[Nutrition physiologic, immunologic and clinical parameters in prospective randomized patients by enteral or parenteral nutrition therapy following large intestine operations].
In a prospectively randomized study with 60 patients differences between enteral and parenteral nutrition were investigated especially with regard to short living proteins, immunoglobulins and clinical complications. Prealbumine as well as fibronectin and transferrin increased faster in enteral nourished patients postoperatively than in the parenterally nourished group. With this observation a reduced weight loss correlates in the enterally nourished group. From the immunoglobulins only IgM was significantly increased after enteral nutrition. An accumulation of postoperative infections seems to be in context with a delayed increase of IgM in the parenteral nourished group.
D000368:Aged; D001798:Blood Proteins / Q000378:metabolism*; D001835:Body Weight; D004734:Energy Metabolism; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005353:Fibronectins / Q000378:metabolism; D006801:Humans; D007136:Immunoglobulins / Q000378:metabolism*; D008297:Male; D010288:Parenteral Nutrition / Q000379:methods*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000378:metabolism*; D011228:Prealbumin / Q000378:metabolism; D011446:Prospective Studies; D012004:Rectal Neoplasms / Q000601:surgery*; D012709:Serum Albumin / Q000378:metabolism; D013530:Surgical Wound Infection / Q000378:metabolism; D014168:Transferrin / Q000378:metabolism
D001798:Blood Proteins; D005353:Fibronectins; D007136:Immunoglobulins; D011228:Prealbumin; D012709:Serum Albumin; D014168:Transferrin
Ernährungsphysiologische, immunologische und klinische Parameter bei prospektiv randomisierten Patienten unter enteraler oder parenteraler Ernährungstherapie nach Dickdarmoperationen.