Industrially manufactured all-in-one solution in visceral surgery.
OBJECTIVE
The goal of this study was to examine the handling and the effect of a commercially manufactured nutritional solution (VacuKit zero 1) on the postoperative metabolism and the liquid requirement after gastro-intestinal surgery.


METHODS
Open, prospective, nonrandomized study.


METHODS
Ward of the visceral surgical department of a town hospital in Switzerland.


METHODS
36 consecutive patients after gastro-intestinal surgery.


METHODS
During the first 5 postoperative days 2,000 ml of the commercially manufactured nutritional solution were administered daily; it was composed of amino acids (100 g), glucose (1,120 kcal), fat (820 kcal) and electrolytes.


RESULTS
The nitrogen balance in the postoperative phase was always positive. Laboratory analysis shows that this nutrition solution is well accepted, with stable carbohydrate and fat metabolism and with normal liver and electrolyte parameters. The patients received an average of 500 ml/24 h of additional liquids.


CONCLUSIONS
Administration and handling of the solution VacuKit zero 1 requires no special equipment. The nutritional solution proved to be a safe and simple method of parenteral nutrition for metabolically stable patients in the visceral surgery department.
Genoni
M
M
Ospedale San Giovanni, Bellinzona, Svizzera.
De Lorenzi
D
D
Bogen
M
M
Müller
W
W
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004573:Electrolytes / Q000097:blood; D004734:Energy Metabolism / Q000502:physiology*; D005260:Female; D005767:Gastrointestinal Diseases / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000503:physiopathology; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D009584:Nitrogen / Q000097:blood; D009751:Nutritional Requirements; D009753:Nutritive Value; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D011446:Prospective Studies
D004573:Electrolytes; D009584:Nitrogen