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A Randomized Controlled Trial

Robert H. Bower, MD; Mark A. Talamini, MD; Harry C. Sax, MD; Frederick Hamilton; Josef E. Fischer, MD

Arch Surg. 1986;121(9):1040-1045.

Abstract
• Twenty patients undergoing major upper-gastrointestinaltract or pancreaticobiliary surgery were randomized to receive postoperative nutritional support by total parenteral nutrition (TPN) or elemental diet administered by needle-catheter jejunostomy (NCJ). Both routes of administration provided adequate nutritional support. No unexpected complications were encountered. The NCJ group compared favorably with the TPN group at the end of the seven-day trial. The NCJ group provided significant cost efficiency while maintaining adequate nutritional support.

(Arch Surg 1986;121:1040-1045)

Author Affiliations
From the Department of Surgery, University of Cincinnati Medical Center, Cincinnati.

Footnotes
Accepted for publication Jan 23, 1986.

Reprint requests to Department of Surgery, University of Cincinnati Medical Center, 231 Bethesda Ave, Cincinnati, OH 45267-0558 (Dr Bower).

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