[Differences in Postoperative Metabolism After Pre- and Postoperative Beginning of Total Parenteral Nutrition]

Overview

Journal Z Ernahrungswiss

Specialty Nutritional Sciences

Date 1980 Jun 1

PMID 6775430

Citations 3

Authors

M Georgieff

R KATTERMANN

K Geiger

L W Storz

U Bethke

H Lutz

Affiliations

Soon will be listed here.

Abstract

In this study we intended to investigate the influence of a 24-h-preoperative total parenteral nutrition (TPN) therapy--10 surgical patients, group 1--compared with the postoperative beginning of TPN--9 surgical patients, group 2--on the postoperative metabolism. Most probably due to preoperatively depleted glycogen storages in G 2, the urinary carbohydrate losses declined more rapidly postoperatively compared with G 1. 45 mMol/l of sodium did not cover the postoperative requirements of G 1. Although we administered 90 mMol/l of potassium/24 h, several patients of G 1 needed an additional substitution. No additional phosphate substitution was necessary in either group. Except for a slight positive balance on the operation day, fluid balance was well balanced on all the other days in G 1. From postoperative day 2 on, G 2 developed a deficit of free water. It could be demonstrated very clear in this study that the postoperative fluid and electrolyte requirements are strongly influenced even by a short-term preoperative fasting period.

Citing Articles

[Theory and practice of perioperative trauma-adapted parenteral feeding].

Georgieff M Z Ernahrungswiss. 1982; 21(4):279-98.

PMID: 6817528 DOI: 10.1007/BF02020746.

[Advantage of xylitol compared to glucose as an energy source during early postoperative parenteral feeding].

Georgieff M, Ackermann R, Bassler K, Lutz H Z Ernahrungswiss. 1982; 21(1):27-42.

PMID: 6803463 DOI: 10.1007/BF02023038.

[Enzymatic changes and protein metabolism in the early and late postoperative phase during intravenous feeding].

Georgieff M, Lutz H Z Ernahrungswiss. 1981; 20(4):291-310.

PMID: 6803461 DOI: 10.1007/BF02021641.

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