Impact of elemental diet on early recovery after laparoscopic colectomy : findings of a randomized controlled trial

Shichinohe Toshiaki; Sasaki Takeshi; Kitashiro Shuji; Morita Takayuki; Ono Koichi; Senmaru Naoto; Ikeda Junichi; Kojima Tetsufumi; Kyogoku Noriaki; Yamada Hidehisa; Sato Nagato; Kato Kentaro; Murakami Soichi; Ebihara Yuma; Kurashima Yo; Tamoto Eiji; Noji Takehiro; Nakamura Toru; Okamura Keisuke; Tsuchikawa Takahiro; Hirano Satoshi

Title	en Impact of elemental diet on early recovery after laparoscopic colectomy : findings of a randomized controlled trial
Alternative	en Elemental Diet in Lap Colon
Creator	en Shichinohe, Toshiaki NRID 1000070374353 en Sasaki, Takeshi en Kitashiro, Shuji en Morita, Takayuki en Ono, Koichi en Senmaru, Naoto en Ikeda, Junichi en Kojima, Tetsufumi en Kyogoku, Noriaki en Yamada, Hidehisa en Sato, Nagato en Kato, Kentaro NRID 1000050508885 en Murakami, Soichi en Ebihara, Yuma NRID 1000050632981 en Kurashima, Yo NRID 1000040374350 en Tamoto, Eiji en Noji, Takehiro NRID 1000010739296 en Nakamura, Toru NRID 1000070645796 en Okamura, Keisuke en Tsuchikawa, Takahiro NRID 1000050507572 en Hirano, Satoshi NRID 1000050322813
Accessrights	open access
Rights	en The final publication is available at link.springer.com
Subject	Other en elemental diet Other en laparoscopic colectomy Other en estimated minimum length of stay in hospital NDC 490
Description	Abstract en Purpose: An amino acid-containing elemental diet (ED) does not require digestion for nutritional absorption, making it a good option for patients with gastrointestinal malabsorption. We conducted a randomized trial to confirm that perioperative ED enhanced the recovery of patients undergoing laparoscopic colectomy. Methods: Patients in the intervention arm received commercially available ED from the day prior to surgery until postoperative day (POD) 3, whereas patients in the control group received a conventional perioperative diet program. To verify the endpoints, "estimated minimum length of stay in hospital after surgery" (emLOS) was defined as the number of days necessary to reach all the five criteria; namely, "sufficient oral intake", "sufficient pain control", "withdrawal of intravenous alimentation", "no abnormal findings in routine examinations", and "no rise in fever". Results: A total of 102 patients were randomized, 94 of whom were analyzed (ED 45, control 49). There was no morbidity or mortality. Shorter emLOS (POD 4 vs. POD 7; p = 0.018), earlier resumption of sufficient oral intake (POD 3 vs. POD 4; p = 0.034) and faster recovery to defecation (2.2 vs. 3.1 days; p = 0.005) were observed in the ED group vs. the control group. Conclusions: The perioperative ingestion of ED by patients undergoing laparoscopic colectomy is safe and can reduce the postoperative hospital stay by supporting the acceleration of oral intake.
Publisher	en Springer
Date	Issued2017-02
Language	eng
Resource Type	journal article
Version Type	AM
Identifier	HDL http://hdl.handle.net/2115/68671
Relation	isVersionOf DOI https://doi.org/10.1007/s00595-016-1365-x PMID 27324516
Journal	PISSN 0941-1291 EISSN 1436-2813 en Surgery Today Volume Number47 Issue Number2 Page Start166 Page End173
File	fulltext SurgeryToday47_166.pdf 411.61 KB (application/pdf) Issued2017-02
Oaidate	2023-07-26