The Japanese journal of surgery

, Volume 7, Issue 1, pp 1–9 | Cite as

The effect of amino acids, carbohydrate and fat emulsion on the metabolism in gastrectomized patients

  • Tadayoshi Fujita
  • Yoshinobu Matsumoto


Nitrogen balance and other metabolic activity can be maintained by adequate calorie and protein supply during immediate post-gastrectomy period. Despite high intake of protein, great loss of nitrogen seems to occur in urine during infusion with polyalcohol sugars as compared with natural sugars, e.g., glucose, fructose and maltose. The best utilization of amino acids resulting in positive nitrogen balance and energy utilization were shown to be achieved by combined use of Intralipid, glucose, maltose and essential as well as non-essential amino acids in the clinical and laboratory studies.

Key words

Parenteral nutrition N-balance glucose amino acids essential amino acids non-essential amino acids maltose fat 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Lee, H.E.: Parenteral nutrition in acute metabolic illness, Academic Press, 1974.Google Scholar
  2. 2.
    Kearney, J.J.: Limits of infusions of laevulose and sorbitol,Med. J. Aust. 1: 582, 1976.Google Scholar
  3. 3.
    Lee, H.A., Morgan, A.G., Waldram, R. and Bennett, J.: Sorbitol, some aspects of its metabolism and role as an intravenous nutrient, Aut. International Symposium, London, 1971.Google Scholar
  4. 4.
    Luke, R.G., Briggs, J.D., Mikeddle, M.T. and Kennedy, A.C.: Some carbohydrate metabolism in renal failure, In Nutrition in Renal Disease, p. 170 Berlyne, G.M., Edinburgh, Livingstone.Google Scholar
  5. 5.
    Heuckenkampf, P. and Zollner, N.: The comparative metabolism of carbohydrates administered intravenously, 7th European Feration Congress, Hamburg, 1971.Google Scholar
  6. 6.
    Fujita, T.: Clinical application of fat emulsion to the malignant disease of gastrointestinal surgery, especially dysfunction of the liver, 10th International Congress on Nutrition, Kyoto, 1975.Google Scholar
  7. 7.
    Fujii, S., Okuda, T. and Matsuda, I.: Study on maltose (1) Metabolism of maltose in animals,The Saishin-Igaku 27: 1584–1590, 1972.Google Scholar
  8. 8.
    Fujii, S., Okuda, T. and Matsuda, I. Study on maltose (2) Metabolic pathway of maltose,The Saishin-Igaku 28: 1414–1418, 1972.Google Scholar
  9. 9.
    Fujita, T.: Intravenous feeding in gastroenterological surgery, particularly in disorder of liver function, 9th International Symposium of Parenteral Nutrition, Montpellier, 1974.Google Scholar
  10. 10.
    Wretlind, A.: Personal communication, Stockholm.Google Scholar

Copyright information

© The Japan Surgical Society 1977

Authors and Affiliations

  • Tadayoshi Fujita
    • 1
  • Yoshinobu Matsumoto
    • 2
  1. 1.Department of General SurgeryAichi Medical UniversityAichi PrefectureJapan
  2. 2.Department of General SurgeryAkura HospitalTakarazuka City, Hyogo PrefectureJapan

Personalised recommendations