title: EFFECTS OF STANDARD AND/OR GLUTAMINE DIPEPTIDE AND/OR OMEGA-3 FATTY ASCID-SUPPLEMENTED PARENTERAL NUTRITION ON NEUTROPHIL FUNCTIONS, INTERLEUKIN-8 LEVEL AND LENGTH OF STAY--A DOUBLE BLIND,CONTROLLED, RANDOMISED STUDY.
abstract: OBJECTIVE
  Protein calorie malnutrition for cancer patients is related with altered cellular and humoral immunity. Standard TPN and glutamine and lipid emulsion with omega 3 fatty acids were given to colorectal cancer patients and the effects of these to neutrophil functions and IL-8 levels are compared.
  
  
  METHODS
  Consecutive 36 patients with colorectal cancer diagnosed with endoscopic biopsy and with malnutrition determined by subjective global assessment were enrolled to study. The patients are randomly divided into four groups. Standard TPN to control group, TPN with glutamine solution to S-D group, TPN with omega 3 fatty acid solution to S-O group and TPN with omega 3 fatty acids solution and glutamine to S-D-O group were given for seven days after the operation. At the preoperative, postoperative first day and 7th day, neutrophil phagocytosis index, neutrophil adhesivity index and IL-8 levels were determined.
  
  
  RESULTS
  In all groups compared to control group neutrophil phagocytosis index were increased significantly (p<0.05). The most increasing was in group 3. There wasn't significant difference between groups about postoperative first day neutrophil adhesiveness index (p>0.05). At the 7th day the neutrophil adhesivity index for study groups were increased compared with control group, but there was no significant differences between groups. There was no significant difference between groups for IL-8 levels.
  
  
  CONCLUSIONS
  As a result of the study, altered cellular immunity in colorectal cancer patients with malnutrition can be corrected with omega 3 fatty acid emulsions and glutamine added to TPN so the ratio of morbidity and mortality can be decreased.
authors: Kocaeli University School of Medicine, Department of General Surgery, Kocaeli, Turkey.
authors: T
authors: T
authors: Aliyazicioglu
authors: N Z
authors: NZ
authors: Cantürk
authors: T
authors: T
authors: Simsek
authors: F
authors: F
authors: Kolayli
authors: M
authors: M
authors: Çekmen
mesh_terms: D000328:Adult; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000276:immunology / Q000628:therapy; D004151:Dipeptides / Q000008:administration & dosage*; D004311:Double-Blind Method; D016903:Drug Monitoring; D005217:Fat Emulsions, Intravenous / Q000008:administration & dosage; D005260:Female; D005395:Fish Oils / Q000008:administration & dosage*; D006801:Humans; D007109:Immunity / Q000187:drug effects*; D007263:Infusions, Parenteral; D016209:Interleukin-8 / Q000276:immunology; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009504:Neutrophils / Q000187:drug effects; D010288:Parenteral Nutrition / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D016896:Treatment Outcome; D014280:Triglycerides
chemical_list: D004151:Dipeptides; D005217:Fat Emulsions, Intravenous; D005395:Fish Oils; D016209:Interleukin-8; D014280:Triglycerides; C568345:fish oil triglycerides; C054122:alanylglutamine