Evaluation of Feeding Jejunostomy Vs Total Parenteral Nutrition in High Risk Surgical Patients

Authors

1 Prof. Dr. of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo. Egypt

2 Assist. Prof. of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo. Egypt

3 MBBCH of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo. Egypt

Abstract

Background: Nutritional support continues to be a vital component in the care of the surgical patients. While its routine use in the healthy elective surgical patient is rarely necessary, it is indicated in severely catabolic patients or in the individual who cannot eat for a long period. Other factors influencing the need for nutritional support includes the age of the patient, the existence of malnutrition as well as its severity and presence of cancer cachexia. Aim & objectives: to evaluate feeding jejunostomy as a route of enteral nutrition in comparison with total parenteral nutrition (TPN) in high-risk surgical persons. Subjects & methods: This prospective controlled trial was conducted in the department of surgery, Al-Azhar university hospitals son 40 high risk surgical patients in whom major gastrointestinal surgeries were contemplated. Every individual was randomly assigned to one of two groups. Result: There was a significant variance amongst the groups regarding postoperative albumin. There was no significant alteration amongst the groups regarding Demographic characteristics, Comorbidities, Clinical presentation, type of operation, Operative data and general or local complications. The most found complication among group A was colic (15%) followed by abdominal distention and diarrhea (10%). Conclusion: enteral nutrition via jejunostomy tube is a safe technique and can significantly decrease the need of postoperative albumin infusion compared with total parenteral nutrition. Both strategies were comparable in outcome and the incidence of complications.

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