Nutritional support: a prophylaxis against stress bleeding after spinal cord injury

The incidence of upper gastrointestinal (UGI) bleeding and the effect of nutritional support was studied retrospectively in 166 spinal cord injured patients. Sixty six patients included in group 1 were started on oral diet when 'clinically ready' which resulted in a haphazard manner for pr...

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Veröffentlicht in:Paraplegia 1989-04, Vol.27 (2), p.140-145
Hauptverfasser: KURIC, J, LUCAS, C. E, LEDGERWOOD, A. M, KIRALY, A, SALCICCIOLI, G. G, SUGAWA, C
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container_end_page 145
container_issue 2
container_start_page 140
container_title Paraplegia
container_volume 27
creator KURIC, J
LUCAS, C. E
LEDGERWOOD, A. M
KIRALY, A
SALCICCIOLI, G. G
SUGAWA, C
description The incidence of upper gastrointestinal (UGI) bleeding and the effect of nutritional support was studied retrospectively in 166 spinal cord injured patients. Sixty six patients included in group 1 were started on oral diet when 'clinically ready' which resulted in a haphazard manner for provision of nutrition. One hundred patients in group 2 were treated according to an organised nutrition protocol. The protocol initiates total parental nutrition (TPN) if the patient is not tolerating an oral diet by day 5. All group 2 patients met their total energy requirements (TER) within 48 hours after initiating caloric supplementation. The overall incidence of acute acid peptic ulceration leading to significant bleeding or perforation was 4%. Five of the 66 group 1 patients (7.5%) and 2 of the 100 group 2 patients (2%) developed acute ulcerations. While the exact mechanism remains unclear, this significant (p less than 0.05) reduction indicates that a nutritional regimen that meets a patients TER decreases the likelihood of acid peptic complications after spinal cord injury.
doi_str_mv 10.1038/sc.1989.21
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source MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Adult
Biological and medical sciences
Cerebrospinal fluid. Meninges. Spinal cord
Female
Gastric Acid
Gastrointestinal Hemorrhage - prevention & control
Humans
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Nose
Parenteral Nutrition, Total
Spinal Cord Injuries - complications
Stomach Ulcer - complications
Stomach Ulcer - etiology
Stress, Physiological - complications
Suction
title Nutritional support: a prophylaxis against stress bleeding after spinal cord injury
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