[Postoperative parenteral nutrition following segmental liver resection--are fat emulsions a risk?].
Thirty-two patients with segmental liver resection were fed 3 different parenteral infusion programs postoperatively. These differed in carbohydrate and lipid content, with the latter representing up to 40% of the total caloric content. Laboratory parameters, including nitrogen balance, acute phase proteins and liver function tests, were found to have a postoperative course similar to that seen following other major abdominal procedures. A transient rise of bilirubin observed may be related to the temporary decrease in the excretory function of the liver. The rise in acute phase proteins, beginning a few days postoperatively, was attributed to the ability of the remaining liver parenchyma to synthesize protein. There was no significant difference observed between the 3 parenteral solutions. Finally, we conclude that in the early postoperative period lipid solutions can be used as an important source of energy.
Haupt
W
W
Chirurgische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
Husemann
B
B
Sailer
D
D
D000410:Alanine Transaminase / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood; D001663:Bilirubin / Q000097:blood; D001798:Blood Proteins / Q000378:metabolism; D005217:Fat Emulsions, Intravenous / Q000008:administration & dosage / Q000009:adverse effects*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000201:enzymology; D008111:Liver Function Tests; D009584:Nitrogen / Q000097:blood; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011182:Postoperative Care / Q000379:methods*; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood; D005723:gamma-Glutamyltransferase / Q000097:blood
D001798:Blood Proteins; D005217:Fat Emulsions, Intravenous; D014280:Triglycerides; D005723:gamma-Glutamyltransferase; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase; D009584:Nitrogen; D001663:Bilirubin
Postoperative parenterale Ernährung nach Lebersegmentresektion--sind Fettemulsionen ein Risiko?