Asia Pacific journal of clinical nutrition
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Asia Pac J Clin Nutr · Jan 2017
Review Meta AnalysisInitial energy supplementation in critically ill patients receiving enteral nutrition: a systematic review and meta-analysis of randomized controlled trials.
Here we systematically reviewed and quantitatively analyzed randomized controlled trials (RCTs) to compare the important initial outcomes of critically ill adults receiving low- and highenergy enteral nutrition. ⋯ The initial administration of low- versus high-energy supplements did not impact clinical outcomes except for gastrointestinal intolerance in non-malnourished critically ill patients receiving enteral nutrition. The initial administration of highrather than low-energy may benefit these patients by reducing infections, but this effect might actually be attributable to the concomitant high protein intake.
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Asia Pac J Clin Nutr · Jan 2017
Review Comparative StudyNasoenteric tube versus jejunostomy for enteral nutrition feeding following major upper gastrointestinal operations: a meta-analysis.
Following major upper gastrointestinal surgical procedures, early enteral nutrition to the jejunum is strongly recommended, either through a nasoenteric tube or a percutaneous transperitoneal jejunal feeding tube (jejunostomy). However, to date there has been no consensus as to the best enteral feeding strategy. Our aim was to determine the safest and most efficacious early enteral nutrition supplement strategy following major upper gastrointestinal operations. ⋯ A nasoenteric tube is more likely to be effective in early postoperative enteral feeding following major upper gastrointestinal operations.