This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hwang, T.-L. Articles by Chen, M.-F. Search for Related Content PubMed PubMed Citation Articles by Hwang, T.-L. Articles by Chen, M.-F. Social Bookmarking                         What's this?

The Importance of a Source of Sufficient Protein in Postoperative Hypocaloric Partial Parenteral Nutrition Support

Nutritional Support Service, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China

San-Chu Mou, RD

Nutritional Support Service, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China

Mn-Fu Chen, MD

Nutritional Support Service, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China

A comparison of postoperative metabolic and nutritional responses to different hypocaloric parenteral nutrition supports was performed in 42 patients with various gastric lesions. Sixteen patients (group A) received 3000 mL of a 5% glucose in water or glucose in saline infusion per day after surgery (approximately 10 kcal/kg per day). Another 14 patients (group B) received 2000 mL of 5% glucose in water or saline plus 1000 mL of 5% amino acid solution per day (approximately 10 kcal/kg per day and 1 g of protein per kilogram per day). The other 12 patients (group C) received 2000 mL of 5% glucose in water or saline plus 500 mL of 5% amino acid solution and 500 mL of 10% fat emulsion (approximately 20 kcal/kg per day and 0.5 g of protein per kilogram per day). After 7 days of study, all three groups were found to have a decrease in body weight, mid-arm circumference, triceps skin-fold, and serum albumin level, and the differences among them were not significant. Groups B and C had significantly less negative mean nitrogen balance than group A (—5.54 ± 0.63 g/ d and -6.07 ± 0.49 g/d vs -9.20 ± 0.68 g/d). Group B also had a significantly greater increase of transferrin (from 175.5 ± 9.9 mg/dL to 185.4 ± 9.3 mg/dL) than group A and a significantly greater increase in total lymphocyte count (from 956 ± 113 cells/mm³ to 1196 ± 176 cells/mm³) than groups A and C. We concluded that postoperative hypocaloric nutrition support with a sufficient protein source, at least 1 g/kg per day, achieved better nitrogen balance, improved short half-life of visceral protein levels, and higher total lymphocyte count. (Journal of Parenteral and Enteral Nutrition 17:254-256, 1993)

Journal of Parenteral and Enteral Nutrition, Vol. 17, No. 3, 254-256 (1993)
DOI: 10.1177/0148607193017003254


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				S. A. McClave, R. G. Martindale, V. W. Vanek, M. McCarthy, P. Roberts, B. Taylor, J. B. Ochoa, L. Napolitano, G. Cresci, the A.S.P.E.N. Board of Directors, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient:: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) JPEN J Parenter Enteral Nutr, May 1, 2009; 33(3): 277 - 316. [Full Text] [PDF]

				D. K. Heyland, S. MacDonald, L. Keefe, and J. W. Drover Total Parenteral Nutrition in the Critically Ill Patient: A Meta-analysis JAMA, December 16, 1998; 280(23): 2013 - 2019. [Abstract] [Full Text] [PDF]