Patients with a high jejunostomy do not need a special diet

Gastroenterology. 1986 Jul;91(1):25-33. doi: 10.1016/0016-5085(86)90434-8.


Absorption from a chemically defined liquid feed consisting of small peptides, oligosaccharides, and little fat (half medium-chain triglycerides) was compared with that from a feed of whole protein, polysaccharides, and long-chain triglycerides in 7 patients with less than 150 cm of jejunum ending in a stoma. Comparisons of absorption from three solid food diets varying in their fiber and fat content but containing equal amounts of nitrogen and minerals were also made in 4 of the patients. There were no consistent differences between the two liquid or three solid-food diets in percentage of calorie, nitrogen, or fat absorption. The absolute loss of fat depended on the fat intake, but larger losses did not appear detrimental. A liquid diet consisting of peptides, oligosaccharides, and medium-chain triglycerides is not more beneficial than a polymeric diet in patients with a high jejunostomy. A liberal attitude is appropriate toward the fat and fiber content of the diet. Electrolyte supplements, especially sodium and magnesium, are often needed.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Diet*
  • Dietary Fats / administration & dosage
  • Dietary Fiber / administration & dosage
  • Female
  • Humans
  • Intestinal Absorption
  • Jejunum / metabolism
  • Jejunum / surgery*
  • Male
  • Middle Aged
  • Minerals / metabolism
  • Nutritional Requirements


  • Dietary Fats
  • Dietary Fiber
  • Minerals