Nitrogen-Sparing Effect of Different Feeding Regimes in Patients After Operation

Giddings, A. E. B.; Johnston, AR; Hindmarsh, John; Clark, R. G.

doi:10.1093/bja/49.8.781

Cited by 30 publications

(1 citation statement)

References 17 publications

(16 reference statements)

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“…Die erhOhten Harnstoffwerte im Serum der parenteralen Gruppe sprechen dafter, dab ein Teil der zugefiihrten Eiweil3stoffe tiber den Weg der Gluconeogenese in den Energiestoffwechsel eingebracht werden [15].…”

Section: Nutritive Effizienzunclassified

Fr�he postoperative enterale Ern�hrung nach Oesophagusresektion

Brandmair

Lehr

1988

Langenbecks Arch Chiv

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In a prospective randomized study, total parenteral alimentation was compared with early postoperative enteral alimentation in a group of patients who had undergone esophageal resection. In addition to mechanical problems with the jejunal catheter abdominal complications arose during enteral alimentation (meteorism, distension), leading to discontinuation in one-third of cases. The limited prognostic value of ultrasound examination of the abdomen - now often used postoperatively as a decisive aid to diagnosis - is a further serious disadvantage; overall, since there are no particulars in which enteral alimentation can be shown to be superior to parenteral alimentation, it no longer seems justified in the early postoperative phase. The jejunal catheter has, however, proved its worth as a means of direct access to the intestine that can be exploited any time after the initial postoperative period (a week to some months after surgery). For this reason we now insert a jejunal catheter routinely following esophagectomy or gastrectomy.

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Section: Nutritive Effizienzunclassified

Fr�he postoperative enterale Ern�hrung nach Oesophagusresektion

Brandmair

Lehr

1988

Langenbecks Arch Chiv

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Postoperative Enteral vs Parenteral Nutrition

Talamini²,

et al. 1986

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Postoperative amino acid infusions: An appraisal

Clark

1978

Journal of British Surgery

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Amino acid infusions either as a 7 per cent solution or as an isotonic 3.5 per cent solution produce a nitrogen-sparing effect in the postoperative period. The nitrogen-sparing effect is independent of the concentration and rate of infusion of the amino acid solution; or of any changes in plasma substrate and hormone concentrations. These solutions have no advantage over conventional intravenous therapy with isotonic glucose and saline solutions and there is no indication for their routine use in the management of postoperative patients.

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Nitrogen-Sparing Effect of Different Feeding Regimes in Patients After Operation

Cited by 30 publications

References 17 publications

Fr�he postoperative enterale Ern�hrung nach Oesophagusresektion

Fr�he postoperative enterale Ern�hrung nach Oesophagusresektion

Postoperative Enteral vs Parenteral Nutrition

Postoperative amino acid infusions: An appraisal

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