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A Role for 'Elemental' Diet

William T. Choctaw, MD; Carole Fujita, PharmD; Bruce E. Zawacki, MD

Arch Surg. 1980;115(9):1073-1076.

Abstract
• In a retrospective study, the role of the elemental diet in preventing upper gastrointestinal (GI) bleeding was evaluated in 146 severely burned patients. The patients were divided into two groups. Group A consisted of 77 patients with 20% to 80% body-surface-area burns who received the usual diet. Group B consisted of 69 patients with similar-sized burns receiving Vivonex as the elemental diet. In group A, the incidence of upper GI bleeding was 44%, major upper GI bleeding was 30%, and two patients required surgery. The incidence of upper GI bleeding in group B was 20%, major upper GI bleeding was 3%, and no patients required surgery. Group A had 55% mortality, and group B, 38% mortality. Vivonex was associated with a noticeable decrease in major upper GI bleeding in severely burned patients, and unlike antacid and cimetidine therapy, contributed concomitantly to increased caloric intake.

(Arch Surg 115:1073-1076, 1980)

Author Affiliations
From the Burn Center (Drs Choctaw and Zawacki), Los Angeles County-USC Medical Center and the Harbor-UCLA Medical Center (Ms Fujita), Los Angeles.

Footnotes
Accepted for publication April 30, 1980.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Rancho Mirage, Calif, Jan 19, 1980.

Reprint requests to Department of Surgery, Los Angeles County-USC Medical Center, 1200 N State St, Los Angeles, CA 90033 (Dr Choctaw).

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