PMID: 2506374Jul 1, 1989Paper

Esophagogastric decompression and enteral feeding following cholecystectomy: a controlled, randomized prospective trial

JPEN. Journal of Parenteral and Enteral Nutrition
M F ElmoreP S Strange

Abstract

One hundred fourteen patients scheduled to undergo elective cholecystectomy were prospectively randomized into one of four treatment groups to study the potential benefits of esophagogastric decompression with and without immediate postoperative enteral nutrition. Group I was the control, and patients received only iv fluids and were allowed to eat as tolerated. Group II patients received iv fluids and esophagogastric decompression. Group III patients received esophagogastric decompression and enteral sterile water through the duodenal feeding lumen. Group IV patients received esophagogastric decompression and infusion of an elemental diet through the feeding lumen. The surgical techniques were standardized for all patients. The results of the study indicated no statistically or clinically significant differences among any of the treatment groups regarding; (1) need for parenteral analgesics or antiemetics, (2) tolerance of regular diet, (3) postoperative day of discharge, and (4) postoperative day that other discharge criteria were met. It is concluded that there is no objective benefit to the routine use of esophagogastric decompression with or without enteral nutrition in elective cholecystectomy patients.

Citations

Aug 7, 2004·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Niels JohansenAnette Martinsen
Sep 27, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·D B A Silk
Nov 21, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Andrea Kopp LugliFranco Carli
May 16, 2006·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·A WeimannUNKNOWN ESPEN (European Society for Parenteral and Enteral Nutrition)
Dec 1, 1990·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·R L Koretz
May 1, 1992·JPEN. Journal of Parenteral and Enteral Nutrition·G L Hill
May 20, 2017·The Cochrane Database of Systematic Reviews·Joshua FeinbergJanus C Jakobsen
Apr 7, 2007·European Journal of Gastroenterology & Hepatology·Rebecca J Stratton, Marinos Elia
Nov 24, 1999·Current Opinion in Clinical Nutrition and Metabolic Care·D B Silk, C J Green
Jun 1, 1997·Alimentary Pharmacology & Therapeutics·J Ofman, R L Koretz
Jul 10, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Arved WeimannPierre Singer

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