Merkle N M, Dölp R, Wiedeck H
Chirurg. 1980 Aug;51(8):524-8.
To assess the value of early postoperative feeding with a chemically defined oligopeptide diet, 20 patients were examined after cholecystectomy. The patients were randomly selected for conventional treatment (water, electrolytes, and carbohydrates by intravenous route) or for feeding with the elementary diet (water, electrolytes, carbohydrates, fat short-chain peptides via a jejunal tube). The clinical and metabolic course of the ten patients fed with the elementary diet was good; they had a positive nitrogen balance by the second postoperative day. The results suggest that enteral tube feeding with a chemically defined oligopeptide diet is possible even in the early postoperative period after gastrointestinal operations and perhaps a definite alternative to parenteral nutrition.
为评估术后早期给予化学定义的寡肽饮食的价值，对20例胆囊切除术后患者进行了检查。这些患者被随机分为接受常规治疗组（通过静脉途径补充水、电解质和碳水化合物）或接受要素饮食组（通过空肠管补充水、电解质、碳水化合物、脂肪、短链肽）。接受要素饮食的10例患者的临床和代谢过程良好；术后第二天他们就实现了正氮平衡。结果表明，即使在胃肠道手术后的早期，给予化学定义的寡肽饮食进行肠内管饲也是可行的，并且可能是肠外营养的一种明确替代方法。
