Effects of enteral and total parenteral nutrition on length of stay in intensive care unit in postoperative period

Patients post-operatively followed in intensive care units in are known to have high morbidity and mortality rates. The aim of the present study was to compare the effects of enteral versus total parenteral nutrition for length of ICU stay in postoperative patients. Nutritional support for patients were divided into two groups; enteral nutrition (Group E) total parenteral administered (Group P). Demographic findings, APACHE II score and serum albumin levels were determined in the preoperative period in both groups of patients. In both groups were recorded type of operation and blood transfusion during the operation. Gas, fecal discharge time in the postoperative period, of patients in groups and, postoperative day 7th, serum albumin, and serum C-reactive protein (CRP), length of stay intensive care unit and mortality rates were determined. Abdominal cramps, the tension in the abdomen, nausea and diarrhea in patients in group E were accepted as complications of enteral nutrition. In this study were included group E 89, group P 82 patients. Between groups were similar demographic features, APACHE II score and serum albumin levels. Both groups was not significant difference operation type, operation time and blood transfusion. Postoperative gas discharge and fecal discharge were significantly difference earlier period in Group E (p


Thiele RH, Huffmyer JL, Raphael J. Perioperative morbidity: lessons from recent clinical trials. Curr Opin Crit Care. 2012;18(4):358-65.

Ljungqvist O. Guidelines for perioperative care. World J Surg. 2013;37(2):239

Russo N. Perioperative glycemic control. Anesthesiol Clin. 2012;30(3):445-66.

The Veterans affairs total parenteral nutrition cooperative study group. Perioperative total parenteral nutrition in surgical patients. N Eng J Med. 1991;325(8):525-32.

Sobotka L, Soeters PB, Raguso CA, Jolliet P, Pichard C.Nutritional support in critically ill and septic patients. In: Lubos Sobotka, edtion Basics in clinical nutrition.3rd Prag: House Galen; 2004. p.294-9

Moore FA, Feliciano DV, Andrassy RJ, McArdle AH, Booth FV, MorgensteinWagner TB, Kellum JM Jr, Welling RE, Moore EE. Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis. Ann Surg. 1992;216:172-83

Scurlock C, Mechanick JI. Early nutrition support in the intensive care unit: a US perspective. Curr Opin Clin Nutr Metab Care. 2008;11(2):152-5.

Woodcock NP, Zeigler D, Palmer MD, Buckley P, Mitchell CJ, MacFie J. Enteral versus parenteral nutrition: a pragmatic study. Nutrition. 2001;17(1):1-12.

Jeejeebhoy KN. Total parenteral nutrition: potion or poison? Am J Clin Nutr. 2001;74(2):160-3.

Iapichino G, Rossi C, Radrizzani D, Simini B, Albicini M, Ferla L, Bassi G, Bertolini G; Italian Group for the Evaluation of Interventions in Intensive Care Medicine. Nutrition given to critically ill patients during high level/ complex care (on Italian ICUs). Clin Nutr. 2004;23(3):409-16.

Dhaliwal R, Jurewitsch B, Harrietha D, Heyland DK. Combination enteral and parenteral nutrition in critically ill patients: harmful or beneficial? A systematic review of the evidence. Intensive Care Med. 2004;30(8):1666-71.

Krishnan JA, Parce PB, Martinez A, Diette GB, Brower RG. Caloric intake in medical ICU patients: consistency of care with guidelines and relationship to clinical outcomes. Chest. 2003;124(1):297- 305.

Roberts SR, Kennerly DA, Keane D, George C. Outcomes of nutrition support in the intensive care. Adequacy, timeliness, and outcomes. Crit Care Nurse. 2003;23(6):49-57.

The Veterans affairs total parenteral nutrition cooperative study group. Perioperative total parenteral nutrition in surgical patients. N Eng J Med. 1991;325(8):525-32.

Heyland DK, Montalvo M, MacDonald S, Keefe L, Su XY, Drover JW. Total parenteral nutrition in the surgical patient: a meta-analysis. Can J Surg. 2001;44(2):102-11

van den Berg A, van Elburg RM, Westerbeek EA, Twisk JW, Fetter WP. Glutamine-enriched enteral nutrition in very-lowbirth-weight infants and effects on feeding tolerance and infectious morbidity: a randomized controlled trial. Am J Clin Nutr. 2005;81(6):1397-404.

Kaynak Göster

Medicine Science
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012


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