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Supportive nutritio...
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Hyltander, Anders,1954Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
(författare)
Supportive nutrition on recovery of metabolism, nutritional state, health-related quality of life, and exercise capacity after major surgery: a randomized study
- Artikel/kapitelEngelska2005
Förlag, utgivningsår, omfång ...
Nummerbeteckningar
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LIBRIS-ID:oai:gup.ub.gu.se/50275
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https://gup.ub.gu.se/publication/50275URI
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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BACKGROUND & AIMS: The aim of this study was to investigate whether specialized supportive enteral and parenteral feeding have superior effects compared to oral nutrition on recovery during long-term postoperative treatment of cancer patients with preoperative weight loss and reduced maximum exercise capacity. METHODS: One hundred twenty-six patients referred for resection of the esophagus (n = 48), stomach (n = 28), or pancreas (n = 50) were considered to be included before operation. Included patients (n = 80) received supportive enteral or parenteral nutrition postoperatively at home corresponding to 1000 kcal/d until the patients did not wish to continue with artificial nutrition for any reason. Patients randomized to oral nutrition only served as control subjects. Caloric intake, body composition (dual-energy x-ray absorptiometry), and respiratory gas exchanges at rest and during exercise were measured including health-related quality of life. RESULTS: Survival and hospital stay did not differ among the groups, whereas overall complications were higher on artificial nutrition (P < .05). Changes in resting energy expenditure and biochemical tests did not differ during follow-up among the groups. Body weight and whole body fat declined similarly over time in all groups (P < .005), whereas lean body mass was unchanged during follow-up compared to preoperative values. Maximum exercise capacity and maximum oxygen consumption were normalized within 6 months postoperatively in all groups. There was no difference in recovery of food intake among the groups. Parenteral feeding was associated with the highest rate of nutrition-related complications, whereas enteral feeding reduced quality of life most extensively. CONCLUSION: After major surgery, specialized supportive enteral and parenteral nutrition are not superior to oral nutrition only when guided by a dietitian.
Ämnesord och genrebeteckningar
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Body Composition
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Dietary Proteins/administration & dosage
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Energy Intake
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Energy Metabolism
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Esophagus/*surgery
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Exercise Tolerance
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Female
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Humans
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Length of Stay
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Male
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Middle Aged
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Neoplasms/surgery
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Nutritional Support/adverse effects/*methods
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Oxygen Consumption
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Pancreas/*surgery
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*Postoperative Care
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Pulmonary Gas Exchange
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Quality of Life
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Recovery of Function
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Stomach/*surgery
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Treatment Outcome
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Bosaeus, Ingvar,1950Gothenburg University,Göteborgs universitet,Institutionen för invärtesmedicin, Avdelningen för klinisk näringslära,Institute of Internal Medicine, Dept of Clinical Nutrition(Swepub:gu)xbosin
(författare)
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Svedlund, Jan,1949Gothenburg University,Göteborgs universitet,Institutionen för klinisk neurovetenskap, Sektionen för psykiatri,Institute of Clinical Neurosciences, Section of Psychiatry(Swepub:gu)xsvedj
(författare)
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Liedman, Bengt,1954Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
(författare)
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Hugosson, I.
(författare)
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Wallengren, O.
(författare)
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Olsson, U.
(författare)
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Johnsson, Erik,1966Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery(Swepub:gu)xjoher
(författare)
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Kostic, Srdjan,1958Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery(Swepub:gu)xkossr
(författare)
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Henningsson, A.
(författare)
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Körner, Ulla,1944Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery(Swepub:gu)xkorul
(författare)
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Lundell, L.
(författare)
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Lundholm, Kent,1945Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery(Swepub:gu)xlunke
(författare)
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Göteborgs universitetInstitutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Clinical gastroenterology and hepatology3:5, s. 466-741542-3565
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Hyltander, Ander ...
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Bosaeus, Ingvar, ...
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Svedlund, Jan, 1 ...
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Liedman, Bengt, ...
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Hugosson, I.
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Wallengren, O.
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Olsson, U.
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Johnsson, Erik, ...
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Kostic, Srdjan, ...
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Henningsson, A.
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Körner, Ulla, 19 ...
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Lundell, L.
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Lundholm, Kent, ...
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