Merkle N M, Wiedeck H, Herfarth C, Grünert A
Chirurg. 1984 Apr;55(4):267-74.
In a prospective randomized study 40 patients after elective colonic surgery were investigated to assess the value of early postoperative enteral feeding versus parenteral feeding. Twenty patients received from the first postoperative day until the sixth postoperative morning a diet consisting of carbohydrates, fat, and short-chain peptides via a fine bore feeding tube placed in the proximal jejunum. Twenty patients of the control group were treated with standard intravenous fluids consisting of carbohydrates and aminoacids via infusion into a central vein. The general condition of the enterally fed patients was satisfactory, the diet was tolerated well and severe side-effects were not seen. The metabolic parameters showed no severe disturbance, a positive nitrogen balance was achieved within the second postoperative day. Body composition measurements were similar in both groups. The enteral route for the application of nutrients is a definite alternative to parenteral nutrition in patients after elective colonic surgery.
在一项前瞻性随机研究中，对40例择期结肠手术后的患者进行了调查，以评估术后早期肠内营养与肠外营养的价值。20例患者从术后第一天至术后第六个早晨，通过置于空肠近端的细孔饲管接受由碳水化合物、脂肪和短链肽组成的饮食。对照组的20例患者通过中心静脉输注接受由碳水化合物和氨基酸组成的标准静脉输液治疗。肠内营养患者的一般状况良好，饮食耐受性良好，未观察到严重副作用。代谢参数未显示严重紊乱，术后第二天内实现了正氮平衡。两组的身体成分测量结果相似。在择期结肠手术后的患者中，肠内营养途径是肠外营养的明确替代方案。
