Improvement in protein absorption with a small-peptide-based diet in patients with high jejunostomy

Nutrition. Nov-Dec 1992;8(6):406-11.

Abstract

We compared urinary and fecal excretions of fluid, electrolytes, and nutrients in six patients with a high jejunostomy during three randomized consecutive 3-day periods of total enteral nutrition with three diets differing only by the degree of hydrolysis of the protein moiety: whole proteins, their hydrolysate (63% nitrogen as small peptides with < 1000 M), and the two mixed together. Daily nitrogen absorption was significantly enhanced with the small-peptide and mixed diets (14.3 +/- 3.4 and 13.1 +/- 2 g, respectively) compared with the whole protein diet (10.9 +/- 2.4 g, p = 0.012). Concomitantly, blood urea nitrogen and urinary urea excretion increased with the small-peptide diet. Apparent absorption of fat and calories, fecal weight, and urinary and fecal excretions of sodium, potassium, calcium, and magnesium remained unchanged. We conclude that a small-peptide-based diet may be beneficial in patients with short-bowel syndrome.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Blood Urea Nitrogen
  • Dietary Fats / metabolism
  • Dietary Proteins / administration & dosage
  • Dietary Proteins / metabolism*
  • Energy Intake
  • Enteral Nutrition
  • Female
  • Humans
  • Intestinal Absorption*
  • Jejunostomy* / adverse effects
  • Male
  • Middle Aged
  • Minerals / metabolism
  • Nitrogen / metabolism
  • Peptides / administration & dosage
  • Peptides / metabolism*
  • Short Bowel Syndrome / etiology
  • Short Bowel Syndrome / metabolism*
  • Urea / urine

Substances

  • Dietary Fats
  • Dietary Proteins
  • Minerals
  • Peptides
  • Urea
  • Nitrogen