title: [Metabolic regulation in surgical patients].
abstract: The concentration of circulating hormones and substrates was determined in 7 patients before, during and after major elective surgery. On the basis of these and other of our studies, as well as data in the literature, a tentative scheme of postoperative and post-traumatic metabolism has been drawn up. It is based on the classical division into a "shock phase", a catabolic healing phase and an anabolic healing phase. The adjustment of intravenous feeding to these metabolic phases is discussed.
mesh_terms: D005943:Gluconeogenesis; D006728:Hormones / Q000097:blood; D006801:Humans; D007030:Hypothalamo-Hypophyseal System / Q000502:physiology; D008066:Lipolysis; D010913:Pituitary-Adrenal System / Q000502:physiology; D011184:Postoperative Period; D012773:Shock, Surgical / Q000378:metabolism*; D013312:Stress, Physiological / Q000378:metabolism; D014947:Wounds and Injuries / Q000378:metabolism*
chemical_list: D006728:Hormones
vernacular_title: Stoffwechselregulation bei chirurgischen Patienten.