Bowel Function of Long‐Term Tube‐Fed Patients Consuming Formulae with and without Dietary Fiber

Shankardass, K.; Chuchmach, S.; Chelswick, K.; Stefanovich, C.; Spurr, S.; Brooks, J.; Tsai, M.; Saibil, F.G.; Cohen, L.B.; Edington, J.D.

doi:10.1177/0148607190014005508

Cited by 94Clinical Nutrition and GastroenterologyGastrointestinal motility and disordersFood composition and properties

Bowel Function of Long‐Term Tube‐Fed Patients Consuming Formulae with and without Dietary Fiber

Shankardass, K., Chuchmach, S., Chelswick, K., Stefanovich, C., Spurr, S., Brooks, J., Tsai, M., Saibil, F.G. +2 more·1990·Journal of Parenteral and Enteral Nutrition

DOI 10.1177/0148607190014005508

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Abstract

Diarrhea, constipation and subsequent laxative use are chronic problems in long-term enterally fed patients. We have conducted a double-blind randomized crossover study to evaluate the effects of two enteral formulae (Enrich, 12.8 g of dietary fiber per 1000 kcal and Ensure, fiber-free) on stool frequency, fecal weight, laxative use, gastrointestinal tolerance and bowel function in chronic care tube-fed patients. Twenty-eight subjects (24 male, 4 female) completed the study. Mean daily number of stools and mean daily fecal wet weight in Enrich-fed patients were not significantly different from those of patients receiving Ensure. Ensure-fed patients required significantly more laxatives (p = 0.02) than those receiving Enrich. There were 26 reports of diarrhea in the Ensure-fed group as compared to 6 in the Enrich-fed group, and this difference was significant (p = 0.006). Reporting rates for constipation were not significantly different in the two groups. At the end of the study, the bowel function of 57.1% of patients receiving Enrich was improved when compared with that of 14.3% of Ensure-fed patients, and this difference was significant (p = 0.005). These results suggest that the addition of dietary fiber to enteral formulae improves gastrointestinal tolerance and bowel function, and reduces laxative use in long-term enterally fed patients.

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Fiber-containing products for enteral nutrition have been shown to contribute to normal bowel function.
“Conversely, fiber-containing products for EN have been shown to contribute to normal bowel function (24)(25)(26)(27)(28)(29)(30) and are, thus, generally recommended.”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [25]

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Authors: Shankardass, K., Chuchmach, S., Chelswick, K., Stefanovich, C., Spurr, S., Brooks, J., Tsai, M., Saibil, F. G., Cohen, L. B., & Edington, J. D.
Affiliations: Chedoke Hospital (CA)
Sunnybrook Health Science Centre (CA)
Abbott (Canada) (CA)
ORCID: Saibil, F.G.
Cohen, L.B.
Venue: Journal of Parenteral and Enteral Nutrition
Publisher: Wiley
Published: 1990-09
Volume: 14
Issue: 5
Pages: 508-512
ISSN: 0148-6071 (ISSN-L)
1941-2444
DOI: 10.1177/0148607190014005508
OpenAlex: W2127322655
Cited by: 94
References: 20
Citations by year: 2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 3 · 2012: 2
FWCI: 4.36
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Parenteral and Enteral Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
Keywords: dietary fiber, enteral formulas, long-term tube feeding, bowel function, diarrhea, constipation, laxative use, stool frequency, fecal weight, gastrointestinal tolerance
MeSH terms: Adult, Aged, Aged, 80 and over, Defecation, Dietary Fiber, Enteral Nutrition, Female, Food, Formulated, Humans, Intestine, Large, Male, Middle Aged, Time Factors

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Bowel Function of Long‐Term Tube‐Fed Patients Consuming Formulae with and without Dietary Fiber

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