Improvement of the nutritional condition with hypocaloric peripheral parenteral nutrition (HPPN) in the immediate postoperative period of elective abdominal surgery

• Published in: Infusionstherapie und klinische Ernährung Vol. 14; no. 5; p. 202
• Main Authors: Culebras-Fernandez, J M, de la Hoz Riesco, M, Villares Garcia, C, Hurtado Fernandez-Llamazares, G, Alonso Villalba, A
• Format: Journal Article
• Language: English
• Published: Switzerland 01.10.1987
• Subjects: Amino Acids - administration & dosage; Blood Glucose - metabolism; Blood Proteins - metabolism; Blood Urea Nitrogen; Electrolytes - blood; Energy Intake; Gastrointestinal Diseases - surgery; Humans; Nutritional Requirements; Parenteral Nutrition, Total - methods; Postoperative Complications - blood; Postoperative Complications - therapy; Retinol-Binding Proteins - metabolism; Retinol-Binding Proteins, Plasma; Serum Albumin - metabolism; Sorbitol - administration & dosage; Xylitol - administration & dosage
• ISSN: 0378-0791

Thirty-one patients scheduled for elective surgery for non-malignant abdominal disease were randomized during the first five postoperative days to two different schedules. Group I received water, electrolytes and glucose. Group II received a standard solution containing crystalline amino acids (3.8 g/l), xylitol (25 g/l) and sorbitol (25 g/l), accounting for a total of 900 cal/day. Evaluation was made with clinical, anthropometric and biochemical parameters. Among others, the following significant differences were observed at the end of the study: retinol bound protein: in group I, 4.25 +/- 1.3 and in group II, 5.38 +/- 1.53 (p less than 0.05); prealbumin: in group I, 18.7 +/- 6.24 and in group II, 24.51 +/- 7 (p less than 0.05). The significantly higher values of short-life plasma proteins observed in group II indicate that with HPPN a higher synthesis of visceral protein is promoted. These data demonstrate that HPPN improves the nutritional state during the postoperative period.