Early enteral feeding of patients with multiple trauma

1999 ◽  
Vol 19 (6) ◽  
pp. 40-51 ◽  
Author(s):  
KH Cheever
Keyword(s):  
Multiple Trauma ◽  
Enteral Feeding ◽  
Clinical Course ◽  
Early Enteral Feeding ◽  
Effects Of Stress ◽  
Enteral Nutrients

The case study illustrates the recovery of a patient with multiple trauma who was fed a peptide-based formula via the enteral route soon after the trauma. Although the clinical course might have been worse if D.H. had not received this treatment, his generally excellent recovery might be partly attributable to this therapy. Although stress hypermetabolism occurs in most patients with multiple trauma within 48 hours after injury, no known treatment can arrest or reverse this problem. However, the lethal catabolic and septic effects of stress hypermetabolism can be at least partly thwarted through delivery of enteral nutrients within 72 hours after trauma.

scholarly journals Combined Chylothorax and Chylous Ascites Complicating Liver Transplantation: A Report of a Case and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Tommy Ivanics ◽  
Semeret Munie ◽  
Hassan Nasser ◽  
Shravan Leonard-Murali ◽  
Atsushi Yoshida ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Enteral Feeding ◽  
Early Recognition ◽  
Medium Chain Triglyceride ◽  
Serum Triglyceride ◽  
Chylous Ascites ◽  
Abdominal Distension ◽  
Invasive Treatment ◽  
Management Options ◽  
Early Enteral Feeding

Chyle leaks may occur as a result of surgical intervention. Chyloperitoneum, or chylous ascites after liver transplantation, is rare and the development of chylothorax after abdominal surgery is even more rare. With increasingly aggressive surgical resections, particularly in the retroperitoneum, the incidence of chyle leaks is expected to increase in the future. Here we present a unique case of a combined chylothorax and chyloperitoneum following liver transplantation successfully managed conservatively. Risk factors for chylous ascites include para-aortic manipulation, extensive retroperitoneal dissection, use of a Ligasure device, and early enteral feeding as well as early enteral feeding. The clinical presentation is typically insidious and may include painless abdominal distension. Diagnosis can be made by noting characteristic milky white drainage which on laboratory examination has a total fluid triglyceride level >110 mg/dl, an ascites/serum triglyceride ratio of >1 and a leukocyte count in fluid >1000/uL with a lymphocyte predominance. Chyle leaks may lead to significant morbidity and mortality. Numerous management options exist, with conservative nonoperative measurements leading to the most consistent and successful outcomes. This includes a step-up approach beginning with dietary modifications to a low-fat or medium chain triglyceride diet followed by nil per os with addition of total parenteral nutrition and somatostatin analogues such as octreotide. Rarely do patients require more invasive treatment. Early recognition and appropriate management are imperative to mitigate this complication.

Preterm elective caesarean section and early enteral feeding in gastroschisis

2010 ◽  
Vol 100 (1) ◽  
pp. 71-74 ◽  
Author(s):  
I Reigstad ◽  
H Reigstad ◽  
T Kiserud ◽  
T Berstad
Keyword(s):  
Caesarean Section ◽  
Enteral Feeding ◽  
Elective Caesarean Section ◽  
Early Enteral Feeding

scholarly journals Successful Homoeopathic Treatment of Phyllodes Tumour: A Case Study

2021 ◽  
Vol 34 (02) ◽  
pp. 130-140
Author(s):  
Purnima Shukla ◽  
Purak Misra ◽  
Risabh Kumar Jain ◽  
Rajiv Kumar Misra
Keyword(s):  
Clinical Course ◽  
Research Centre ◽  
Subjective Improvement ◽  
Gradual Improvement ◽  
Conium Maculatum ◽  
Detailed Case ◽  
Phyllodes Tumour ◽  
Phyllodes Tumours ◽  
Over Time

AbstractPhyllodes tumours (PTs) of the breast are rare biphasic fibroepithelial neoplasm. They have potentiality to recur and metastasise. Majority of them follow a benign clinical course. We have treated one patient suffering from PT at the out-patient department of Sri Ram Medical & Homoeopathic Research Centre, Gorakhpur, India. After detailed case taking and repertorisation, first Conium maculatum and later on Phytolacca decandra and Calcarea fluorica were prescribed on the basis of individualisation to treat the case. Outcomes were assessed clinically every month for subjective improvement and objectively by ultrasonography reports at every 6-month interval. Gradual improvement was noted over time. The case has been assessed with MONARCH Inventory, which shows ‘definite’ association between the medicine and the outcome.

Questions About Early Enteral Feeding Study

PEDIATRICS ◽  
1987 ◽  
Vol 79 (1) ◽  
pp. 168-168
Author(s):  
LAWRENCE GRYLACK
Keyword(s):  
High Risk ◽  
Adenosine Triphosphate ◽  
Necrotizing Enterocolitis ◽  
Enteral Feeding ◽  
Animal Studies ◽  
Bowel Ischemia ◽  
Feeding Study ◽  
Early Enteral Feeding ◽  
Mucosal Cells

To the Editor.— I would like to comment on the article by Ostertag et al, "Early Enteral Feeding Does Not Affect the Incidence of Necrotizing Enterocolitis" (Pediatrics 1986;77:275-280). Support for the concept of early gastrointestinal nutrition in the high-risk newborn comes from animal studies that showed that dogs with bowel ischemia that were given intraluminal substrate (10% glucose) had higher levels of adenosine triphosphate in mucosal cells and less morphologic damage than animals without that infusion.1

EARLY ENTERAL FEEDING DOES NOT IMPROVE OUTCOME IN BLUNT TRAUMA

1992 ◽  
Vol 33 (1) ◽  
pp. 152 ◽  
Author(s):  
Steven Eyer ◽  
Larry Micon ◽  
Frank Konstantinides ◽  
Bill Warren ◽  
Deborah Edtund ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Enteral Feeding ◽  
Improve Outcome ◽  
Early Enteral Feeding
Sign in / Sign up

Export Citation Format

Share Document