Clinical Application of Elemental Diet (Elental) in Oral Surgery

In past years, IVH has been the main method of nutritional management. However, as the management and surgical operation are complicated, recently Elemental Diet (ED) as a method of oral feeding has received great interest. In 1977, ED-AC (Elental) was developed for Japanese patients. We examined th...

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Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 32; no. 12; pp. 2437 - 2442
Main Authors OGINO, Tsuneko, AOKI, Mitsuko, ABE, Hiroyuki, FUJII, Toshiharu, MANAKA, Nobuyuki, SANGU, Yoshikuni, YAMASHITA, Yasuhiro, SEKIDO, Masanori, OGIUCHI, Hideki, KUWAZAWA, Takaho
Format Journal Article
LanguageEnglish
Published Japanese Society of Oral and Maxillofacial Surgeons 1986
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.32.2437

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Abstract In past years, IVH has been the main method of nutritional management. However, as the management and surgical operation are complicated, recently Elemental Diet (ED) as a method of oral feeding has received great interest. In 1977, ED-AC (Elental) was developed for Japanese patients. We examined the clinical symptoms and observations of 20 cases of ED-AC application. As a result, the clinical observations during the period of its application, showed a slight decrease in weight, serum proteins and serum albumine, but no significant changes in other tests. Besides, among the 20 cases, 7 patients complained of diarrhea as side effect, but there was not a single case in which the application was suspended. The clinical results in the application of ED-AC in the area of oral surgery showed in general an effective diet without causing serious side effects and with possibility of long-term application. It is concluded as being a valuable method.
AbstractList In past years, IVH has been the main method of nutritional management. However, as the management and surgical operation are complicated, recently Elemental Diet (ED) as a method of oral feeding has received great interest. In 1977, ED-AC (Elental) was developed for Japanese patients. We examined the clinical symptoms and observations of 20 cases of ED-AC application. As a result, the clinical observations during the period of its application, showed a slight decrease in weight, serum proteins and serum albumine, but no significant changes in other tests. Besides, among the 20 cases, 7 patients complained of diarrhea as side effect, but there was not a single case in which the application was suspended. The clinical results in the application of ED-AC in the area of oral surgery showed in general an effective diet without causing serious side effects and with possibility of long-term application. It is concluded as being a valuable method.
Author OGIUCHI, Hideki
KUWAZAWA, Takaho
ABE, Hiroyuki
MANAKA, Nobuyuki
YAMASHITA, Yasuhiro
OGINO, Tsuneko
AOKI, Mitsuko
FUJII, Toshiharu
SEKIDO, Masanori
SANGU, Yoshikuni
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  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: AOKI, Mitsuko
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: ABE, Hiroyuki
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: FUJII, Toshiharu
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: MANAKA, Nobuyuki
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: SANGU, Yoshikuni
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: YAMASHITA, Yasuhiro
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: SEKIDO, Masanori
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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  fullname: OGIUCHI, Hideki
  organization: Department of Oral Surgery, Tokyo Women's Medical College
– sequence: 1
  fullname: KUWAZAWA, Takaho
  organization: Department of Oral Surgery, Tokyo Women's Medical College
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References 11) 佐藤博監修: 成分栄養法. 南江堂, 東京, 1981, 142-143頁.
13) 相崎修: 最近の経腸栄養荊の臨床的検討. 輸液栄養ジャーナル5: 735-738 1983.
2) 岡田正, 山本裕, 他: 高力ロリー輸液 (IV) 肺血症. 外科治療30: 205-208 1974.
1) 谷村弘, 日笠頼則, 他: 非経腸栄養 (高カロリー輸液) の適応と合併症. 外科Mook 3: 116-132 1972.
3) Ryan, J.A. Jr.: Complications of total parenteral nutrition, ed. Fisber J.E., p55, Little, Brown and Company, Boston, 1976.
8) 小越章平, 佐藤博, 他: Elemental Diet製品 (ED-AC) について. 医学のあゆみ106: 26-28 1978.
15) 小越章平, 碓井貞仁, 他: Elemental Dietによる経腸的Hyperalimentation (IV)-副作用について-. 外科40: 1470-1472 1978.
16) 青木洋三, 金秀男, 他: 経腸栄養剤としてのElemental Diet (ED-AC) Low Residue Diet (SF). 薬理と治療7: 3995-4002 1979.
10) 多幾山渉, 中西宰造, 他: Elemental dietによる術後栄養管理-臨床例50例の検討-.薬理と治療7: 3647-3656 1979.
7) 小越准平, 碓井貞仁, 他: Elemental Dietによる経腸的hyperarimentation (II)-投与方法について-. 外科40: 991-994 1978.
6) 小越章平, 碓井貞仁, 他: Elemental Dietによる経腸的hyperalimentation (I)-新製品の開発について-. 外科40: 913-915 1978.
17) 相場哲郎, 吉川和子, 他: EDACの使用経験. 薬理と治療8: 2429-2437 1980.
19) 大ケ瀬浩史, 児玉厚雄, 他: 成分栄養剤を応用した口腔外科領域患者に対する栄養管理. 日口外誌29: 941-949 1983.
12) 永田早苗, 高田忠敬, 他: Elemental Diet投与中に発生したNonketotic Hyperasmelar Comaの1例. 東女医大誌49: 1111-1116 1979.
5) Winitz, M., Seedman, D.A., et al.: Studies in metabolic nutrition emplaying chemically defined diets. Amer J Clin Natr 23: 525-545 1970.
18) 小田原良治, 浜田映, 他: Elemental Dietによる栄養管理-ED分割投与法について-.外科診療22: 918-922 1980.
9) 木下祐宏, 井出博子, 他: 上部消化器癌患者の術前, 術後および癌再発時のElemental Deit (ED-AC) による栄養管理. 薬理と治療7: 4004-4015 1979.
4) Greenstein, J.P.and Otey, M.C.: Quantitative nutritional studies with water soluble, chemically defined diets. J Nati Can last 24: 211-219 1960.
14) 菅原利夫, 幸雅樹, 他: 口腔外科領域における経腸栄養剤エンシュアリキッド (ME-8281) の臨床応用 (第2報). 日口外誌30: 1634-1643 1984.
References_xml – reference: 17) 相場哲郎, 吉川和子, 他: EDACの使用経験. 薬理と治療8: 2429-2437 1980.
– reference: 1) 谷村弘, 日笠頼則, 他: 非経腸栄養 (高カロリー輸液) の適応と合併症. 外科Mook 3: 116-132 1972.
– reference: 12) 永田早苗, 高田忠敬, 他: Elemental Diet投与中に発生したNonketotic Hyperasmelar Comaの1例. 東女医大誌49: 1111-1116 1979.
– reference: 4) Greenstein, J.P.and Otey, M.C.: Quantitative nutritional studies with water soluble, chemically defined diets. J Nati Can last 24: 211-219 1960.
– reference: 11) 佐藤博監修: 成分栄養法. 南江堂, 東京, 1981, 142-143頁.
– reference: 19) 大ケ瀬浩史, 児玉厚雄, 他: 成分栄養剤を応用した口腔外科領域患者に対する栄養管理. 日口外誌29: 941-949 1983.
– reference: 15) 小越章平, 碓井貞仁, 他: Elemental Dietによる経腸的Hyperalimentation (IV)-副作用について-. 外科40: 1470-1472 1978.
– reference: 2) 岡田正, 山本裕, 他: 高力ロリー輸液 (IV) 肺血症. 外科治療30: 205-208 1974.
– reference: 7) 小越准平, 碓井貞仁, 他: Elemental Dietによる経腸的hyperarimentation (II)-投与方法について-. 外科40: 991-994 1978.
– reference: 3) Ryan, J.A. Jr.: Complications of total parenteral nutrition, ed. Fisber J.E., p55, Little, Brown and Company, Boston, 1976.
– reference: 9) 木下祐宏, 井出博子, 他: 上部消化器癌患者の術前, 術後および癌再発時のElemental Deit (ED-AC) による栄養管理. 薬理と治療7: 4004-4015 1979.
– reference: 14) 菅原利夫, 幸雅樹, 他: 口腔外科領域における経腸栄養剤エンシュアリキッド (ME-8281) の臨床応用 (第2報). 日口外誌30: 1634-1643 1984.
– reference: 5) Winitz, M., Seedman, D.A., et al.: Studies in metabolic nutrition emplaying chemically defined diets. Amer J Clin Natr 23: 525-545 1970.
– reference: 8) 小越章平, 佐藤博, 他: Elemental Diet製品 (ED-AC) について. 医学のあゆみ106: 26-28 1978.
– reference: 10) 多幾山渉, 中西宰造, 他: Elemental dietによる術後栄養管理-臨床例50例の検討-.薬理と治療7: 3647-3656 1979.
– reference: 18) 小田原良治, 浜田映, 他: Elemental Dietによる栄養管理-ED分割投与法について-.外科診療22: 918-922 1980.
– reference: 16) 青木洋三, 金秀男, 他: 経腸栄養剤としてのElemental Diet (ED-AC) Low Residue Diet (SF). 薬理と治療7: 3995-4002 1979.
– reference: 6) 小越章平, 碓井貞仁, 他: Elemental Dietによる経腸的hyperalimentation (I)-新製品の開発について-. 外科40: 913-915 1978.
– reference: 13) 相崎修: 最近の経腸栄養荊の臨床的検討. 輸液栄養ジャーナル5: 735-738 1983.
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SubjectTerms elemental diet
enteral nutrition
nutritional management
Title Clinical Application of Elemental Diet (Elental) in Oral Surgery
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