[Effect of enteral and parenteral nutrition on glucose tolerance in the early postoperative phase].
In a randomized clinical trial in 24 patients with colorectal resections the different behaviour of glucose tolerance (GT) in the early post-operative period was investigated. Especially, we were concerned with the way nutritional substrate were applicated. Therefore 2 groups were randomly formed for a six day period of enteral versus parenteral nutrition. To check the GT enteral tolerance-tests were done preoperatively, and on day 1, 3 and 6 postoperatively. Our results show a significant improvement of GT in the enteral group on 3, and 6, postoperative days, as well as a significantly higher insulin secretion on 3, postoperative day. C-Peptide displays similar high concentrations as a sign of elevated insulin secretion. These results prove, that enteral glucose application is superior to the parenteral way in early postoperative nutrition.
Butters
M
M
Abteilung Chirurgie, Marienhospital Stuttgart.
Miller
W
W
Bittner
R
R
D002096:C-Peptide / Q000097:blood; D015179:Colorectal Neoplasms / Q000097:blood / Q000601:surgery*; D004750:Enteral Nutrition; D005950:Glucose Solution, Hypertonic / Q000008:administration & dosage; D005951:Glucose Tolerance Test; D006801:Humans; D007260:Infusion Pumps; D007328:Insulin / Q000097:blood; D010289:Parenteral Nutrition, Total; D011182:Postoperative Care
D002096:C-Peptide; D005950:Glucose Solution, Hypertonic; D007328:Insulin
Der Einfluss einer enteralen und parenteralen Ernährung auf die Glukosetoleranz in der frühpostoperativen Phase.