Article

Enteral vs parenteral nutrition after major abdominal surgery: an even match.

Department of Digestive Surgery, Istituto di Clinica Chirurgica, Catholic University School of Medicine, Largo A. Gemelli, 8, 00168 Rome, Italy.
Archives of Surgery (impact factor: 4.24). 09/2001; 136(8):933-6.
Source: PubMed

ABSTRACT Immediate enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition.
A prospective multicenter randomized trial.
A university hospital department of digestive surgery.
Two hundred forty-one malnourished patients undergoing major elective abdominal surgery were randomly assigned to receive, after surgery, either enteral (enteral nutrition group: 119 patients) or parenteral nutrition (total parenteral nutrition group: 122 patients). The patients were monitored for postoperative complications and mortality.
The rate of major postoperative complications was similar in the enteral and parenteral groups (enteral nutrition group: 37.8%; total parenteral nutrition group: 39.3%; P was not significant), as were the overall postoperative mortality rates (5.9% and 2.5%, respectively; P was not significant).
The present study failed to demonstrate that enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition.

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Keywords

digestive surgery
 
enteral
 
enteral nutrition group
 
Immediate enteral
 
major abdominal surgery
 
major postoperative complications
 
parenteral groups
 
parenteral nutrition
 
postoperative complications
 
postoperative mortality rates
 
prospective multicenter randomized trial
 
total parenteral nutrition group
 
university hospital department