[Hypocaloric nutrition in the early postoperative phase in patients following colorectal surgery].
In patients with colorectal tumors of stages T4 N0-N1 and M0 the effectiveness of hypocaloric nutrition in the early postoperative period was monitored. Only patients without a disturbed nutrition state in the preoperative period were selected for this procedure, in which Schmoz' 6-point-system (Hb, albumin, transferrin, anthropometries and immune state) was used for this distinction. The nutrition solution used was Infesol (40.0 g amino acids to 100.0 g sorbitol in 11). The postoperative control of protein values showed that all values were normal; only albumin decreased from the norm on the second postoperative day. Nitrogen losses in 24-h urine were on average 15 g N, with an N intake of 9.5 g daily. All patients were fed by the peripheral-venous way. Complications were minor and were favorable compared to those observed in a group given hypercaloric nutrition.
Mory
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1. Klinik für Chirurgie, Bezirkskrakenhauses Friedrick Wolf Karl-Marx-Stadt.
Wehner
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D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D001798:Blood Proteins / Q000032:analysis; D003110:Colonic Neoplasms / Q000601:surgery*; D002149:Energy Intake; D005260:Female; D006452:Hemoglobinometry; D006801:Humans; D007328:Insulin / Q000097:blood; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D011183:Postoperative Complications / Q000628:therapy*; D012004:Rectal Neoplasms / Q000601:surgery*; D012709:Serum Albumin / Q000032:analysis; D012811:Sigmoid Neoplasms / Q000601:surgery*; D014168:Transferrin / Q000032:analysis; D014280:Triglycerides / Q000097:blood
D001798:Blood Proteins; D007328:Insulin; D012709:Serum Albumin; D014168:Transferrin; D014280:Triglycerides
Die hypokalorische Ernährung in der frühen postoperativen Phase bei Patienten nach kolorektalen Eingriffen.