Preoperative Application of Enteral Nutrition with Dietary Fiber in Colon Colostomy Diaplasis Patients: A Clinical Study_West China Medical Journal

Authors：

 WuYingxin , WangYong , HuangYuqian ,  WuXiaoting

Department of Gastrointestinal Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WuXiaoting, Email: wxt1@medmail.com.cn

Keywords：

Dietary fiber; Colon colostomy diaplasis; Enteral nutrition; Intestinal function recovery

DOI：

10.7507/1002-0179.201600184

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the influence of preoperative enteral nutrition with dietary fiber on the nutritional status of patients with colon colostomy diaplasis, and discuss its safety. Methods Forty preoperative colon colostomy diaplasis patients from West China Hospital treated between September 2013 and June 2014 were randomly assigned into trial group and control group with 20 in each. The baseline of the two groups was the same (all P > 0.05). The trial group was given enteral nutrition with dietary fiber before operation for seven days, while control group was given homogenate diet with equal quantity of energy and nitrogen content for the same period of time. All patients were being tested for nutritional indexes on the day of admission and on the fifth day after surgery. Meanwhile, other indexes such as the first time of flatus and defecation, abdominal distension, bellyache, and other adverse reactions were recorded too. Results There was no statistical difference in nutritional indexes on the day of admission and on the fifth day after surgery between two groups (P > 0.05). Patients with dietary fiber had significantly higher incidence of abdominal distension than the control subjects (P < 0.05), but other adverse reactions had no statistical differences between the two groups (P > 0.05). No anastomotic leakage occurred in both the two groups. Patients with dietary fiber had significantly earlier time of flatus than the control group (P < 0.05). Patients with dietary fiber had significantly lower incidence of diarrhea than the control subjects (P < 0.05). Conclusions The study suggests that it is safe and feasible to use enteral nutrition with dietary fiber for preoperative colon colostomy diaplasis patients. Using dietary fiber is helpful for intestinal function recovery and reduction of the occurrence of adverse reactions after surgery.

Citation： WuYingxin, WangYong, HuangYuqian, WuXiaoting. Preoperative Application of Enteral Nutrition with Dietary Fiber in Colon Colostomy Diaplasis Patients: A Clinical Study. West China Medical Journal, 2016, 31(4): 671-674. doi: 10.7507/1002-0179.201600184 Copy

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13.	Unal D, Orhan O, Eroglu C, et al. Prealbumin is a more sensitive marker than albumin to assess the nutritional status in patients undergoing radiotherapy for head and neck cancer[J]. Contemp Oncol (Pozn), 2013, 17(3): 276-280.
14.	Bito H, Hamaguchi N, Hirai H, et al. Safety evaluation of a newly-developed dietary fiber: resistant glucan mixture[J]. J Toxicol Sci, 2016, 41(1): 33-44.
15.	彭俊文. 含益生元膳食纤维的早期肠内营养用于腹部外科术后的随机对照研究[J]. 华西医学, 2011, 26(9): 1327-1330.

1. Toomey DP. A rapid and reliable technique for emergent，decompressive colostomy[J]. Ann R Coll Surg Engl, 2014, 96(6): 488.
2. Pucciani F, Ringressi MN, Maltinti G, et al. Transverse loop colostomy and colonic motility[J]. Tech Coloproctol, 2014, 18(11): 1029-1034.
3. Bischoff A, Levitt MA, Lawal TA, et al. Colostomy closure: how to avoid complications[J]. Pediatr Surg Int, 2010, 26(11): 1087-1092.
4. Pokorny H, Herkner H, Jakesz R, et al. Predictors for complications after loop stoma closure in patients with rectal cancer[J]. World J Surg, 2006, 30(8): 1488-1493.
5. Sirich TL, Plummer NS, Gardner CD, et al. Effect of increasing dietary fiber on plasma levels of colon-derived solutes in hemodialysis patients[J]. Clin J Am Soc Nephrol, 2014, 9(9): 1603-1610.
6. Daou C, Zhang H. Functional and physiological properties of total, soluble, and insoluble dietary fibres derived from defatted rice bran[J]. J Food Sci Technol, 2014, 51(12): 3878-3885.
7. Sebastian C, Mostoslavsky R. Untangling the fiber yarn: butyrate feeds warburg to suppress colorectal cancer[J]. Cancer Discov, 2014, 4(12): 1368-1370.
8. Taghipoor M, Barles G, Georgelin C, et al. Digestion modeling in the small intestine: impact of dietary fiber[J]. Math Biosci, 2014, 258: 101-112.
9. Moreno Franco B, León Latre M, Andrés Esteban EM, et al. Soluble and insoluble dietary fibre intake and risk factors for metabolic syndrome and cardiovascular disease in middle-aged adults: the AWHS cohort[J]. Nutr Hosp, 2014, 130(6): 1279-1288.
10. McClave SA, Martindale RG, Vanek VW, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)[J]. JPEN J Parenter Enteral Nutr, 2009, 33(3): 277-316.
11. Li X, Ma F, Jia K. Early enteral nutrition within 24 hours or between 24 and 72 hours for acute pancreatitis: evidence based on 12 RCTs[J]. Med Sci Monit, 2014, 20: 2327-2335.
12. Brotherton CS, Taylor AG, Bourguignon C, et al. A high-fiber diet may improve bowel function and health-related quality of life in patients with Crohn disease[J]. Gastroenterol Nurs, 2014, 37(3): 206-216.
13. Unal D, Orhan O, Eroglu C, et al. Prealbumin is a more sensitive marker than albumin to assess the nutritional status in patients undergoing radiotherapy for head and neck cancer[J]. Contemp Oncol (Pozn), 2013, 17(3): 276-280.
14. Bito H, Hamaguchi N, Hirai H, et al. Safety evaluation of a newly-developed dietary fiber: resistant glucan mixture[J]. J Toxicol Sci, 2016, 41(1): 33-44.
15. 彭俊文. 含益生元膳食纤维的早期肠内营养用于腹部外科术后的随机对照研究[J]. 华西医学, 2011, 26(9): 1327-1330.

West China Medical Journal

Preoperative Application of Enteral Nutrition with Dietary Fiber in Colon Colostomy Diaplasis Patients: A Clinical Study

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