Mineral Disorders in Adult Inpatients Receiving Parenteral Nutrition. Is Older Age a Contributory Factor?

Hortêncio, Taís Daiene Russo; Golucci, Ana Paula Brigatto Simões; Marson, Fernando Augusto Lima; Ribeiro, Antônio Fernando; Nogueira, Roberto José Negrão

doi:10.1007/s12603-018-1035-3

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…In this research, the postoperative BMIs of both groups were comparable. According to Hortencio et al [ 11 ], there is no connection between malnutrition, as determined by BMI and mineral issues. BMI indicates dietary status but not recent weight loss, which is associated with mineral deficiencies.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study Between the Early and Late Enteral Nutrition After Gastrointestinal Anastomosis Operations

Imran,

Ismail,

Raza

et al. 2024

Cureus

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Introduction: Intestinal anastomosis is a surgical procedure crucial for restoring the integrity of the digestive system and finds widespread application in addressing diverse gastrointestinal disorders such as tumors, inflammatory conditions, and traumatic injuries. The timing of restarting feeding after the surgery is a debated topic due to its potential impact on patient recovery. Early enteral feeding, administered soon after surgery, aims to counteract the negative effects of prolonged fasting and improve outcomes. Objective: This study analyzed the early and late enteral feeding following gastrointestinal anastomosis surgery. Methods: Forty patients undergoing abdominal surgery were prospectively randomized into early or late feeding groups. Demographics, laboratory values, operative time, blood loss, transfusion rates, nasogastric tube (NGT) removal, hospital stay, gastrointestinal recovery, postoperative body mass index (BMI), and complications were compared. Data was organized in Excel and analyzed using the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 27.0, Armonk, NY). Qualitative data were presented with numbers and percentages, while parametric quantitative data used means, standard deviations, and ranges. Non-parametric quantitative data were represented with medians and interquartile ranges. Chi-square tests were used for comparing two qualitative groups with predicted counts less than 5, while independent t-tests and Mann-Whitney tests were employed for comparing two quantitative groups with parametric and non-parametric distributions, respectively. The analysis used a 95% confidence interval, a 5% margin of error, and considered P values less than 0.05 as significant. Results: Early feeding was associated with significantly shorter NGT removal times (p=0.005) and hospital stays (p=0.001) than late feeding. Postprandial potassium levels were higher in the early group (p=0.007), while CRP levels were significantly lower (p=0.004). No significant differences were found in operative time, blood loss, transfusion rates, gastrointestinal recovery, postoperative BMI, or complication rates between groups. Conclusions: Early enteral feeding appears safe and effective after gastrointestinal anastomosis surgery, potentially reducing hospital stay and improving inflammatory markers without increasing adverse events.

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Section: Discussionmentioning

confidence: 99%

A Comparative Study Between the Early and Late Enteral Nutrition After Gastrointestinal Anastomosis Operations

Imran,

Ismail,

Raza

et al. 2024

Cureus

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“…Quando há utilização de NP, a HP é bem conhecida em diferentes faixas etárias. 35,42,75 O presente estudo, ao contrário do usual, explora a presença de HP em crianças criticamente enfermas em nutrição oral ou enteral. Podemos, a partir dos dados obtidos, afirmar que há HP em crianças sob nutrição oral e/ou enteral e que os níveis de fósforo devem ser monitorizados, mesmo em pacientes que não estejam recebendo NP.…”

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Hipofosfatemia em pacientes pediátricos criticamente enfermos sob nutrição oral e enteral

Missagia de Mattos Springer

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Data de Defesa: 30/04/2021 DEDICATÓRIA À minha amada mãe, Sandra, que sempre acreditou em mim, me incentivou, apoiou e se esforçou para que eu conseguisse ter a oportunidade de perseguir os meus sonhos. Ao meu amor, Henrique, que esteve ao meu lado e me incentivou nos momentos mais difíceis. Por acreditar em mim, por toda a paciência, dedicação e amor. Aos meus amigos, minha segunda família, que compreenderam minhas ausências, confiaram no meu trabalho e me mostraram a importância de nunca desistirmos dos nossos sonhos. AGRADECIMENTOS Ao meu orientador, Prof. Dr. Roberto José Negrão Nogueira, por ter me dado a grande oportunidade de ser sua aluna, por acreditar no meu trabalho, por toda a sua paciência, parceria, disponibilidade e incentivos. Os inúmeros ensinamentos que compartilhou e compartilha comigo certamente me acompanharão durante toda a minha vida. Seu conhecimento, competência, ética e dedicação são grandes exemplos para mim. À minha querida coorientadora Profa. Dra. Tais Daiene Russo Hortencio, por ter acreditado em minha capacidade desde o primeiro momento, por me incentivar, me motivar, por toda sua paciência e parceria. Por todos os inúmeros conhecimentos que compartilhou e continua compartilhando comigo. Sua competência, dedicação e paixão pela pesquisa me dão a certeza de que estou trilhando os caminhos certos. À minha amada mãe, Sandra, que sempre me mostrou que a educação e a persistência movem montanhas. Por me deixar claro que o conhecimento é o bem mais valioso que podemos adquirir em nossas vidas. Por nunca medir esforços para me proporcionar o melhor. Ao meu amado e companheiro de vida, Henrique, por sempre me apoiar e me fortalecer em todas as minhas decisões, por me abraçar nos momentos de insegurança e incerteza, por me incentivar, por acreditar em mim quando eu mesma não acreditei. Por me ajudar a superar todos os obstáculos e vibrar comigo à cada conquista. Aos meus familiares, por todo apoio, todo o carinho, por acreditarem na minha competência e me incentivarem em todos os momentos. Por me proporcionarem o melhor possível para que eu tivesse a oportunidade de chegar até aqui.Às minhas queridas amigas Érica Melro, Jéssica Moura e Patrícia Shinta, pela amizade, carinho, apoio e por toda a parceria durante a coleta de dados dessa pesquisa.À minha querida amiga Angélica Blum, que tem sido uma grande companheira.Por me ajudar, incentivar e acolher nos momentos difíceis. Por ser um grande exemplo de persistência e perseverança para mim.Aos integrantes do projeto NutrUS, pela colaboração e parceria durante a coleta de dados. Em especial ao Tiago Henrique de Souza, pela disponibilidade, dedicação e pelas importantes sugestões e discussões relacionadas a esse trabalho.

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Comparative study between early versus late enteral nutrition after gastrointestinal anastomosis operations

Rizk,

Mahmoud,

Mostafa

et al. 2023

The Egyptian Journal of Surgery

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Introduction An anastomosis of the digestive tract is a common operation, whether it be an unexpected medical crisis or a planned procedure. Feeding soon after gastrointestinal anastomosis is not only physiological, but also protects against morphologic and functional trauma-related modifications in the gut. Aim of work This research aimed to evaluate the advantages and disadvantages of initiating Enteral Nutrition immediately following gastrointestinal anastomosis surgery versus delaying it for a later time. Additionally, the frequency of Adverse Events. Patients and methods Thirty patients underwent abdominal surgery, with treatments ranging from small- to large-intestine anastomosis, for both urgent and elective reasons. Early postoperative enteral feeding in the early feeding group commenced within 24 h of surgery or immediately following nasogastric tube removal. The delayed feeding group began enteral feeding using the standard technique once bowel sounds were restored, distention was gone, and the patient passed flatus or stool. 14 patients were in the early enteral feeding group (A) while 16 patients were in the late enteral feeding group (B). Data regarding blood loss and transfusion, NGT removal time, time of intestinal sounds return, time of passage flatus and stool, hospital stay and postoperative complications were recorded. Results Among those who ate too early (46.6%), those who ate late (53.3%), abdominal distension was noted in 28.6%,in the early group and 43.8% in late feeding group and vomiting was reported in 50.0%, and 62.5%, respectively. In the first group, 57.1% of those who fed early experienced fever, while in the second group, 75.0% of those who fed late did so. Late feeding is associated with a statistically significant rise in both the Day of NGT removal and the Length of stay. When patients were admitted for early feeding, they stayed in the hospital for an average of 5.71 days. There was no statistically significant difference according serum albumin between the early feeding (3.79) and late feeding (3.50). There was a significantly higher concentration of potassium in the blood in the early feeding group (3.93) compared to the late feeding group (3.219). Anastomotic leaking, surgical site infection, and intensive care unit admission were not significantly different between early and late feeding. Conclusion Early enteral feeding has the upper hand on late enteral feeding as it goes with GIT physiology, we found that early postoperative feeding following gastrointestinal anastomosis surgery significantly reduced the day of NGT removal and the length of hospitalization, which may be attributable to fewer problems and better gut motility and healing.

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Mineral Disorders in Adult Inpatients Receiving Parenteral Nutrition. Is Older Age a Contributory Factor?

Abstract: Hypophosphatemia, hypokalemia, and hypomagnesemia were frequently observed in hospitalized adults and elderly patients before and particularly during the first 2 days of PN infusion. Elderly patients and patients with PEM are more susceptible to developing hypophosphatemia.

Cited by 3 publications

References 25 publications

A Comparative Study Between the Early and Late Enteral Nutrition After Gastrointestinal Anastomosis Operations

A Comparative Study Between the Early and Late Enteral Nutrition After Gastrointestinal Anastomosis Operations

Hipofosfatemia em pacientes pediátricos criticamente enfermos sob nutrição oral e enteral

Comparative study between early versus late enteral nutrition after gastrointestinal anastomosis operations

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