Postoperative Enteral vs Parenteral Nutrition

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Abstract
• Twenty patients undergoing major upper-gastrointestinaltract or pancreaticobiliary surgery were randomized to receive postoperative nutritional support by total parenteral nutrition (TPN) or elemental diet administered by needle-catheter jejunostomy (NCJ). Both routes of administration provided adequate nutritional support. No unexpected complications were encountered. The NCJ group compared favorably with the TPN group at the end of the seven-day trial. The NCJ group provided significant cost efficiency while maintaining adequate nutritional support. (Arch Surg1986;121:1040-1045)