Enteral versus parenteral nutrition after gastrointestinal surgery: A systematic review and meta-analysis of randomized controlled trials in the english literature

Journal of Gastrointestinal Surgery

Volumn 12, Issue 4, 2008, Pages 739-755

  Mazaki, Takero ^a   Ebisawa, Kiyoko ^a  

^a NIHON UNIVERSITY SCHOOL OF MEDICINE   (Japan)

Author keywords

Enteral nutrition; Gastrointestinal surgery; Meta analysis; Parenteral nutrition; Postoperative complications

Indexed keywords

ARTICLE; COMPARATIVE STUDY; ELECTIVE SURGERY; ENTERIC FEEDING; GASTROINTESTINAL TRACT; HUMAN; META ANALYSIS; PARENTERAL NUTRITION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; RANDOMIZED CONTROLLED TRIAL; TREATMENT OUTCOME;

ENTERAL NUTRITION; GASTROINTESTINAL TRACT; HUMANS; PARENTERAL NUTRITION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SURGICAL PROCEDURES, ELECTIVE; TREATMENT OUTCOME;

EID: 40849136261     PISSN: 1091255X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11605-007-0362-1     Document Type: Article

References (99)

1. Heyland DK, Dhaliwal R, Drover JW, Gramlich L, Dodek P. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN J Parenter Enteral Nutr 2003;27:355-373.
2. Stroud M, Duncan H, Nightingale J. Guidelines for enteral feeding in adult hospital patients. Gut 2003;52(17):vii1-12.
3. McWhirter JP, Pennington, CR. Incidence and recognition of malnutrition in hospital. BMJ 1994;308:945-948.
4. Buzby GP, Mullen JL, Matthews DC, Hobbs CJ, Rosato EF. Prognostic nutritional index in gastrointestinal surgery. Am J Surg 1980;139:160-167.
5. Detsky AS, Baker JP, O'Rourke K, Johnston N, Whitwell J, Mendelson RA, et al. Predicting nutrition-associated complications for patients undergoing gastrointestinal surgery. JPEN J Parenter Enteral Nutr 1987;11:440-446.
6. Meguid MM, Debonis D, Meguid V, Hill LR, Terz JJ. Complications of abdominal operations for malignant disease. Am J Surg 1988;156:341-345.
7. Middleton MH, Nazarenko G, Nivison-Smith I, Smerdely P. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals. Intern Med J 2001;31:455-461.
8. Robinson G, Goldstein M, Levine GM. Impact of nutritional status on DRG length of stay. JPEN J Parenter Enteral Nutr 1987;11:49-51.
9. Windsor JA, Hill GL. Protein depletion and surgical risk. Aust N Z J Surg 1988;58:711-715.
10. Zaloga GP. Parenteral nutrition in adult inpatients with functioning gastrointestinal tracts: Assessment of outcomes. Lancet 2006;367:1101-1111.
11. Lipman TO. Grains or veins: Is enteral nutrition really better than parenteral nutrition? A look at the evidence. JPEN J Parenter Enteral Nutr 1998;22:167-182.
12. Beier-Holgersen R, Boesby S. Influence of postoperative enteral nutrition on postsurgical infections. Gut 1996;39:833-835.
13. Bozzetti F, Braga M, Gianotti L, Gavazzi C, Mariani L. Postoperative enteral versus parenteral nutrition in malnourished patients with GI cancer: A randomized multicentre trial. Lancet 2001;358:1487-1492.
14. Gianotti L, Braga M, Vignali A, Balzano G, Zerbi A, Bisagni P, et al. Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms. Arch Surg 1997;132:1222-1229.
15. Silk DB. Enteral vs parenteral nutrition. Clin Nutr 2003;22(supp)43-48.
16. Ward N. Nutrition support to patients undergoing gastrointestinal surgery. Nutr J 2003;2:18-22.
17. Braunschweig CL, Levy P, Sheean PM, Wang X. Enteral compared with parenteral nutrition: A meta-analysis. Am J Clin Nutr 2001;74:534-542.
18. Elia M, Van Bokhorst-de van der Schueren MA, Garvey J, Goedhart A, Lundholm K, Stratton RJ. Enteral (oral or tube administration) nutritional support and eicosapentaenoic acid in patients with cancer: A systematic review. Int J Oncol 2006;28:5-23.
19. Gramlich L, Kichian K, Pinilla J, Rodych NJ, Dhaliwal R, Heyland DK. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature. Nutrition 2004;20:843-848.
20. Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus "nil by mouth" after gastrointestinal surgery: Systematic review and meta-analysis of controlled trials. BMJ 2001;323:773-776.
21. Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: A systematic review. Crit Care Med 2001;12:2264-2270.
22. Peter JV, Moran JL, Phillips-Hughes J. A metaanalysis of treatment outcomes of early enteral versus early parenteral nutrition in hospitalized patients. Crit Care Med 2005;33:213-220.
23. Simpson F, Doig GS. Parenteral vs. enteral nutrition in the critically ill patient: A meta-analysis of trials using the intention to treat principle. Intensive Care Med 2005;31:12-23.
24. A.S.P.E.N. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN J Parenter Enteral Nutr 2002;26(supp)1-138.
25. Klein S, Kinney J, Jeejeebhoy K, Alpers D, Hellerstein M, Murray M, et al. Nutrition support in clinical practice: Review of published data and recommendations for future research directions. JPEN J Parenter Enteral Nutr 1997;21:133-156.
26. Weimann A, Braga M, Harsanyi L, Laviano A, Ljungqvist O, Soeters P, et al. ESPEN Guidelines on Enteral Nutrition: Surgery including organ transplantation. Clin Nutr 2006;25:224-244.
27. Braga M, Vignali A, Gianotti L, Cestari A, Profili M, Di Carlo V. Immune and nutritional effects of early enteral nutrition after major abdominal operations. Eur J Surg 1996;162:105-112.
28. Braga M, Gianotti L, Gentilini O, Parisi V, Salis C, Di Carlo V. Early postoperative enteral nutrition improves gut oxygenation and reduces costs compared with total parenteral nutrition. Crit Care Med 2001;29:242-248.
29. Carr CS, Ling KD, Boulos P, Singer M. Randomised trial of safety and efficacy of immediate postoperative enteral feeding in patients undergoing GI resection. BMJ 1996;312:869-871.
30. Feo CV, Romanini B, Sortini D, Ragazzi R, Zamboni P, Pansini GC, et al. Early oral feeding after colorectal resection: A randomized controlled study. Aust NZ J Surg 2004;74:298-301.
31. Hartsell PA, Frazee RC, Harrison JB, Smith RW. Early postoperative feeding after elective colorectal surgery. Arch Surg 1997;132:518-521.
32. Heslin MJ, Latkany L, Leung D, Brooks AD, Hochwald SN, Pisters PWT, et al. A prospective, randomized trial of early enteral feeding after resection of upper GI malignancy. Ann Surg 1997;226:567-580.
33. Mack LA, Kaklamanos IG, Livingstone AS, Levi JU, Robinson C, Sleeman D, et al. Gastric decompression and enteral feeding through a double-lumen gastrojejunostomy tube improves outcomes after pancreaticoduodenectomy. Ann Surg 2004;240:845-851.
34. Page RD, Ooa AY, Russell GN, Pennefather SH. Intravenous hydration versus naso-jejunal enteral feeding after esophagectomy: A randomised study. Eur J Cardio-thorac Surg 2002;22:666-672.
35. Pacelli F, Bossola M, Papa V, Malerba M, Modesti C, Sgadari A, et al. EN-TPN Study Group. Enteral vs parenteral nutrition after major abdominal surgery: An even match. Arch Surg 2001;136:933-936.
36. Rayes N, Hansen S, Seehofer D, Müller AR, Serke S, Bengmark S, et al. Early enteral supply of fiber and Lactobacilli versus conventional nutrition: A controlled trial in patients with major abdominal surgery. Nutrition 2002;18:609-615.
37. Reissman P, Teoh TA, Cohen SM, Weiss EG, Nogueras JJ, Wexner SD. Is early oral feeding safe after elective colorectal surgery? A prospective randomised trial. Ann Surg 1995;222:73-77.
38. Reynolds JV, Kanwar S, Welsh FKS, Windsor ACJ, Murchan P, Barclay GR, et al. Does the route of feeding modify gut barrier function and clinical outcome in patients after major upper GI surgery? JPEN J Parenter Enteral Nutr 1997;21:196-201.
39. Schroeder D, Gillanders L, Mahr K, Hill GL. Effects of immediate postoperative enteral nutrition on body composition, muscle function, and wound healing. Journal of Parenteral Enteral Nutrition 1991;15:376-383.
40. Sand J, Luostarinen M, Matikainen M. Enteral or parenteral feeding after total gastrectomy: Prospective randomised pilot study. Eur J Surg 1997;163:761-766.
41. Schilling J, Vranjes N, Fierz W, Joller H, Gyurech D, Ludwig E, et al. Clinical outcome and immunology of postoperative arginine, omega-3 fatty acids, and nucleotide-enriched enteral feeding: A randomized prospective comparison with standard enteral and low calorie/low fat i.v. solutions. Nutrition 1996;12:423-429.
42. Shirabe K, Matsumata T, Shimada M, Takenaka K, Kawahara N, Yamamoto K, et al. A comparison of parenteral hyperalimentation and early enteral feeding regarding systemic immunity after major hepatic resection-the results of a randomized prospective study. Hepatogastroenterology 1997;44:205-209.
43. Smith RC, Hartemink RJ, Hollinshead JW, Gillett DJ. Fine bore jejunostomy feeding following major abdominal surgery: A controlled randomized clinical trial. Br J Surg 1985;72:458-461.
44. Watters JM, Kirkpatrick SM, Norris SB, Shamji FM, Wells GA. Immediate postoperative enteral feeding results in impaired respiratory mechanics and decreased mobility. Ann Surg 1997;226:369-380.
45. Keele AM, Bray MJ, Emery PW, Duncan HD, Silk DB. Two phase randomised controlled clinical trial of postoperative oral dietary supplements in surgical patients. Gut 1997;40:393-399.
46. Jüni P, Witschi A, Bloch R, et al. The hazards of scoring the quality of clinical trials for meta-analysis. JAMA 1999;282:1054-1060.
47. Jüni P, Altman DG, Egger M. Systematic reviews in health care: Assessing the quality of controlled clinical trials. BMJ 2001;323:42-46.
48. Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA 1995;273:408-412.
49. Egger M, Smith GD, Altman DG. Systematic Review in Health Care. Meta-Analysis in Context, 2nd edn. London: BMJ Books, 2001, pp 292-293.
50. Sutton AJ, Abrams KR, Jones DR, Sheldon TA, Song F. Methods for Meta-Analysis in Medical Research. West Sussex: John Wiley & Sons Ltd, 2002, pp 58-63.
51. DerSimoian R, Laird NM. Meta-analysis in clinical trials. Controlled Clin Trials 1986;7:177-188.
52. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Statist Med 2002;21:1539-1558.
53. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 2003;327:557-560.
54. Thompson SG, Sharp SJ. Explaining heterogeneity in meta-analysis: A comparison of methods. Statist Med 1999;18:2693-2708.
55. Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997;315:629-634.
56. Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics 1994;50:1088-1101.
57. Ryan JA Jr, Page CP, Babcock L. Early postoperative jejunal feeding of elemental diet in gastrointestinal surgery. Am Surgeon 1981;47:393-403.
58. Muggia-Sullam M, Bower RH, Murphy RF, Joffe SN, Fischer JE. Postoperative enteral versus parenteral nutritional support in gastrointestinal surgery. A matched prospective study. Am J Surg 1985;149:106-112.
59. Bower RH, Talamini MA., Sax HC, Hamilton F, Fischer JE. Postoperative enteral vs parenteral nutrition. A randomized controlled trial. Arch Surg 1986;121:1040-1045.
60. Fletcher JP, Little JM. A comparison of parenteral nutrition and early postoperative enteral feeding on the nitrogen balance after major surgery. Surgery 1986;100:21-24.
61. Beier-Holgersen R, Brandstrup B. Influence of early postoperative enteral nutrition versus placebo on cell-mediated immunity, as measured with the Multitest CMI. Scand J Gastroenterol 1999;34:98-102.
62. Braga M, Gianotti L, Vignali A, Cestari A, Bisagni P, Di Carlo V. Artificial nutrition after major abdominal surgery: Impact of route of administration and composition of the diet. Crit Care Med 1998;26:24-30.
63. Di Carlo V, Gianotti L, Balzano G, Zerbi A, Braga M. Complications of pancreatic surgery and the role of perioperative nutrition. Dig Surg 1999;16:320-326.
64. Gianotti L, Braga M, Gentilini O, Balzano G, Zerbi A, Di Carlo V. Artificial nutrition after pancreaticoduodenectomy. Pancreas 2000;21:344-351.
65. MacFie J, Woodcock, NP, Palmer, MD, Walker A, Townsend S, Mitchell CJ, et al. Oral dietary supplements in pre- and postoperative surgical patients: A prospective and randomized clinical trial. Nutrition 2000;16:723-728.
66. Rana SK, Bray J, Menzies-Gow N, et al. Short term benefits of post-operative oral dietary supplements in surgical patients. Clin Nutr 1992;11:337-344.
67. Beattie AH, Prach AT, Baxter JP, Jameson J, James JP, Frost P, et al. A randomised controlled trial evaluating the use of enteral nutritional supplements postoperatively in malnourished surgical patients. Gut 2000:46;813-818.
68. Moore FA, Feliciano DV, Andrassy RJ, Mcardle AH, Booth FVM, Morgenstein-Wagner TB, et al. Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis. Ann Surg 1992;216:172-183.
69. Heylen AM, Lybeer MB, Peninckx FM, Kerrmans RP, Frost PG. Parenteral versus needle jejunostomy nutrition after total gastrorestomy. Clin Nutr 1987;6:131-136.
70. Baigrie RJ, Devitt PG, Watkin DS. Enteral versus parenteral nutrition after oesophagogastric surgery: A prospective randomized comparison. Aust N Z J Surg 1996;66:668-670.
71. Aoki S, Yoshizumi Y, Sugiura Y, Matsuyama T, Naito Yoshihisa, Matsuzaki J, et al. Beneficial effects of immediate enteral nutrition after esophageal cancer surgery. Surg Today 2001;31:971-978.
72. Binderow SR, Cohen SM, Wexner SD, Nogueras JJ. Must early postoperative oral intake be limited to laparoscopy? Dis Colon Rectum 1994;37:584-589.
73. Ortiz H, Armendariz P, Yarnoz C. Is early postoperative feeding feasible in elective colon and rectal surgery? Int J Colorectal Dis 1996;11:119-121.
74. Stewart BT, Woods RJ, Collopy BT, Fink RJ, Mackay JR, Keck JO. Early feeding after elective open colorectal resections: A prospective randomized trial. Aust N Z J Surg 1998;68:125-128.
75. Sagar S, Hartland P, Shields R. Early postoperative feeding with elemental diet. BMJ 1979;3:293-295.
76. Hamaoui E, Lefkowitz R, Olender L, Krasnopolsky-Levine E, Favale M, Webb H, et al. Enteral nutrition in the early postoperative period: A new semi-elemental formula versus total parenteral nutrition. JPEN J Parenter Enteral Nutr 1990;14:501-507.
77. Heyland DK, Novak F, Drover JW, Jain M, Su X, Suchner U. Should immunonutrition become routine in critically ill patients? A systematic review of the evidence. JAMA 2001;286:944-953.
78. Kieft H, Roos AN, van Drunen JD, Bindels AJGH, Bindles JG, Hofman Z. Clinical outcome of immunonutrition in a heterogeneous intensive care population. Intensive Care Med 2005;31;524-532.
79. Montejo JC, Zarazaga A, Lopez-Martinez J, Urrutia G, Roque M, Blesa A, et al. Immunonutrition in the intensive care unit. A systematic review and consensus statement. Clin Nutr 2003;22:221-233.
80. Beale RJ, Bryg DJ, Bihari DJ. Immunonutrition in the critically ill: A systematic review of clinical outcome. Crit Care Med 1999;27:2799-2805.
81. Heys SD, Walker LG, Smith I, Eremin O. Enteral nutritional supplementation with key nutrients in patients with critical illness and cancer: A meta-analysis of randomized controlled clinical trials. Ann Surg 1999;299:467-477.
82. Bernard GR, Vincent JL, Laterre PF, Larosa SP, Dhainnaut JF, Lopez-Rodriguez A, et al. Efficacy and safety of recombinant human activated protein C for severe sepsis. N Eng J Med 2001;344:699-709.
83. Keh D, Boehnke T, Weber-Cartens S, Schulz C, Ahlers O, Bercker S, et al. Immunologic and hemodynamic effects of "low-dose" hydrocortisone in septic shock: A double-blind, randomized, placebo-controlled, crossover study. Am J Respir Crit Care Med 2003;167:512-520.
84. Heyland DK, Dhaliwal, R. Immunonutrition in the critically ill: From old approaches to new paradigms. Intensive Care Med 2005;31:501-503.
85. Klein S. A primer of nutritional support for gastroenterologists. Gastroenterology 2002;122:1677-1687.
86. Klein S, Kinney J, Jeejeebhoy K, Alpers D, Hellerstein M, Murray M, et al. Nutrition support in clinical practice: Review of published data and recommendations for future research directions. Summary of a conference sponsored by the National Institutes of Health, American Society for Parenteral and Enteral Nutrition, and American Society for Clinical Nutrition. Am J Clin Nutr 1997;66:683-706.
87. Golden SH, Peart-Vigilance C, Kao WH, Brancati FL. Perioperative glycemic control and the risk of infectious complications in a cohort of adults with diabetes. Diabetes Care 1999;22:1408-1414.
88. Van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, et al. Intensive insulin therapy in the critically ill patients. N Engl J Med 2001;345:1359-1367.
89. Battistella FD, Widergren JT, Anderson JT, et al. A prospective, randomized trial of intravenous fat emulsion administration in trauma victims requiring total parenteral nutrition. J Trauma 1997;43:52-58.
90. Nordenstrom J, Jarstrand C, Wiernik A. Decreased chemotactic and random migration of leukocytes during Intralipid infusion. Am J Clin Nutr 1979;12:2416-2422.
91. Seidner DL, Mascioli EA, Istfan NW, Porter KA, Selleck K, Blackburn GL, et al. Effects of long-chain triglyceride emulsions on reticuloendothelial system function in humans. JPEN J Parenter Enteral Nutr 1989;13:614-619.
92. MacFie J. Enteral versus parenteral nutrition: The significance of bacterial translocation and gut-barrier function. Nutrition 2000;16:606-611.
93. Silk DB, Green CJ. Perioperative nutrition: Parenteral versus enteral. Curr Opin Clin Nutr Metab Care 1998;1:21-27.
94. Guedon C, Schmitz J, Lerebours E, Metayer J, Audran E, Hemet J, et al. Decreased brush border hydrolase activities without gross morphologic changes in human intestinal mucosa after prolonged total parenteral nutrition of adults. Gastroenterology 1986;90:373-378.
95. Sedman PC, MacFie J, Palmer MD, Mitchell CJ, Sagar PM. Preoperative total parenteral nutrition is not associated with mucosal atrophy or bacterial translocation in humans. Br J Surg 1995;82:1663-1667.
96. Sedman PC, Macfie J, Sagar P, Mitchell CJ, May J, Mancey-Jones B, et al. The prevalence of gut translocation in humans. Gastroenterology 1994;107:643-649.
97. Kanwar S, Windsor AC, Welsh F, et al. Lack of correlation between failure of gut barrier function and septic complications after major upper gastrointestinal surgery. Ann Surg 2000;231:88-95.
98. Kudsk KA, Li J, Renegar KB. Loss of upper respiratory tract immunity with parenteral feeding. Ann Surg 1996;223:629-635.
99. Kudsk KA. Current aspects of mucosal immunology and its influence by nutrition. Am J Surg 2002;183:390-398.