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Pacelli F, Bossola M, Papa V, et al. Enteral vs Parenteral Nutrition After Major Abdominal Surgery: An Even Match. Arch Surg. 2001;136(8):933–936. doi:10.1001/archsurg.136.8.933
Immediate enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition.
A prospective multicenter randomized trial.
A university hospital department of digestive surgery.
Patients and Interventions
Two hundred forty-one malnourished patients undergoing major elective abdominal surgery were randomly assigned to receive, after surgery, either enteral (enteral nutrition group: 119 patients) or parenteral nutrition (total parenteral nutrition group: 122 patients). The patients were monitored for postoperative complications and mortality.
The rate of major postoperative complications was similar in the enteral and parenteral groups (enteral nutrition group: 37.8%; total parenteral nutrition group: 39.3%; P was not significant), as were the overall postoperative mortality rates (5.9% and 2.5%, respectively; P was not significant).
The present study failed to demonstrate that enteral feeding following major abdominal surgery reduces postoperative complications and mortality when compared with parenteral nutrition.
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