Use of three lumen catheter facilitates bowel movement after pancreato-duodenectomy

Judit Hallay, Cs Micskei, B. Fülesdi, G. Kovács, Zs Szentkereszty, I. Takács, S. Sipka, E. Bodolay, P. Sápy

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Abstract

Background/Aims: The advantages of jejunal nutrition in postoperative bowel paralysis following pancreatoduodenectomy were analyzed. Methodology: Patients resected for pancreatic cancer received 25kcal/kg/day and were followed up for 10 days postoperatively. Nasojejunal tube ensured enteral feeding in 16 patients (Gr. I), 6 patients (Gr. II) were nourished parenterally. Laboratory parameters, outcome were compared. Bowel movements were registered. Patients of Gr.1 received 25kcal/kg parenterally. Jejunal nutriment (1.5 cal/mL) followed gradually up to 1500mL. Parenteral nutriment decreased reflecting enteral intake. Patients of Gr. II were nourished parenterally only for 8 days. Laboratory data were measured preoperatively, on the 1st, 4th, 10th days. Results: The first stool appeared on the 4th day in Gr. I In Gr. II the bowel movement was delayed by 8 days. Laboratory data from the 1st, and 10th days were compared. In Gr. I serum total protein increased from 48.06 to 58.7g/L (p<0.001), serum albumin from 27.5 to 32.2g/L (p<0.02), CRP decreased from 117.8 to 74.1mg/L (p<0.035). No changes were significant in Gr. II. Length of hospitalization, weight loss did not differ between the 2 groups. Conclusions: Immediately postoperative use of a three-luminal tube ensured early enteral nutrition, improved serum total protein, albumin values and facilitated bowel movements.

Original languageEnglish
Pages (from-to)1099-1102
Number of pages4
JournalHepato-Gastroenterology
Volume55
Issue number84
Publication statusPublished - máj. 1 2008

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ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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