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Efficacy of Enteral Nutrition by Double Elementary Diet Tube after Pylorus-Preserving Pancreatoduodenectomy
Nutritional support after pylorus-preserving pancreaticoduodenectomy (PpPD) is still controversial. This study aimed to evaluate the efficacy of enteral nutrition (EN) via the double elementary diet (W-ED) tube after PpPD. One hundred two patients who received EN by the W-ED tube were compared with...
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| Published in: | The American surgeon 2019-04, Vol.85 (4), p.359-364 |
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| container_end_page | 364 |
| container_issue | 4 |
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| container_title | The American surgeon |
| container_volume | 85 |
| creator | Sano, Toru Chiba, Naokazu Gunji, Takahiro Ozawa, Yosuke Hikita, Kosuke Okihara, Masaaki Tomita, Koichi Oshima, Go Takano, Kiminori Abe, Yuta Shimazu, Motohide Kawachi, Shigeyuki |
| description | Nutritional support after pylorus-preserving pancreaticoduodenectomy (PpPD) is still controversial. This study aimed to evaluate the efficacy of enteral nutrition (EN) via the double elementary diet (W-ED) tube after PpPD. One hundred two patients who received EN by the W-ED tube were compared with 52 patients who received total parental nutrition (TPN) previously. Clinicopatho-logical and postoperative features were analyzed among the two groups. Patients with EN by the W-ED tube after PpPD had a lower incidence of postoperative pancreatic fistula than those with TPN. The total protein and albumin levels on discharge in the EN group were significantly higher than those in the TPN group. In the case without complication, decreasing rate of the third lumbar vertebra skeletal muscle area was significantly lower in the EN group. In the cases of soft pancreas, drainage volume by the W-ED tube until four postoperative day was significantly larger in the case without postoperative pancreatic fistula. The W-ED tube offers the advantages of reducing gastrointestinal pressure and enabling reduction of complications after PpPD surgery. |
| doi_str_mv | 10.1177/000313481908500425 |
| format | article |
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This study aimed to evaluate the efficacy of enteral nutrition (EN) via the double elementary diet (W-ED) tube after PpPD. One hundred two patients who received EN by the W-ED tube were compared with 52 patients who received total parental nutrition (TPN) previously. Clinicopatho-logical and postoperative features were analyzed among the two groups. Patients with EN by the W-ED tube after PpPD had a lower incidence of postoperative pancreatic fistula than those with TPN. The total protein and albumin levels on discharge in the EN group were significantly higher than those in the TPN group. In the case without complication, decreasing rate of the third lumbar vertebra skeletal muscle area was significantly lower in the EN group. In the cases of soft pancreas, drainage volume by the W-ED tube until four postoperative day was significantly larger in the case without postoperative pancreatic fistula. The W-ED tube offers the advantages of reducing gastrointestinal pressure and enabling reduction of complications after PpPD surgery.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481908500425</identifier><identifier>PMID: 31043195</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cancer ; Complications ; Diet ; Enteral nutrition ; Enteral Nutrition - instrumentation ; Enteral Nutrition - methods ; Female ; Fistula ; Fistulae ; Humans ; Incidence ; Male ; Malnutrition - epidemiology ; Malnutrition - etiology ; Malnutrition - prevention & control ; Middle Aged ; Morbidity ; Mortality ; Muscles ; Musculoskeletal system ; Nutrition ; Nutrition research ; Ostomy ; Pancreas ; Pancreatic Fistula - epidemiology ; Pancreatic Fistula - etiology ; Pancreatic Fistula - prevention & control ; Pancreaticoduodenectomy ; Parenteral nutrition ; Postoperative Care - instrumentation ; Postoperative Care - methods ; Postoperative Complications - epidemiology ; Postoperative Complications - prevention & control ; Pylorus - surgery ; Retrospective Studies ; Sarcopenia ; Skeletal muscle ; Studies ; Surgery ; Surgical outcomes ; Treatment Outcome ; Tungsten ; Vertebrae</subject><ispartof>The American surgeon, 2019-04, Vol.85 (4), p.359-364</ispartof><rights>2019 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Apr 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-909e8d230b2f84b0e18c09833ee7ea6da982ccc938a472e17bdc43875e60338e3</citedby><cites>FETCH-LOGICAL-c415t-909e8d230b2f84b0e18c09833ee7ea6da982ccc938a472e17bdc43875e60338e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924,79135</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31043195$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sano, Toru</creatorcontrib><creatorcontrib>Chiba, Naokazu</creatorcontrib><creatorcontrib>Gunji, Takahiro</creatorcontrib><creatorcontrib>Ozawa, Yosuke</creatorcontrib><creatorcontrib>Hikita, Kosuke</creatorcontrib><creatorcontrib>Okihara, Masaaki</creatorcontrib><creatorcontrib>Tomita, Koichi</creatorcontrib><creatorcontrib>Oshima, Go</creatorcontrib><creatorcontrib>Takano, Kiminori</creatorcontrib><creatorcontrib>Abe, Yuta</creatorcontrib><creatorcontrib>Shimazu, Motohide</creatorcontrib><creatorcontrib>Kawachi, Shigeyuki</creatorcontrib><title>Efficacy of Enteral Nutrition by Double Elementary Diet Tube after Pylorus-Preserving Pancreatoduodenectomy</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Nutritional support after pylorus-preserving pancreaticoduodenectomy (PpPD) is still controversial. This study aimed to evaluate the efficacy of enteral nutrition (EN) via the double elementary diet (W-ED) tube after PpPD. One hundred two patients who received EN by the W-ED tube were compared with 52 patients who received total parental nutrition (TPN) previously. Clinicopatho-logical and postoperative features were analyzed among the two groups. Patients with EN by the W-ED tube after PpPD had a lower incidence of postoperative pancreatic fistula than those with TPN. The total protein and albumin levels on discharge in the EN group were significantly higher than those in the TPN group. In the case without complication, decreasing rate of the third lumbar vertebra skeletal muscle area was significantly lower in the EN group. In the cases of soft pancreas, drainage volume by the W-ED tube until four postoperative day was significantly larger in the case without postoperative pancreatic fistula. The W-ED tube offers the advantages of reducing gastrointestinal pressure and enabling reduction of complications after PpPD surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cancer</subject><subject>Complications</subject><subject>Diet</subject><subject>Enteral nutrition</subject><subject>Enteral Nutrition - instrumentation</subject><subject>Enteral Nutrition - methods</subject><subject>Female</subject><subject>Fistula</subject><subject>Fistulae</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Malnutrition - epidemiology</subject><subject>Malnutrition - etiology</subject><subject>Malnutrition - prevention & control</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Muscles</subject><subject>Musculoskeletal system</subject><subject>Nutrition</subject><subject>Nutrition research</subject><subject>Ostomy</subject><subject>Pancreas</subject><subject>Pancreatic Fistula - epidemiology</subject><subject>Pancreatic Fistula - etiology</subject><subject>Pancreatic Fistula - prevention & control</subject><subject>Pancreaticoduodenectomy</subject><subject>Parenteral nutrition</subject><subject>Postoperative Care - instrumentation</subject><subject>Postoperative Care - methods</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Pylorus - surgery</subject><subject>Retrospective Studies</subject><subject>Sarcopenia</subject><subject>Skeletal muscle</subject><subject>Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Tungsten</subject><subject>Vertebrae</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kctq20AUhofS0DhpX6CLMtBNNornKs0sg-NcICReuGsxGh0ZuZLGmUvAb58xTltoIKvDOXz_f24IfafkktKqmhNCOOVCUU2UJEQw-QnNqJSy0Irxz2h2AIoDcYrOQtjmVJSSfkGnnBLBqZYz9HvZdb01do9dh5dTBG8G_Jii72PvJtzs8bVLzQB4OcAIUzQ-V3qIeJ0awKbLArzaD86nUKw8BPAv_bTBKzNZDya6NrkWJrDRjfuv6KQzQ4Bvb_Ec_bpZrhd3xcPT7f3i6qGwgspYaKJBtYyThnVKNASoskQrzgEqMGVr8nbWWs2VERUDWjWtFVxVEkrCuQJ-ji6OvjvvnhOEWI99sDAMZgKXQs0YVVprUeqM_vwP3brkpzxdprjQJaGUZYodKetdCB66euf7MZ-ipqQ-vKJ-_4os-vFmnZoR2r-SP7fPwPwIBLOBf30_sHwFGzKQ9Q</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Sano, Toru</creator><creator>Chiba, Naokazu</creator><creator>Gunji, Takahiro</creator><creator>Ozawa, Yosuke</creator><creator>Hikita, Kosuke</creator><creator>Okihara, Masaaki</creator><creator>Tomita, Koichi</creator><creator>Oshima, Go</creator><creator>Takano, Kiminori</creator><creator>Abe, Yuta</creator><creator>Shimazu, Motohide</creator><creator>Kawachi, Shigeyuki</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><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>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201904</creationdate><title>Efficacy of Enteral Nutrition by Double Elementary Diet Tube after Pylorus-Preserving Pancreatoduodenectomy</title><author>Sano, Toru ; Chiba, Naokazu ; Gunji, Takahiro ; Ozawa, Yosuke ; Hikita, Kosuke ; Okihara, Masaaki ; Tomita, Koichi ; Oshima, Go ; Takano, Kiminori ; Abe, Yuta ; Shimazu, Motohide ; Kawachi, Shigeyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-909e8d230b2f84b0e18c09833ee7ea6da982ccc938a472e17bdc43875e60338e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cancer</topic><topic>Complications</topic><topic>Diet</topic><topic>Enteral nutrition</topic><topic>Enteral Nutrition - instrumentation</topic><topic>Enteral Nutrition - methods</topic><topic>Female</topic><topic>Fistula</topic><topic>Fistulae</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Malnutrition - epidemiology</topic><topic>Malnutrition - etiology</topic><topic>Malnutrition - prevention & control</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Muscles</topic><topic>Musculoskeletal system</topic><topic>Nutrition</topic><topic>Nutrition research</topic><topic>Ostomy</topic><topic>Pancreas</topic><topic>Pancreatic Fistula - epidemiology</topic><topic>Pancreatic Fistula - etiology</topic><topic>Pancreatic Fistula - prevention & control</topic><topic>Pancreaticoduodenectomy</topic><topic>Parenteral nutrition</topic><topic>Postoperative Care - instrumentation</topic><topic>Postoperative Care - methods</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Pylorus - 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Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sano, Toru</au><au>Chiba, Naokazu</au><au>Gunji, Takahiro</au><au>Ozawa, Yosuke</au><au>Hikita, Kosuke</au><au>Okihara, Masaaki</au><au>Tomita, Koichi</au><au>Oshima, Go</au><au>Takano, Kiminori</au><au>Abe, Yuta</au><au>Shimazu, Motohide</au><au>Kawachi, Shigeyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Enteral Nutrition by Double Elementary Diet Tube after Pylorus-Preserving Pancreatoduodenectomy</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2019-04</date><risdate>2019</risdate><volume>85</volume><issue>4</issue><spage>359</spage><epage>364</epage><pages>359-364</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>Nutritional support after pylorus-preserving pancreaticoduodenectomy (PpPD) is still controversial. This study aimed to evaluate the efficacy of enteral nutrition (EN) via the double elementary diet (W-ED) tube after PpPD. One hundred two patients who received EN by the W-ED tube were compared with 52 patients who received total parental nutrition (TPN) previously. Clinicopatho-logical and postoperative features were analyzed among the two groups. Patients with EN by the W-ED tube after PpPD had a lower incidence of postoperative pancreatic fistula than those with TPN. The total protein and albumin levels on discharge in the EN group were significantly higher than those in the TPN group. In the case without complication, decreasing rate of the third lumbar vertebra skeletal muscle area was significantly lower in the EN group. In the cases of soft pancreas, drainage volume by the W-ED tube until four postoperative day was significantly larger in the case without postoperative pancreatic fistula. The W-ED tube offers the advantages of reducing gastrointestinal pressure and enabling reduction of complications after PpPD surgery.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>31043195</pmid><doi>10.1177/000313481908500425</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Cancer Complications Diet Enteral nutrition Enteral Nutrition - instrumentation Enteral Nutrition - methods Female Fistula Fistulae Humans Incidence Male Malnutrition - epidemiology Malnutrition - etiology Malnutrition - prevention & control Middle Aged Morbidity Mortality Muscles Musculoskeletal system Nutrition Nutrition research Ostomy Pancreas Pancreatic Fistula - epidemiology Pancreatic Fistula - etiology Pancreatic Fistula - prevention & control Pancreaticoduodenectomy Parenteral nutrition Postoperative Care - instrumentation Postoperative Care - methods Postoperative Complications - epidemiology Postoperative Complications - prevention & control Pylorus - surgery Retrospective Studies Sarcopenia Skeletal muscle Studies Surgery Surgical outcomes Treatment Outcome Tungsten Vertebrae |
| title | Efficacy of Enteral Nutrition by Double Elementary Diet Tube after Pylorus-Preserving Pancreatoduodenectomy |
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