidos grasos mono y poliinsaturados.