| Title: | Impact of elemental diet on early recovery after laparoscopic colectomy : findings of a randomized controlled trial |
| Other Titles: | Elemental Diet in Lap Colon |
| Authors: | Shichinohe, Toshiaki Browse this author →KAKEN DB |
| Sasaki, Takeshi Browse this author |
| Kitashiro, Shuji Browse this author |
| Morita, Takayuki Browse this author |
| Ono, Koichi Browse this author |
| Senmaru, Naoto Browse this author |
| Ikeda, Junichi Browse this author |
| Kojima, Tetsufumi Browse this author |
| Kyogoku, Noriaki Browse this author |
| Yamada, Hidehisa Browse this author |
| Sato, Nagato Browse this author |
| Kato, Kentaro Browse this author →KAKEN DB |
| Murakami, Soichi Browse this author |
| Ebihara, Yuma Browse this author →KAKEN DB |
| Kurashima, Yo Browse this author →KAKEN DB |
| Tamoto, Eiji Browse this author |
| Noji, Takehiro Browse this author →KAKEN DB |
| Nakamura, Toru Browse this author →KAKEN DB |
| Okamura, Keisuke Browse this author |
| Tsuchikawa, Takahiro Browse this author →KAKEN DB |
| Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | elemental diet |
| laparoscopic colectomy |
| estimated minimum length of stay in hospital |
| Issue Date: | Feb-2017 |
| Publisher: | Springer |
| Journal Title: | Surgery Today |
| Volume: | 47 |
| Issue: | 2 |
| Start Page: | 166 |
| End Page: | 173 |
| Publisher DOI: | 10.1007/s00595-016-1365-x |
| PMID: | 27324516 |
| Abstract: | 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 link.springer.com |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/68671 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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