Many patients who require surgery and have obstructing lesions of the mouth, esophagus, and stomach can consume only a liquid diet. These patients often enter a charity hospital weeks or months after the onset of symptoms. As a result, severe malnutrition is usually present, which greatly intensifies the risk of performing an extensive surgical procedure, such as esophagectomy or total gastrectomy. The restoration or maintenance of body weight, positive nitrogen balance, and an adequate caloric, mineral, and vitamin intake while restricted to a liquid diet has been achieved only with difficulty in the past. Recent work1 has indicated that fat emulsions can be used as the major source of calories in a liquid diet. This study was undertaken to determine if a high caloric liquid feeding could be administered to such patients as a supplemental or complete feeding and if this would be accompanied by weight gain, restoration of
Goldberg EM, Stein IF, Meyer KA. ADMINISTRATION OF FAT EMULSION BY MOUTH, GASTROSTOMY, AND JEJUNOSTOMY. JAMA. 1952;150(17):1665–1667. doi:10.1001/jama.1952.03680170019005
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