Early enteral nutrition Vs. total parenteral nutrition after radical cystectomy and urinary ILEAL diversion

P. Corrada, T. Torelli, G. Ordesi, F. Bergamaschi, B. Campo

Research output: Contribution to journalArticlepeer-review

Abstract

In major surgery a right nutritional support is a corner stone for a quick recovery. In this study the authors verify the efficacy and safety of early enterai nutrition (TEN) versus total parenteral nutrition (TPN) in patient who underwent radical cystectomy and urinary ileal diversion (ortotopic neobladder, ileal conduit) for bladder tumor. Since december 1994, 24 patients (mean age = 62 years) were randomly assigned to receive TPN, starting 36 hours after surgery (12 pts.), or TEN via naso digiunal tube with peristaltic pump, starting six hours after surgery at an infusion rate of 10 cc/hour the first day, of 20 cc./hour second day and of 40 cc/hour the third day. From the fourth day the pump velocity was regulated in according with required calories. In every group nutritional parameters, compications and days of hospitalitization were analized. No major complications or intolerance due to artificial nutritions were recorded. The nutritional parameters were similars in both groups, while bowel canalization occurred two days before in TEN group. This fact implies less days of hospitalization. Moreover TEN has less cost (about 50%) than TPN. Early enterai nutrition is well tollerated, efficient and has minor costs than total parenteral nutrition.

Original languageEnglish
Pages (from-to)85
Number of pages1
JournalBritish Journal of Urology
Volume80
Issue numberSUPPL. 2
Publication statusPublished - 1997

ASJC Scopus subject areas

  • Urology

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