[Effect of high amounts of medium chain triglyceride and protein enteral nutrition on nutritional status in patients after major abdominal operation].
OBJECTIVE
To investigate the effect of Nutrition MCT and Nutrition MF enteral nutrition on nutritional status of patients after major abdominal operation.


METHODS
In a double- blinded and randomized cross- cover study, Nutrition MCT and Nutrition MF enteral nutrition were fed in patients when the gut function restored after operation. The total calorie was 104.6 kJ(25 kcal) x kg(-1) x d(-1) and the period of full dose of enteral nutrition was 5 days. The blood samples were collected before operation,before enteral nutrition and the sixth day after full dose of enteral nutrition for the measurement of pre- albumin, total protein,albumin, transferrin and triglyceride. The urine, stool and drainage fluid were collected to analyze nitrogen balance.


RESULTS
The plasma protein and fat were obviously dropped in patients after abdominal operation and improved after the enteral nutrition support in two groups. However, the pre- albumin level increased more in patients of Nutrition MCT than Nutrition MF.


CONCLUSIONS
Nutrition MCT can obviously improve the nutritional status of patients after major abdominal operation.
Department of General Surgery, Nanjing Jinling Hospital, Nanjing 210002, China. wxinying@263.net
Xin-ying
XY
Wang
Shi-hai
SH
Pan
Xin-xin
XX
Liu
Guo-hao
GH
Wu
Ya-nong
YN
Wang
Yu-xiu
YX
Liu
Ning
N
Li
Jie-shou
JS
Li
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D000368:Aged; D018592:Cross-Over Studies; D004311:Double-Blind Method; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D011506:Proteins / Q000627:therapeutic use*; D014280:Triglycerides / Q000627:therapeutic use*
D011506:Proteins; D014280:Triglycerides