- 期刊
- Ahead-of-Print
Randomized controlled trial evaluating postoperative oral nutritional supplementation after major gastrointestinal surgery
並列摘要
Background and Objectives: This study aimed to evaluate the efficacy of post-operativeoral nutrition supplementation after major gastrointestinal surgery. Methods and Study Design: A prospective randomized controlled trial was conducted to evaluate 174 subjects who were discharged within 2 weeks after major gastrointestinal surgery. The subjects in the study group were prescribed 400 ml/day of Encover® from the day of discharge for 8 weeks, but no supplementation was allowed in the control group. The primary endpoint was the weight loss rate at 8 weeks after discharge compared with the pre-operative weight, and the secondary endpoints included changes in body weight, body mass index, Patient-Generated Subjective Global Assessment score/grade, hematological/biochemical parameters, and adverse events evaluated at 2, 4, and 8 weeks after discharge. Results: The weight loss rate at 8 weeks after discharge did not differ between two groups (4.23±5.49% vs 4.80±4.84%, p=0.481). The total lymphocyte count, the level of total cholesterol, total protein, and albumin were significantly higher in the study group after discharge. Diarrhea was the most frequent adverse event, and the incidence of adverse events with a severity score of ≥3 did not differ between groups (2.3% vs 1.2%). Conclusions: The utility of routine oral nutritional support after major gastrointestinal surgery was not proven in terms of weight loss at 8 weeks after discharge. However, it can be beneficial for early recovery of biochemical parameters.
延伸閱讀
- Kong, S. H., Park, J. S., Lee, I. K., Ryu, S. W., Park, Y. K., Yang, H. K., Han, S. U., Yoon, K. Y., Jeong, S. Y., Jeong, M. R., Hwang, D. W., Suh, Y. S., Yoon, Y. S., Seo, K. W., Park, J. W., Byun, C. S., Hur, H., Won, H., Choi, Y., & Lee, H. J. (2017). Postoperative oral nutritional supplementation after major gastrointestinal surgery: a randomized controlled clinical trial. Asia Pacific Journal of Clinical Nutrition, 26(5), 811-819. https://doi.org/10.6133/apjcn.112016.02
- Chen, J. J. (2012). Evaluating Gastrointestinal Adverse Events in Users of Non-Steroidal Anti-Inflammatory Drugs and their Switching Patterns [master's thesis, Kaohsiung Medical University]. Airiti Library. https://doi.org/10.6832/KMU.2012.00125
- 劉慧玲、邱艷芬（1997）。Exploring the Relationships of Pre- and Post-Operative Nutritional Status with the Prognosis of Patients after Open Heart Surgery。護理研究，5(3)，267-278。https://doi.org/10.7081/NR.199706.0267
- 劉明宜、唐修治、楊仁成、楊慧蘭、陳肅霖（2005）。Improving the Postoperative Nutritional Conditions in Patients with Rectal Cancer by Preoperative Peripheral Parenteral Nutrition。台灣醫學，9(2)，157-163。https://doi.org/10.6320/FJM.2005.9(2).02
- Okada, T., Nakajima, Y., Nishikage, T., Ryotokuji, T., Miyawaki, Y., Hoshino, A., Tokairin, Y., Kawada, K., Nagai, K., & Kawano, T. (2013). A Prospective Study of Nutritional Supplementation for Preventing Oral Mucositis in Cancer Patients Receiving Chemotherapy. Asia Pacific Journal of Clinical Nutrition, (), 81-95. https://doi.org/10.6133/apjcn.112015.03