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Arch Surg. 2001 Aug;136(8):933-6.

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

Author information

  • 1Department of Digestive Surgery, Istituto di Clinica Chirurgica, Catholic University School of Medicine, Largo A. Gemelli, 8, 00168 Rome, Italy. fpacelli@hotmail.com

Abstract

HYPOTHESIS:

Immediate enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition.

DESIGN:

A prospective multicenter randomized trial.

SETTING:

A university hospital department of digestive surgery.

PATIENTS AND INTERVENTIONS:

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.

RESULTS:

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).

CONCLUSION:

The present study failed to demonstrate that enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition.

PMID:
11485531
[PubMed - indexed for MEDLINE]
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