Effectiveness of postoperative elemental diet Elental® in elderly patients after gastrectomyReport as inadecuate

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World Journal of Surgical Oncology

, 14:268

First Online: 19 October 2016Received: 30 June 2016Accepted: 28 September 2016


BackgroundWe aimed to investigate the efficacy of postoperative early intervention with an elemental diet to reduce weight loss and enhance recovery after gastrectomy. Nutritional status and gastrointestinal immune function tend to worsen, and postoperative weight loss is inevitable in these patients; therefore, improvement in their postoperative condition is important, especially in gastric cancer patients aged ≥80 years.

MethodsClinical outcomes and postoperative nutritional status were compared between 21 and 22 consecutive elderly patients aged ≥80 years who underwent distal gastrectomy before and after the introduction of postoperative oral elemental diet Elental®, 300 kcal-day, respectively, between October 2011 and June 2016.

ResultsA significant reduction in postoperative complications was noted in the nutrition support group N-group as compared with the control group C-group. In particular, the prevalence of systemic complications was significantly lower in the N-group 33.3 vs. 4.5 %, p = 0.015, whereas no significant difference was observed in the prevalence of locoregional complications. The percentage of weight loss and reduction in BMI from 1 month to 1 year after surgery was significantly lower in the N-group p = 0.012 each. The nutrition status albumin, total protein, hemoglobin, and C-reactive protein levels at 1 month after surgery showed improvements p = 0.005, p = 0.048, and hospital stay was decreased in the N-group as compared to the C-group 16.0 vs. 12.5 days, p = 0.041.

ConclusionsEarly intervention with an elemental diet after distal gastrectomy is valuable for reducing perioperative weight loss and improving nutritional management and may be associated with enhanced postoperative recovery in elderly patients.

KeywordsElemental diet Elderly patients Gastrectomy AbbreviationsADLActivities of daily living

ASAAmerican Society of Anesthesiologists

BMIBody mass index

PODPostoperative day

QOLQuality of life

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Author: Yu Ohkura - Shusuke Haruta - Tsuyoshi Tanaka - Masaki Ueno - Harushi Udagawa

Source: https://link.springer.com/

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