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논문 기본 정보

자료유형
학술저널
저자정보
Eunjoo Bae (CHA University School of Medicine) Jiyoon Kim (CHA University School of Medicine) Jinyoung Jang (CHA University School of Medicine) Junghyun Kim (CHA University) Suyeon Kim (CHA University School of Medicine) Youngeun Chang (CHA University School of Medicine) MI YEON KIM (CHA University School of Medicine) Mira Jeon (CHA University School of Medicine) Seongsuk Kang (CHA University School of Medicine) Jung Keun Lee (CHA University School of Medicine) Tae Gon Kim (CHA University School of Medicine)
저널정보
대한지역사회영양학회 Nutrition Research and Practice Nutrition Research and Practice Vol.15 No.6
발행연도
2021.12
수록면
703 - 714 (12page)

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BACKGROUND/OBJECTIVES: A dietary restriction on the intake of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) has been reported to be effective in the treatment of gastrointestinal (GI) tract complications. Enteral nutrition (EN) is widely used for patients who cannot obtain their nutritional requirements orally, but many studies have reported EN complications, especially diarrhea, in up to 50% of patients.
SUBJECTS/METHODS: We performed a single-center, non-randomized, controlled trial to determine the effects of a low-FODMAP enteral formula on GI complications in patients in intensive care units (ICUs). Patients in the ICU who needed EN (n = 66) were alternately assigned to the low-FODMAP group (n = 33) or the high-FODMAP group (n = 33).
RESULTS: Anthropometric and biochemical parameters were measured, and stool assessment was performed using King"s Stool Chart. We excluded patients who received laxatives, GI motility agents, proton pump inhibitors, antifungal agents, and antibiotics other than β-lactams. There were no differences in GI symptoms during 7 days of intervention, including bowel sound, abdominal distension, and vomiting between the 2 groups. However, diarrhea was more frequent in the high-FODMAP group (7/33 patients) than the low- FODMAP group (1/33 patients) (P = 0.044).
CONCLUSIONS: Our results suggest that a low-FODMAP enteral formula may be a practical therapeutic approach for patients who exhibit enteral formula complications. Our study warrants further randomized clinical trials and multicenter trials.

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ABSTRACT
INTRODUCTION
SUBJECTS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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