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The role of enteral fat as a modulator of body composition after small bowel resection.
Surgery. 2014 Aug; 156(2):412-8.S

Abstract

BACKGROUND

After massive small bowel resection (SBR), a postoperative diet high in fat is associated with enhanced villus growth. The purpose of this study was to further elucidate the quantity and composition of enteral fat in structural and metabolic changes after SBR.

METHODS

C57/Bl6 mice underwent a 50% proximal SBR. Mice were then randomized to receive a low-fat diet (12% kcal fat), medium-fat diet (44% kcal fat), or high-fat diet (HFD; 71% kcal fat) ad libitum. In a separate experiment, mice underwent 50% proximal SBR and then were randomized to liquid diets of 42% kcal of fat in which the fat was composed of menhaden oil, milk fat, or olive oil. After 2 weeks, mice underwent body composition analysis and the small intestine was harvested.

RESULTS

Mice that ingested the greatest amount of enteral fat (HFD) had the greatest percent lean mass. When the effects of the different kinds of enteral fat were analyzed, mice that consumed menhaden oil had the greatest percent lean mass with the greatest overall retention of preoperative weight.

CONCLUSION

These findings suggest that enteral fat enriched in omega-3 fatty acids may offer clinically relevant metabolic advantages for patients with short gut syndrome.

Authors+Show Affiliations

Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO.Division of Pediatric Surgery, Department of Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO. Electronic address: brad.warner@wustl.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24713095

Citation

Choi, Pamela M., et al. "The Role of Enteral Fat as a Modulator of Body Composition After Small Bowel Resection." Surgery, vol. 156, no. 2, 2014, pp. 412-8.
Choi PM, Sun RC, Sommovilla J, et al. The role of enteral fat as a modulator of body composition after small bowel resection. Surgery. 2014;156(2):412-8.
Choi, P. M., Sun, R. C., Sommovilla, J., Diaz-Miron, J., Khil, J., Erwin, C. R., Guo, J., & Warner, B. W. (2014). The role of enteral fat as a modulator of body composition after small bowel resection. Surgery, 156(2), 412-8. https://doi.org/10.1016/j.surg.2014.03.013
Choi PM, et al. The Role of Enteral Fat as a Modulator of Body Composition After Small Bowel Resection. Surgery. 2014;156(2):412-8. PubMed PMID: 24713095.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of enteral fat as a modulator of body composition after small bowel resection. AU - Choi,Pamela M, AU - Sun,Raphael C, AU - Sommovilla,Joshua, AU - Diaz-Miron,Jose, AU - Khil,Jaclyn, AU - Erwin,Christopher R, AU - Guo,Jun, AU - Warner,Brad W, Y1 - 2014/03/14/ PY - 2013/12/27/received PY - 2014/03/09/accepted PY - 2014/4/10/entrez PY - 2014/4/10/pubmed PY - 2014/9/27/medline SP - 412 EP - 8 JF - Surgery JO - Surgery VL - 156 IS - 2 N2 - BACKGROUND: After massive small bowel resection (SBR), a postoperative diet high in fat is associated with enhanced villus growth. The purpose of this study was to further elucidate the quantity and composition of enteral fat in structural and metabolic changes after SBR. METHODS: C57/Bl6 mice underwent a 50% proximal SBR. Mice were then randomized to receive a low-fat diet (12% kcal fat), medium-fat diet (44% kcal fat), or high-fat diet (HFD; 71% kcal fat) ad libitum. In a separate experiment, mice underwent 50% proximal SBR and then were randomized to liquid diets of 42% kcal of fat in which the fat was composed of menhaden oil, milk fat, or olive oil. After 2 weeks, mice underwent body composition analysis and the small intestine was harvested. RESULTS: Mice that ingested the greatest amount of enteral fat (HFD) had the greatest percent lean mass. When the effects of the different kinds of enteral fat were analyzed, mice that consumed menhaden oil had the greatest percent lean mass with the greatest overall retention of preoperative weight. CONCLUSION: These findings suggest that enteral fat enriched in omega-3 fatty acids may offer clinically relevant metabolic advantages for patients with short gut syndrome. SN - 1532-7361 UR - https://www.unboundmedicine.com/medline/citation/24713095/The_role_of_enteral_fat_as_a_modulator_of_body_composition_after_small_bowel_resection_ DB - PRIME DP - Unbound Medicine ER -