title: Resting energy expenditure in patients undergoing transhiatal or transthoracic oesophagectomy for carcinoma of the thoracic oesophagus.
abstract: Resting energy expenditure (REE) was studied in five patients undergoing transhiatal and in 14 undergoing transthoracic oesophagectomy for carcinoma. All resections were performed with an intention to cure. REE was measured by indirect calorimetry before operation and on days 1, 3, 5 and 7 after surgery. Following transthoracic oesophagectomy, REE increased significantly on days 1, 3, 5 and 7 after operation, and on day 7 the value was significantly higher (P < 0.05) than that obtained after transhiatal surgery. Energy expenditure following transhiatal oesophagectomy is lower than that after transthoracic oesophagectomy; this may be a result of reduced surgical stress.
authors.affiliation: Department of Surgery, Niigata University School of Medicine, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Sato
authors.forename: A
authors.initials: A
authors.lastname: Kusama
authors.forename: A
authors.initials: A
authors.lastname: Ohkawa
authors.forename: Y
authors.initials: Y
authors.lastname: Koyama
authors.forename: M
authors.initials: M
authors.lastname: Oyamatsu
authors.forename: S
authors.initials: S
authors.lastname: Kayama
authors.forename: K
authors.initials: K
authors.lastname: Yoshikawa
authors.forename: O
authors.initials: O
authors.lastname: Tanaka
authors.forename: T
authors.initials: T
authors.lastname: Muto
mesh_terms: D000328:Adult; D000368:Aged; D001481:Basal Metabolism; D002153:Calorimetry, Indirect; D002294:Carcinoma, Squamous Cell / Q000378:metabolism / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000378:metabolism / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D013312:Stress, Physiological / Q000378:metabolism; D013997:Time Factors