Evidence map›Paper›PMID 19519910›Full record

Trial reportNutrition journal2009

Comparison of enteral nutrition with combined enteral and parenteral nutrition in post-pancreaticoduodenectomy patients: a pilot study.

Shigeyuki Nagata, Kengo Fukuzawa, Yukio Iwashita, Akira Kabashima, Tadahiko Kinoshita, Kenzo Wakasugi, Yoshihiko Maehara

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrition journal, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Postoperative nutritional support after pancreaticoduodenectomy in adults.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Nutrition support in hospitalised adults at nutritional risk.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Application of an early oral feeding protocol after pylorus-preserving pancreaticoduodenectomy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  9. Article
  10. Review
  11. Article
  12. Nutrition in Pancreatic Cancer: A Review.Gastrointestinal tumors · 2016
    Review
  13. Article
  14. Article
  15. Article
  16. Poor level of agreement on the management of postoperative pancreatic fistula: results of an international survey.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2013
    Article
  17. Is diabetes a risk factor for central venous access port-related bloodstream infection in oncological patients?European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shigeyuki NagataDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. ngkkd637@yahoo.co.jp
Kengo Fukuzawa
Yukio Iwashita
Akira Kabashima
Tadahiko Kinoshita
Kenzo Wakasugi
Yoshihiko Maehara

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany clinical studies have demonstrated that early postoperative enteral nutrition (EN) improved the postroperative course. Post-pancreaticoduodenectomy (PD), patients tend to suffer from postoperative nausea, abdominal distention, and diarrhoea, causing difficulty in the introduction of EN. In this pilot study, we investigated the appropriate nutritional mode post-pancreatic surgery.

methodsBetween October 2006 and March 2007 2 postoperative nutritional methods were implemented in 17 patients in a prospective single-centere study. Eight patients received only enteral nutrition (EN group) and 9 patients received enteral nutrition combined with parenteral nutrition (EN + PN group).

resultsThere were no differences in the patient characteristics and postoperative morbidity between the 2 groups. The rate of discontinuance of enteral feeding was significantly high in the EN group, and the duration of enteral feeding was significantly longer in the EN + PN group. The central venous line was retained for a significantly longer period in the EN + PN group, but there was no difference in the frequency of catheter-related infection between the 2 groups.

conclusionEN combined with PN is more adequate for patients after pancreatic surgery.

Indexed as

Enteral NutritionParenteral NutritionAdultAgedAged, 80 and overBlood ProteinsFemaleHumansImmunoglobulinsMaleMiddle AgedPancreatic NeoplasmsPancreaticoduodenectomyPilot ProjectsPostoperative CarePostoperative ComplicationsBlood ProteinsImmunoglobulins

Identifiers

PMID19519910
PMCPMC2703645

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.