Rate of water and sodium absorption from the jejunum after abdominal surgery in man

Shoemaker, Charles P.; Wright, Hastings K.

doi:10.1016/0002-9610(70)90012-7

Cited by 10 publications

(3 citation statements)

References 5 publications

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“…The capacity of the jejunum of operated subjects to absorb water and sodium in the absence of dehydration was confirmed by Siioeiviaker and Wright [35], At the 24th post-operative hour, the quantities of sodium and water absorbed, although less than those in the pre-operative period, remain noticeable. These quantities increase with time after the operation.…”

Section: Early Post-operative Studiesmentioning

confidence: 74%

See 1 more Smart Citation

The Method of Intraluminal Perfusion of the Human Small Intestine

Rambaud¹,

Modigliani²,

Bernier³

1973

Digestion

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Section: Early Post-operative Studiesmentioning

confidence: 74%

“…These quantities increase with time after the operation. Thus, intra-jejunal perfusion at a rate compatible with absorptive capacity may be used to replace parenteral administration of solutes [35].…”

Section: Early Post-operative Studiesmentioning

confidence: 99%

The Method of Intraluminal Perfusion of the Human Small Intestine

Rambaud¹,

Modigliani²,

Bernier³

1973

Digestion

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“…After operation the stomach may not function normally for 1-2 days and the colon for [3][4][5] days postoperatively. 10, 47,56,84,107,122,123,129,130 Vast clinical experience has confirmed that the small bowel can be used for both fluid and nutrition as early as the 1st postoperative day if gastric decompression is also used. 7,9,14,19,27,29,34,53,55,66,77,83,102,103,115,118,136, l:n 7 Intrinsic small bowel disease, partial small bowel obstruction, and peritonitis preclude early postoperative enteral feeding.…”

Section: Early Postoperative Enteral Feedingmentioning

confidence: 99%

Intrajejunal Feeding: Development and Current Status

Ryan

Page

1984

J Parenter Enteral Nutr

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Techniques of jejunostomy were established in surgical practice by the turn of the century. They were mainly used to administer normal food for the palliation of advanced gastric cancer. Standard postoperative intravenous fluid therapy did not begin in earnest until the late 1930's and did not become routine until the late 1940's because of pyrogens, fear of fluid overload, and commercial nonavailability. For most gastric procedures performed from 1900 until 1940, postoperative treatment consisted of nutrient and saline enemas and subcutaneous infusion of fluid. Jejunal feedings had their greatest use between 1930 and 1950. Gastrectomy was widely applied for cancer and ulcers in dehydrated, malnourished patients. The importance of hypoproteinemia and malnutrition on postoperative morbidity and mortality was established, and the inability of subcutaneous infusions and nutrient enemas to counteract malnutrition and dehydration was recognized. Jejunostomy or nasojejunal tubes were recommended for routine use after gastric operations. During this period, the major advances in jejunal diets and methods of feeding were accomplished. Attention was paid to assuring adequate amounts of nutrients, minerals, and vitamins, and finding diets that were easily tolerated by the jejunum. Important in these developments was the collaboration of surgeons with physiologists, gastroenterologists, pharmacologists, and members of industry. Several factors combined to reduce the use of jejunostomy after 1950. Intravenous therapy became familiar to the surgical profession, widely available, and safe. The number of gastric resections performed has decreased. Earlier referral for operation has resulted in patients with less preoperative debility and malnutrition. By 1970, total parenteral nutrition was available, and fewer jejunostomies were perceived as necessary. During the same interval, however, the increasing incidence of patients with pancreatic, esophageal, and hepatobiliary disease who faced major operations and catabolic postoperative courses presented a new challenge to the surgical community. A resurgence of concern for nutritional support, in part generated by the availability of total parenteral nutrition, prompted a renewed interest in using the gut for feeding the postoperative patient. This renewed interest, an understanding of the techniques of parenteral nutrition, the rediscovery of the gut as an absorptive surface in the postoperative patient, and the ready availability of a variety of defined formula diets have combined to rekindle the enthusiasm of many surgeons for complementary or adjuvant feeding jejunostomy.(ABSTRACT TRUNCATED AT 400 WORDS)

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Immediate Jejunostomy Feeding

Moore¹

1981

Arch Surg

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Rate of water and sodium absorption from the jejunum after abdominal surgery in man

Cited by 10 publications

References 5 publications

The Method of Intraluminal Perfusion of the Human Small Intestine

The Method of Intraluminal Perfusion of the Human Small Intestine

Intrajejunal Feeding: Development and Current Status

Immediate Jejunostomy Feeding

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