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Impact of elemental diet on early recovery after laparoscopic colectomy : findings of a randomized controlled trial

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タイトル: Impact of elemental diet on early recovery after laparoscopic colectomy : findings of a randomized controlled trial
その他のタイトル: Elemental Diet in Lap Colon
著者: Shichinohe, Toshiaki 著作を一覧する
Sasaki, Takeshi 著作を一覧する
Kitashiro, Shuji 著作を一覧する
Morita, Takayuki 著作を一覧する
Ono, Koichi 著作を一覧する
Senmaru, Naoto 著作を一覧する
Ikeda, Junichi 著作を一覧する
Kojima, Tetsufumi 著作を一覧する
Kyogoku, Noriaki 著作を一覧する
Yamada, Hidehisa 著作を一覧する
Sato, Nagato 著作を一覧する
Kato, Kentaro 著作を一覧する
Murakami, Soichi 著作を一覧する
Ebihara, Yuma 著作を一覧する
Kurashima, Yo 著作を一覧する
Tamoto, Eiji 著作を一覧する
Noji, Takehiro 著作を一覧する
Nakamura, Toru 著作を一覧する
Okamura, Keisuke 著作を一覧する
Tsuchikawa, Takahiro 著作を一覧する
Hirano, Satoshi 著作を一覧する
キーワード: elemental diet
laparoscopic colectomy
estimated minimum length of stay in hospital
発行日: 2017年 2月
出版者: Springer
誌名: Surgery Today
巻: 47
号: 2
開始ページ: 166
終了ページ: 173
出版社 DOI: 10.1007/s00595-016-1365-x
抄録: Purpose: An amino acid-containing elemental diet (ED) does not require digestion for nutritional absorption, making it a good option for patients with gastrointestinal malabsorption. We conducted a randomized trial to confirm that perioperative ED enhanced the recovery of patients undergoing laparoscopic colectomy. Methods: Patients in the intervention arm received commercially available ED from the day prior to surgery until postoperative day (POD) 3, whereas patients in the control group received a conventional perioperative diet program. To verify the endpoints, "estimated minimum length of stay in hospital after surgery" (emLOS) was defined as the number of days necessary to reach all the five criteria; namely, "sufficient oral intake", "sufficient pain control", "withdrawal of intravenous alimentation", "no abnormal findings in routine examinations", and "no rise in fever". Results: A total of 102 patients were randomized, 94 of whom were analyzed (ED 45, control 49). There was no morbidity or mortality. Shorter emLOS (POD 4 vs. POD 7; p = 0.018), earlier resumption of sufficient oral intake (POD 3 vs. POD 4; p = 0.034) and faster recovery to defecation (2.2 vs. 3.1 days; p = 0.005) were observed in the ED group vs. the control group. Conclusions: The perioperative ingestion of ED by patients undergoing laparoscopic colectomy is safe and can reduce the postoperative hospital stay by supporting the acceleration of oral intake.
Rights: The final publication is available at
資料タイプ: article (author version)
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 七戸 俊明


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