Advertisement

Zeitschrift für Ernährungswissenschaft

, Volume 14, Issue 4, pp 324–332 | Cite as

Stoffwechselverhalten bei Magenpatienten während viertägiger postoperativer vollständiger parenteraler Ernährung mit Aminosäuren und einer Glucose-Lävulose-Xylit-Kombinationslösung

  • K. Peter
  • R. Dutz
  • E. Greiner
  • K. -H. Kersting
  • E. Martin
  • D. Mast
  • R. Schmidt
  • E. R. Schmitz
Article

Summary

In a clinical study we tested the following parameters: free fatty acids, beta-hydroxybutyrate, acid-base-balance, lactate, bilirubin, uric-acid, fructose, xylitole, glucose in blood and urine. The tests were executed in 9 patients who were undergoing stomac operations. The cardio pulmonary system of all patients was normal, and there was a homeostasis in water and electrolytes preoperatively.

In combination with the amino-acids we received a ratio of 1/3n1/3n1 for glucose, levulose and xylitole. Totally, the patients received 0,36 g per kg body weight and per hour of carbohydrates. Beta-hydroxybutyrate, aceto-acetat, and free fatty acids show normal values under conditions of parenteral nutrition as well as lactate, uric acid, and acid-base-balance. The ratio of the different carbohydrates in serum and urine prove that the infusion time and volume were extremely favourable. The loss of carbohydrates in urine was very low.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Bässler, K. H., H. Bickel, The use of carbohydrates alone and in combination in parenteral nutrition. In:A. W. Wilkinson, Parenteral Nutrition, pp. 99–104 (London 1972).Google Scholar
  2. 2.
    Berg, G., H. Bickel, F. Matzkies, Dtsch. med. Wschr.98, 602–610 (1973).CrossRefGoogle Scholar
  3. 3.
    Berg, G., F. Matzkies, H. Bickel, Dtsch. med. Wschr.99, 633–638 (1974).CrossRefGoogle Scholar
  4. 4.
    Bickel, H., H. Bünte, D. A. Coats, P. Misch, L. v. Rauffer, P. Scranowitz, Dtsch. med. Wschr.98, 809–813 (1973).CrossRefGoogle Scholar
  5. 5.
    Bickel, H., K. Schwemmle, P. Scranowitz, F. Wopfner, Dtsch. med. Wschr.100, 527–533 (1975).CrossRefGoogle Scholar
  6. 6.
    Daly, J. M., E. Steiger, H. M. Vars, S. J. Dudrick, Ann. Surgery180, 709–715 (1974).CrossRefGoogle Scholar
  7. 7.
    Doromal, N. M., J. W. Canter, Surg. Gynec. Obstet.136, 729–732 (1973).Google Scholar
  8. 8.
    Dudrick, S. J., B. V. Macfadyen jr.,C. I. Van Buren, R. L. Ruberg, A. T. Maynard, Ann. Surgery176, 259–264 (1972).CrossRefGoogle Scholar
  9. 9.
    Förster, H., Dtsch. med. Wschr.98, 839–844 (1973).CrossRefGoogle Scholar
  10. 10.
    Förster, H., M. Halsbeck, H. Mehnert, Infusionstherapie1, 199–213 (1974).Google Scholar
  11. 11.
    Förster, H., L. Heller, V. Hellmund, Dtsch. med. Wschr.99, 1723–1729 (1974).CrossRefGoogle Scholar
  12. 12.
    Förster, H., D. Zagel, Dtsch. med. Wschr.99, 1300–1304 (1974).CrossRefGoogle Scholar
  13. 13.
    Garrow, J. S., Proc. Nutr. Soc.28, 242 (1969).CrossRefGoogle Scholar
  14. 14.
    Heuckenkamp, P. U., N. Zöllner, Lancet1971, 2, 808–809.CrossRefGoogle Scholar
  15. 15.
    Horecker, B. L., K. Lang, Y. Takagi, International symposium on metabolism, physiology, and clinical use of pentoses and pentitols (Berlin-Heidelberg-New York 1969).Google Scholar
  16. 16.
    Kuhfahl, E., Acta Biol. Med. Germ.21, 711–722 (1968).Google Scholar
  17. 17.
    Kuhfahl, E., F. Müller, D. Dettmer, Ernährungsforschg.13, 187–193 (1968).Google Scholar
  18. 18.
    Lang, K., Klin. Wschr.49, 233–245 (1971).CrossRefGoogle Scholar
  19. 19.
    Popper, H., F. Schaffer, Die Leber, p. 574 (Stuttgart 1961).Google Scholar
  20. 20.
    Sall, S., B. Brofman, M. L. Stone, Am. J. Obstet. Gynec.114, 500–606 (1972).CrossRefGoogle Scholar
  21. 21.
    Schumer, W., High caloric solutions in traumatized patients. In:C. Fox, G. G. Nahas, Body fluid replacement in the surgical patient, p. 326 (New York-London 1970).Google Scholar
  22. 22.
    Schumer, W., Metabolism20, 345 (1971).CrossRefGoogle Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag 1975

Authors and Affiliations

  • K. Peter
    • 1
  • R. Dutz
    • 1
  • E. Greiner
    • 1
  • K. -H. Kersting
    • 1
  • E. Martin
    • 1
  • D. Mast
    • 1
  • R. Schmidt
    • 1
  • E. R. Schmitz
    • 1
  1. 1.Institut für Anästhesiologie und Reanimation an der Fakultät für Klinische Medizin Mannheim der Universität HeidelbergDeutschland

Personalised recommendations