Immediate enteral feeding after gastrointestinal resection

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7051.229b (Published 27 July 1996) Cite this as: BMJ 1996;313:229

Tests of intestinal permeability were inadequate

  1. S M Gabe,
  2. D B A Silk
  1. Research fellow Consultant gastroenterologist Department of Gastroenterology and Nutrition, Central Middlesex Hospital NHS Trust, London NW10 7NS

    EDITOR,—Cornelia S Carr and colleagues report a trial with the important message that early enteral feeding after major surgery is both possible and safe.1 Their conclusion about the changes seen in intestinal permeability is, however, unjustified.

    Tests of intestinal permeability were performed preoperatively and on day 5 postoperatively. No significant change was found in the permeability index (lactulose:mannitol absorption ratio) on these two days in the group given early enteral feeding. …

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