{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T04:50:48Z","timestamp":1771044648459,"version":"3.50.1"},"reference-count":61,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T00:00:00Z","timestamp":1599436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><\/jats:sec><jats:sec><jats:label\/><jats:p>Bariatric surgery is by far the most effective treatment option available for successfully achieving and maintaining weight loss in the obese population, but it can also be associated with complications that lead to malnutrition. There is limited data on how enteral nutrition (EN) can be used to provide nutrition support in such cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of our Home Enteral Nutrition (HEN) database was conducted from February 2013 to April 2018 to identify patients who received HEN because of bariatric surgery\u2013related complication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 72 patients (86% female, mean age 50.3 \u00b1 11.6 years) initiated HEN because of bariatric surgical complication. Most common bariatric surgery was Roux\u2010en\u2010Y (74%) and most common indication for HEN was malnutrition\/failure to thrive (33%). HEN was most commonly provided through nasojejunal feeds and resulted in an average increase in body weight and body mass index from 74.8 kg and 26.5, respectively, before HEN to 76.9 kg and 27.2, respectively, at the end of the HEN period. Through HEN, patients received 22.2 \u00b1 7.9 kcal\/kg\/d and 1.0 \u00b1 0.3 g\/kg\/d protein, meeting 94% \u00b1 17% of their energy goals and 95% \u00b1 29% of their protein goals. Vitamin deficiencies were noted in 69% of patients at the time of HEN initiation, which improved to 10% after enteral feeds and appropriate vitamin supplementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>HEN is safe and effective in treating malnutrition and vitamin deficiencies that might occur as a complication of bariatric surgery, leading to avoidance of parenteral nutrition support in most cases.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.1973","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T13:06:51Z","timestamp":1595941611000},"page":"1023-1031","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Use of Home Enteral Nutrition in Malnourished Post\u2010Bariatric Surgery Patients"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5600-5586","authenticated-orcid":false,"given":"Saketh R.","family":"Velapati","sequence":"first","affiliation":[{"name":"Division of Endocrinology Diabetes Metabolism, and Nutrition Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Mayo Clinic School of Medicine  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darrell R.","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Division of Biomedical Statistics and Informatics Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navtej S.","family":"Buttar","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Hepatology and Nutrition University of Louisville  Louisville Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0240-6453","authenticated-orcid":false,"given":"Osman","family":"Mohamed Elfadil","sequence":"additional","affiliation":[{"name":"Division of Endocrinology Diabetes Metabolism, and Nutrition Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan T.","family":"Hurt","sequence":"additional","affiliation":[{"name":"Division of Endocrinology Diabetes Metabolism, and Nutrition Mayo Clinic  Rochester Minnesota USA"},{"name":"Division of General Internal Medicine Mayo Clinic  Rochester Minnesota USA"},{"name":"Division of Gastroenterology and Hepatology Mayo Clinic  Rochester Minnesota USA"},{"name":"Division of Gastroenterology Hepatology and Nutrition University of Louisville  Louisville Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7902-3544","authenticated-orcid":false,"given":"Manpreet S.","family":"Mundi","sequence":"additional","affiliation":[{"name":"Division of Endocrinology Diabetes Metabolism, and Nutrition Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.1.76"},{"key":"e_1_2_7_3_1","unstructured":"Centers for Disease Control and Prevention.Adult Obesity Facts. 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