Jejunal nutrition.
Contrary to the past experience of forced parenteral nutrition nowaday's the enteral [jejunal] nutrition enjoys priority. It is not questionable, that well adjusted and controlled application of fluid, ion, fat, carbon hydrate, amino acid promoted convalescence. The experiences of the Authors supports that enteral nutrition through technically proper outperformed jejunostomy does not increase complication rate and beside well controlled food administration provides the physiologic stimules of food, the method is relatively easy and cost effective. For this reason the Authors initiated jejunostomy at the end of larger interventions such as Akyama procedure, total gastrectomy, multivisceral interventions, pancreatectomy, operations for massive gastrointestinal bleeding and finally reoperations with extreme negative N-balance and with the chance of inability of oral feeding for several days.
Kószegi
G
G
Department of Surgery, Uzsoki Teaching Hospital, Budapest, Hungary.
Jakab
F
F
D000005:Abdomen / Q000601:surgery; D000596:Amino Acids / Q000008:administration & dosage / Q000627:therapeutic use; D003362:Cost-Benefit Analysis; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004750:Enteral Nutrition / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D005440:Fluid Therapy; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D007582:Jejunostomy; D009584:Nitrogen / Q000008:administration & dosage / Q000378:metabolism; D010180:Pancreatectomy; D010288:Parenteral Nutrition; D012086:Reoperation
D000596:Amino Acids; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D009584:Nitrogen