Enteral versus parenteral nutrition after severe closed head injury.

  title={Enteral versus parenteral nutrition after severe closed head injury.},
  author={A P Borzotta and James Pennings and B Papasadero and Julia Paxton and S Mardesic and R Borzotta and A. Kevin Parrott and F Bledsoe},
  journal={The Journal of trauma},
  volume={37 3},
We measured energy expenditure (MREE) and nitrogen excretion (UUN) in patients with severe head injury randomized to early parenteral (TPN, n = 21) or jejunal (ENT, n = 27) feeding with identical formulations. The MREE rose to 2400 +/- 531 kcal/day in both groups and remained at 135% +/- 26% to 146% +/- 42% of predicted energy expenditure over 4 weeks. Nitrogen excretion peaked the second week at 33.4 +/- 10 (TPN) and 31.2 +/- 7.5 (ENT) g N/day. Both routes were equally effective at meeting… CONTINUE READING

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