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Supportive nutritio...
Supportive nutrition on recovery of metabolism, nutritional state, health-related quality of life, and exercise capacity after major surgery: a randomized study
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- Hyltander, Anders, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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- Bosaeus, Ingvar, 1950 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för invärtesmedicin, Avdelningen för klinisk näringslära,Institute of Internal Medicine, Dept of Clinical Nutrition
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- Svedlund, Jan, 1949 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för klinisk neurovetenskap, Sektionen för psykiatri,Institute of Clinical Neurosciences, Section of Psychiatry
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- Liedman, Bengt, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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Hugosson, I. (author)
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Wallengren, O. (author)
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Olsson, U. (author)
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- Johnsson, Erik, 1966 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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- Kostic, Srdjan, 1958 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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Henningsson, A. (author)
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- Körner, Ulla, 1944 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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Lundell, L. (author)
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- Lundholm, Kent, 1945 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery
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(creator_code:org_t)
- 2005
- 2005
- English.
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In: Clinical gastroenterology and hepatology. - 1542-3565. ; 3:5, s. 466-74
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Abstract
Subject headings
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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.
Keyword
- Body Composition
- Dietary Proteins/administration & dosage
- Energy Intake
- Energy Metabolism
- Esophagus/*surgery
- Exercise Tolerance
- Female
- Humans
- Length of Stay
- Male
- Middle Aged
- Neoplasms/surgery
- Nutritional Support/adverse effects/*methods
- Oxygen Consumption
- Pancreas/*surgery
- *Postoperative Care
- Pulmonary Gas Exchange
- Quality of Life
- Recovery of Function
- Stomach/*surgery
- Treatment Outcome
Publication and Content Type
- ref (subject category)
- art (subject category)
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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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- Articles in the publication
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Clinical gastroe ...
- By the university
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University of Gothenburg