title: [Postoperative long-term feeding with maltose supplementation].
abstract: 2 litres of a 40% carbohydrate combination solution consisting of glucose, fructose, xylitol and maltose in the ratio 1:1:1:1 were infused together with 1 litre of 8% amino acid solution (aminomel L 8 oKH salvia) over a period of 24 hours for 4 days to 16 patients who had undergone gastric resection by the Billroth II procedure. Since maltose is partly excreted as glucose, maltose and glucose were jointly balanced. The joint conversion was, on average, 75, the fructose conversion 97 and the xylitol conversion 94%. The mean conversion of the 4 carbohydrates was about 85% corresponding to 2800 kcal (11,720 joule) daily. The nitrogen balance showed initally a slight catabolism. The serum insulin level rose significantly and simultaneously there was inhibition of lipolysis. The metabolic state and tolerance parameters remained in the normal range. The only side-effects noted were an increasing activity of the alkaline phosphatase and a significant elevation of the gamma-GT on the 4th day. The administration of relatively large quantities of maltose and glucose in combination with fructose and xylitol does not appear to produce any notable advantages.
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D004040:Dietary Carbohydrates / Q000378:metabolism*; D005632:Fructose / Q000378:metabolism; D005743:Gastrectomy; D005947:Glucose / Q000378:metabolism; D006801:Humans; D008320:Maltose / Q000378:metabolism*; D010288:Parenteral Nutrition; D011182:Postoperative Care; D014993:Xylitol / Q000378:metabolism
chemical_list: D001786:Blood Glucose; D004040:Dietary Carbohydrates; D005632:Fructose; D008320:Maltose; D005947:Glucose; D014993:Xylitol
vernacular_title: Untersuchungen zur postoperativen Langzeiternährung unter Zusatz von Maltose.