Intravenous hydration versus naso-jejunal enteral feeding after esophagectomy: a randomised study
Objective: Patients undergoing esophagectomy are typically nutritionally depleted and cannot establish oral feeding for up to a week after surgery. We have investigated the routine use of enteral feeding via a naso-jejunal tube. Methods: Forty consecutive patients undergoing a transthoracic esophage...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 2002-11, Vol.22 (5), p.666-672 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | Page, Richard D. Oo, Aung Y. Russell, Glen N. Pennefather, Stephen H. |
| description | Objective: Patients undergoing esophagectomy are typically nutritionally depleted and cannot establish oral feeding for up to a week after surgery. We have investigated the routine use of enteral feeding via a naso-jejunal tube. Methods: Forty consecutive patients undergoing a transthoracic esophagectomy for cancer were randomised to receive enteral feeding or intravenous crystalloid fluids after surgery. Nutritional indices were obtained prior to surgery and on the 7th post-operative day. Results: There were no post-operative deaths. Non-fatal complications occurred in 10 patients, without difference in morbidity between the two groups. Lean body mass did not change in either group over the study period. No differences in any other parameters were identified between the two groups. Conclusion: Enteral feeding via a naso-jejunal tube is safe and well tolerated after esophagectomy. It is a simple method of providing nutritional support prior to the re-introduction of oral feeding. However it provides no measurable benefit over intravenous hydration only for patients undergoing routine esophagectomy. |
| doi_str_mv | 10.1016/S1010-7940(02)00489-X |
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We have investigated the routine use of enteral feeding via a naso-jejunal tube. Methods: Forty consecutive patients undergoing a transthoracic esophagectomy for cancer were randomised to receive enteral feeding or intravenous crystalloid fluids after surgery. Nutritional indices were obtained prior to surgery and on the 7th post-operative day. Results: There were no post-operative deaths. Non-fatal complications occurred in 10 patients, without difference in morbidity between the two groups. Lean body mass did not change in either group over the study period. No differences in any other parameters were identified between the two groups. Conclusion: Enteral feeding via a naso-jejunal tube is safe and well tolerated after esophagectomy. It is a simple method of providing nutritional support prior to the re-introduction of oral feeding. However it provides no measurable benefit over intravenous hydration only for patients undergoing routine esophagectomy.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1016/S1010-7940(02)00489-X</identifier><identifier>PMID: 12414028</identifier><identifier>CODEN: EJCSE7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Science B.V</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Crystalloid Solutions ; Enteral feeding ; Enteral Nutrition - instrumentation ; Enteral Nutrition - methods ; Esophageal Neoplasms - surgery ; Esophagectomy ; Esophagectomy - methods ; Esophagus ; Female ; Fluid Therapy ; Humans ; Isotonic Solutions ; Male ; Medical sciences ; Middle Aged ; Nutrition ; Nutritional Status ; Plasma Substitutes - therapeutic use ; Postoperative Care - methods ; Postoperative Complications ; Rehydration Solutions - therapeutic use ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>European journal of cardio-thoracic surgery, 2002-11, Vol.22 (5), p.666-672</ispartof><rights>Elsevier Science B.V. © 2002 Elsevier Science B.V. 2002</rights><rights>2003 INIST-CNRS</rights><rights>Copyright 2002 Elsevier Science B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c548t-3036db03da68f371b963d88f544b361e7d3e5a5955c86745ae398a18b4c51a673</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14001496$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12414028$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Page, Richard D.</creatorcontrib><creatorcontrib>Oo, Aung Y.</creatorcontrib><creatorcontrib>Russell, Glen N.</creatorcontrib><creatorcontrib>Pennefather, Stephen H.</creatorcontrib><title>Intravenous hydration versus naso-jejunal enteral feeding after esophagectomy: a randomised study</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><addtitle>Eur J Cardiothorac Surg</addtitle><description>Objective: Patients undergoing esophagectomy are typically nutritionally depleted and cannot establish oral feeding for up to a week after surgery. We have investigated the routine use of enteral feeding via a naso-jejunal tube. Methods: Forty consecutive patients undergoing a transthoracic esophagectomy for cancer were randomised to receive enteral feeding or intravenous crystalloid fluids after surgery. Nutritional indices were obtained prior to surgery and on the 7th post-operative day. Results: There were no post-operative deaths. Non-fatal complications occurred in 10 patients, without difference in morbidity between the two groups. Lean body mass did not change in either group over the study period. No differences in any other parameters were identified between the two groups. Conclusion: Enteral feeding via a naso-jejunal tube is safe and well tolerated after esophagectomy. It is a simple method of providing nutritional support prior to the re-introduction of oral feeding. However it provides no measurable benefit over intravenous hydration only for patients undergoing routine esophagectomy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Crystalloid Solutions</subject><subject>Enteral feeding</subject><subject>Enteral Nutrition - instrumentation</subject><subject>Enteral Nutrition - methods</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy</subject><subject>Esophagectomy - methods</subject><subject>Esophagus</subject><subject>Female</subject><subject>Fluid Therapy</subject><subject>Humans</subject><subject>Isotonic Solutions</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Plasma Substitutes - therapeutic use</subject><subject>Postoperative Care - methods</subject><subject>Postoperative Complications</subject><subject>Rehydration Solutions - therapeutic use</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE9v1DAQxS0Eou2WjwDKBVQOBjv-m97QCmjVSiC1oBUXaxJP2ixZZ7GTiv32eLtLKyQuHtv6vXkzj5CXnL3jjOv3V_lk1FSSnbDyLWPSVnTxhBxyawQ1Qi6e5vtf5IAcpbRkjGlRmufkgJeSS1baQwLnYYxwh2GYUnG78RHGbgjFHcaUPwKkgS5xOQXoCwwjxlxbRN-FmwLa_C4wDetbuMFmHFab0wKKCMEPqy6hL9I4-c0xedZCn_DFvs7It08fr-dn9PLL5_P5h0vaKGlHKpjQvmbCg7atMLyutPDWtkrKWmiOxgtUoCqlGquNVICissBtLRvFQRsxI292fddx-DVhGl0eosG-h4B5OWdKndsKnkG1A5s4pBSxdevYrSBuHGdum627z9Ztg3OsdPfZukXWvdobTPUK_aNqH2YGXu8BSA30bU6i6dIjJxnjMq81I2zHDdP6_970H2-69aY7SZdG_P0ggvjT5dWNcmeLH058n1df9cV1nvUP5PSf-w</recordid><startdate>20021101</startdate><enddate>20021101</enddate><creator>Page, Richard D.</creator><creator>Oo, Aung Y.</creator><creator>Russell, Glen N.</creator><creator>Pennefather, Stephen H.</creator><general>Elsevier Science B.V</general><general>Elsevier Science</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20021101</creationdate><title>Intravenous hydration versus naso-jejunal enteral feeding after esophagectomy: a randomised study</title><author>Page, Richard D. ; Oo, Aung Y. ; Russell, Glen N. ; Pennefather, Stephen H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c548t-3036db03da68f371b963d88f544b361e7d3e5a5955c86745ae398a18b4c51a673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Crystalloid Solutions</topic><topic>Enteral feeding</topic><topic>Enteral Nutrition - instrumentation</topic><topic>Enteral Nutrition - methods</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy</topic><topic>Esophagectomy - methods</topic><topic>Esophagus</topic><topic>Female</topic><topic>Fluid Therapy</topic><topic>Humans</topic><topic>Isotonic Solutions</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Plasma Substitutes - therapeutic use</topic><topic>Postoperative Care - methods</topic><topic>Postoperative Complications</topic><topic>Rehydration Solutions - therapeutic use</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Page, Richard D.</creatorcontrib><creatorcontrib>Oo, Aung Y.</creatorcontrib><creatorcontrib>Russell, Glen N.</creatorcontrib><creatorcontrib>Pennefather, Stephen H.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Page, Richard D.</au><au>Oo, Aung Y.</au><au>Russell, Glen N.</au><au>Pennefather, Stephen H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intravenous hydration versus naso-jejunal enteral feeding after esophagectomy: a randomised study</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><stitle>Eur J Cardiothorac Surg</stitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>22</volume><issue>5</issue><spage>666</spage><epage>672</epage><pages>666-672</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><coden>EJCSE7</coden><abstract>Objective: Patients undergoing esophagectomy are typically nutritionally depleted and cannot establish oral feeding for up to a week after surgery. We have investigated the routine use of enteral feeding via a naso-jejunal tube. Methods: Forty consecutive patients undergoing a transthoracic esophagectomy for cancer were randomised to receive enteral feeding or intravenous crystalloid fluids after surgery. Nutritional indices were obtained prior to surgery and on the 7th post-operative day. Results: There were no post-operative deaths. Non-fatal complications occurred in 10 patients, without difference in morbidity between the two groups. Lean body mass did not change in either group over the study period. No differences in any other parameters were identified between the two groups. Conclusion: Enteral feeding via a naso-jejunal tube is safe and well tolerated after esophagectomy. It is a simple method of providing nutritional support prior to the re-introduction of oral feeding. However it provides no measurable benefit over intravenous hydration only for patients undergoing routine esophagectomy.</abstract><cop>Amsterdam</cop><pub>Elsevier Science B.V</pub><pmid>12414028</pmid><doi>10.1016/S1010-7940(02)00489-X</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Crystalloid Solutions Enteral feeding Enteral Nutrition - instrumentation Enteral Nutrition - methods Esophageal Neoplasms - surgery Esophagectomy Esophagectomy - methods Esophagus Female Fluid Therapy Humans Isotonic Solutions Male Medical sciences Middle Aged Nutrition Nutritional Status Plasma Substitutes - therapeutic use Postoperative Care - methods Postoperative Complications Rehydration Solutions - therapeutic use Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Intravenous hydration versus naso-jejunal enteral feeding after esophagectomy: a randomised study |
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