Abstract
During the past 20 years, the problems of posttraumatic metabolism and artificial nutrition support have met with increasing interest since the advances in surgery, anaesthesiology and intensive care medicine have made possible surgical interventions which require prolonged postoperative artificial nutrition, e.g. major tumour surgery of the abdomen or of the oro- and hypopharynx.
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References
Äärimaa M, Syvälahti E, Viikari J, Ovaska J (1978) Insulin, growth hormone and catecholamines as regulators of energy metabolism in the course of surgery. Acta Chir Scand 144:411–422 (1978)
Allison SP, Tomlin PJ, Chamberlain MJ (1969) Some effects of anaesthesia and surgery on carbohydrate and fat metabolism. Br J Anaesth 41:588–593
Barton RN, Passingham BJ (1981) Effect of binding to plasma proteins on the interpretation of plasma Cortisol concentrations after accidental injury. Clin Sci 61:399–405
Baue AE, Bernulf G, Hartl W, Ackenheil M, Heberer G (1984) Altered hormonal activity in severely ill patients after injury or sepsis. Arch Surg 119:1125–1132
Behrendt W (1987) Zur Zuverlässigkeit von Schätzungen des Energieverbrauchs polytraumatisierter und langzeitbeatmeter Patienten. Akt Chir 22:169–200
Behrendt W, Minale C, Giani G (1984) Parenterale Ernährung nach herzchirurgischen Operationen. Infusionstherapie 11:316–322
Behrendt W, Raumanns J, Hanse J, Giani G (1988) Glucose, fructose, and xylitol in postoperative hypocaloric parenteral nutrition. Infusionstherapie 15:170–175
Behrendt W, Bogatz V, Giani G (1990) The influence of posttraumatic calorie and nitrogen supply upon cumulative nitrogen balance. Infusionstherapie 17 (in press February 1990)
Bernard C (1877) Leçons sur le diabète et la glycogénèse animale. Baillère, Paris, p 210
Bessey PQ, Watters JM, Aoki TT, Wilmore DW (1984) Combined hormonal infusion simulates the metabolic response to injury. Ann Surg 200:264–280
Birke G, Carlson LA, von Euler US, Liljedahl S-O, Plantin I-O (1972) Studies on burns. XII. Lipid metabolism, catecholamine excretion, basal metabolic rate, and water loss during treatment of burns with warm dry air. Acta Chir Scand 138:321–333
Black PR, Brooks DC, Bessey PQ, Wolfe RR, Wilmore DW (1982) Mechanisms of insulin resistance following injury. Ann Surg 196:420–435
Brandi LS, Oleggini M, Lachi S, Frediani M, Belvilacqua, Mosca F, Ferrannini E (1988) Energy metabolism of surgical patients in the early postoperative period: a reappraisal. Crit Care Med 16:18–22
Brandt MR, Fernandes A, Mordhorst R, Kehlet H (1978) Epidural analgesia improves postoperative nitrogen balance. Br Med J 1:1106–1108
Bromage PR, Shibata HR, Willoughby HW (1971) Influence of prolonged epidural blockade on blood sugar and Cortisol responses to operations upon the upper part of the abdomen and the thorax. Surg Gynecol Obstet 132:1051–1056
Brown III FF, Owens WD, Felts JA, Spitznagel EL, Cryer PE (1982) Plasma epinephrine and norepinephrine levels during anesthesia: Enflurane-N2O-O compared with Fentanyl-N2O-O2. Anesth Analg 61:366–370
Bürger M, Grauhan M (1922) Über postoperativen Eiweißzerfall. I. Z Ges Exp Med 27:97–114
Bürger M, Grauhan M (1923) Über postoperativen Eiweißzerfall. II. Mitteilung. Die postoperative Azoturie. Z Ges Exp Med 35:16–42
Bürger M, Grauhan M (1924) Über postoperativen Eiweißzerfall. III. Mitteilung. Die postoperative Azotämie. Z Ges Exp Med 42:345–373
Bürger M, Grauhan M (1927) Der postoperative Eiweißzerfall, sein Nachweis und seine Bedeutung. Klin Wschr 6:1767–1769
Cerra FB, Siegel JH, Coleman B, Border JR, Mc Menamy RR (1980) Septic autocannibalism. A Failure of exogenous nutritional support. Ann Surg 570–579
Chiolero R, Schutz Y, Lemarchand TH, Felber JP, De Tribolet N, Freeman J, Jequiers E (1989) Hormonal and metabolic changes following severe head injury or noncranial injury. J Parent Ent Nutr 13:5–12
Christensen P, Brandt MR, Rem J, Kehlet H (1982) Influence of extradural morphine on the adrenocortical and hyperglycaemic response to surgery. Br J Anaesth 54:23–27
Cuthbertson DP (1930) The disturbance of metabolism produced by bony and non-bony injury, with notes on certain abnormal conditions of bone. Biochem J 24:1244–1263
Cuthbertson DP (1932) Observation on the disturbance of metabolism produced by injury to the limbs. Quart J Med 25:223–246
Davies JWL, Lamke L-O, Liljedahl S-O (1977) Pathophysiology and treatment of patients with burns covering 30–60% of the body surface. Acta Chir Scand (Suppl) 468:5–23
Davies JWL, Lamke L-O, Liljedahl S-O (1977) Metabolic studies during the successful treatment of three adult patients with burns covering 80–85% of the body surface. Treatment of severe burns. Acta Chir Scand (Suppl) 468:25–60
Dudrick SJ, Wilmore DW, Vars HM, Rhoads JE (1968) Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Surgery 64:134–142
Dudrick SJ, Wilmore DW, Vars HM, Rhoads JE (1969) Can intravenous feeding as the sole means of nutrition support growth in the child and restore weight loss in an adult? An affirmative answer. Ann Surg 169:974–984
Dudrick SJ, McFadyen BV, van Buren CT, Ruberg RL, Maynard AT (1972) Parenteral hyperalimentation. Metabolic problems and solutions. Ann Surg 176:259–264
Engelman RM, Haag B, Lemeshow St, Angelo A, Rousou JH (1983) Mechanism of plasma catecholamine increases during coronary artery bypass and valve procedure. J Thorac Cardiovasc Surg 86:608–615
Gelfant RA, Matthews DE, Bier DM, Sherwin RS (1984) Role of counterregulatory hormones in the catabolic response to stress. J Clin Invest 74:2238–2248
Georgieff M, Kattermann R, Geiger K et al (1981) Vergleich von Xylit und Glukose als Energieträger im Rahmen der hypokalorischen postoperativen parenteralen Ernährungstherapie. Infusionstherapie 8:69–76
Hagen C, Brandt MR, Kehlet H (1980) Prolactin, LH, FSH, GH and Cortisol response to surgery and the effect of epidural analgesia. Acta Endocrinol 94:151–154
Haider W, Benzer H, Krystof G et al (1975) Urinary catecholamine excretion and thyroid hormone blood level in the course of severe acute brain damage. Europ J Intensive Care Medicine 1:115–123
Hjortsø N-C, Christensen NJ, Andersen T, Kehlet H (1985) Effects of the extradural administration of local anaesthetic agents and morphine on the urinary excretion of Cortisol, catecholamines and nitrogen following abdominal surgery. Br J Anaesth 57:400–406
Hörnchen U, Schüttler J, Stoeckel H, Eichelkraut W (1988) Pharmakokinetik und Dynamik von endogen freigesetztem und therapeutisch appliziertem Adrenalin unter Reanimationsbedingungen. Anaesthesist 37:615–619
Johnston IDA (1973) The metabolic and endocrine response to injury: a review. Br J Anaesth 45:252–255
Jørgensen BC, Andersen HB, Engquist A (1982) Influence of epidural morphine on postoperative pain, endocrine-metabolic, and renal response to surgery. A controlled study. Acta Anaesth Scand 26:63–68
King LR, McLaurin RL, Lewis HP, Knowles HC (1970) Plasma Cortisol levels after head injury. Ann Surg 172:975–984
Kinney JM (1980) The application of indirect calorimetry to clinical studies. In: Kinney JM (ed) Assessment of energy metabolism in health and disease. Report of the First Ross Conference on Medical Research, pp 42–48, Ross Laboratories, Columbus, Ohio
Kinney JM (1983) Energy metabolism in adult clinical conditions. In: Kleinberger G, Deutsch E (eds) New aspects of clinical nutrition. Karger, Basel München Paris London New York Tokyo Sydney, pp 79–85
Liddell MJ, Daniel AM, MacLean LD, Shizgal HM (1979) The role of stress hormones in the catabolic metabolism of shock. Surg Gynecol Obstet 149:822–830
Liljedahl S-O (1978) Parenterale Ernährung und andere therapeutische Maßnahmen bei schweren Verbrennungen. In: Zöllner N (ed) Parenterale Ernährung. Beiträge zu Infusionstherapie und klinische Ernährung. Karger, Basel, München Paris London New York Sydney, pp 48–63
Lindsey A, Santeusanio F, Braaten J, Faloona GR, Unger RH (1974) Pancreatic alpha-cell function in trauma. JAMA 227:757–761
Meguid MM, Brennan MF, Aoki TT, Muller WA, Ball MR, Moore FD (1974) Hormone-substrate interrelationships following trauma. Arch Surg 109:776–783
Mullen JL, Buzby GP, Matthews DC, Smale BF, Rosato EF (1980) Reduction of operative morbidity and mortality by combined preoperative and postoperative nutritional support. Ann Surg 192:604–613
Müller JM, Brenner U, Dienst C, Pichlmaier H (1982) Preoperative parenteral feeding in patients with gastrointestinal carcinoma. Lancet 1:68–71
Pasch Th, Brandl M, Köckerling F, von der Emde J (1981) Der Einfluß von Vasodilatatoren auf die Plasmakatecholamine bei koronarchirurgischen Eingriffen. Anaesthesist 30:144–145
Pscheidl E, Pasch Th, Buheitel G, Mahlstedt J, Pichl J (1987) Einfluß der Verletzungsschwere polytraumatisierter Patienten auf metabolische und hormonelle Parameter. Intensivbehandlung 12:125–132
Rawlinson WAL, Loach AB, Benedict CR (1978) Changes in plasma concentration of adrenalin and noradrenalin in anaesthetized patients during sodium-nitroprusside-induced hypothension. Br J Anaesth 50:937–943
Ross H, Johnston IDA, Welborn TA, Wright AD (1966) Effect of abdominal operation on glucose tolerance and serum levels of insulin, growth hormone and hydrocortisone. Lancet II 563–566
Rudberg H, Hakanson E, Anderberg B, Jorfeldt L, Martensson J, Schildt B (1984) Effects of the extradural administration of morphine, or bupivacaine, on the endocrine response to upper abdominal surgery. Br J Anaesth 56:233–238
Rudman D, Fleischer AS, Kutner MH, Raggio JF (1977) Suprahypophyseal hypogonadism and hypothyroidism during prolonged coma after head trauma. J Clin Endocrinol Metab 45:747–754
Russell RCG, Walker CJ, Bloom SR (1975) Hyperglucagonaemia in the surgical patient. Br Med J 1:10–12
Sachs M, Asskali F, Förster H, Ungeheuer E (1988) Untersuchungen über den Postaggressionsstoffwechsel nach Laparotomien und Thorakotomien. Chirurg 59:24–33
Schmitz JE (1985) Infusions- und Ernährungstherapie des Polytraumatisierten. Anaesthesiologie und Intensivmedizin, Bd 173. Springer, Berlin Heidelberg New York Tokyo, pp 53–59
Seeling W, Altemeyer K-H, Berg S, Feist H, Schmitz JE, Schröder M, Ahnefeld FW (1982) Die kontinuierliche thorakale Periduralanaesthesie zur intra- und postoperativen Analgesie. Anaesthesist 31:439–448
Shamoon H, Hendler R, Sherwin RS (1981) Synergistic interactions among antiinsulin hormones in the pathogenesis of stress hyperglycemia in humans. J Clin Endocrinol Metab 52:1235–1241
Stanley Th, Berman L, Green O, Robertson D (1980) Plasma catecholamine and Cortisol responses to fentanyl-oxygen anaesthesia for coronary-artery operations. Anesthesiology 53:250–253
Stoner HB, Frayn KN, Barton RN, Threlfall CJ, Little RA (1979) The relationships between plasma substrates and hormones and the severity of injury in 277 recently injured patients. Crit Sci 56:563–573
Traynor C, Paterson JL, Ward ID, Morgan M, Hall GM (1982) Effects of extradural analgesia and vagal blockade on the metabolic and endocrine response to upper abdominal surgery. Br J Anaesth 54:319–323
Vaughan GM, Becker RA, Allen JP, Goodwin CW, Pruitt BA, Mason AD (1982) Cortisol and corticotrophin in burned patients. J Trauma 22:263–273
Wilmore DW, Long JM, Mason AD, Skreen RW, Pruitt BA (1974) Catecholamines: mediator of the hypermetabolic response to thermal injury. Ann Surg 180:653–668
Wilmore DW, Lindsay CA, Moylan JA, Faloona GR, Pruitt BA, Unger RH (1974) Hyperglucagonaemia after burns. Lancet I 73–75
Wolfe RR, Durkot MJ, Allsop JR, Burke JF (1979) Glucose metabolism in severly burned patients. Metabolism 28:1031–1039
Overview articles
Dahn MS, Lange P (1982) Hormonal changes and the influence on metabolism and nutrition in the critically ill. Intensive Care Med 8:209–213
Derbyshire DR, Smith G (1984) Sympathoadrenal responses to anaesthesia and surgery. Br J Surg 56:725–739
Elliott M, Alberti KGMM (1983) The hormonal and metabolic response to surgery and trauma. In: Kleinberger G, Deutsch E (eds) New aspects of clinical nutrition. Karger, Basel München Paris London New York Tokyo Sydney, pp 247–270
Gelfant RA, DeFronzo RA, Gusberg R (1983) Metabolic alterations associated with major injury or infection. In: Kleinberger G, Deutsch E (eds) New aspects of clinical nutrition. Karger, Basel München Paris London New York Tokyo Sydney, pp 211–239
Stoner HB (1986) Metabolism after trauma and in sepsis. Circ shock 19:75–87
Wilmore DW (1986) Are the metabolic alterations associated with critical illness related to the hormonal environment? Clinical Nutrition 5:9–19
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Behrendt, W. (1990). Influence of Stress on the Endocrine System and Nutritional Support in Surgical Patients. In: Müller, M.J., Danforth, E., Burger, A.G., Siedentopp, U. (eds) Hormones and Nutrition in Obesity and Cachexia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75037-3_12
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DOI: https://doi.org/10.1007/978-3-642-75037-3_12
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