title: Clinical examination of the water-soluble vitamin levels in blood during peripheral parenteral nutrition.
abstract: The water-soluble vitamin (included vitamin B1, B6, B12 and C) preparations are not always replenished when peripheral parenteral nutrition (PPN) is used in Japan. We evaluated the need for administration of vitamins preparation during PPN, and involved analysis of the blood levels of water-soluble vitamins in patients receiving perioperative PPN before and after gastrectomy. Patients were examined as two set of groups as follows; 18 patients who did not receive water-soluble vitamin preparations during PPN, the Unsupplemented Group, and 22 patients who received such preparations during PPN, the Supplemented Group. Consequently, in the Unsupplemented Group, the blood vitamin B1 level during the early postoperative period was significantly lower than the preoperative level, but in the Supplemented Group, it was significantly higher than the preoperative level. In the Supplemented Group, the blood vitamin B12 level during the early postoperative period was markedly higher than the preoperative level. And in both groups, the blood vitamin C level remained below the lower limit of the criterion range throughout the perioperative period. These results suggested that administration of water-soluble vitamins during PPN was needed to avoid potential vitamin deficiencies after surgery and to prevent a potential onset of severe metabolic complications from any deficiencies.
authors.affiliation: Department of Surgery, Kurume University School of Medicine, Kurume, Japan. hiozasa@med.kurume-u.ac.jp
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ozasa
authors.forename: Nobuya
authors.initials: N
authors.lastname: Ishibashi
authors.forename: Satoru
authors.initials: S
authors.lastname: Ikeda
authors.forename: Takuya
authors.initials: T
authors.lastname: Imaizumi
authors.forename: Motoshi
authors.initials: M
authors.lastname: Miyagi
authors.forename: Shoujirou
authors.initials: S
authors.lastname: Yano
authors.forename: Keishirou
authors.initials: K
authors.lastname: Aoyagi
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Akagi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ogata
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shirouzu
mesh_terms: D000368:Aged; D001205:Ascorbic Acid / Q000097:blood*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000379:methods*; D013831:Thiamine / Q000097:blood*; D014805:Vitamin B 12 / Q000097:blood*; D025101:Vitamin B 6 / Q000097:blood*
chemical_list: D025101:Vitamin B 6; D014805:Vitamin B 12; D001205:Ascorbic Acid; D013831:Thiamine