J.Jpn. Surg. Soc.. 80(2): 108-122, 1979

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Original article

CLINICAL STUDIES ON OPTIMAL CALORIC SOURCE AND DOSAGE OF PARENTERAL HYPERALIMENTATION FOR THE PATIENTS UNDER STRESS STATE AFTER THE OPERATION OF ESOPHAGEAL CARCINOMA

Parenteral hyperalimentation was performed in 29 patients who underwent the operation for esophageal caricinoma, from for 7 days after the operation. The patients were divided into 5 groups as follows:
Group I =low caloric infusion (10 cases).
Group II =hyperalimentation with glucose and amino acid (6 cases).
Group III =hyperalimentation with glucose, amino acids and fat emulsion (0.5 g/kg) (7 cases).
Group IV =hyperalimentation with glucose, amino acids and fat emulsion (1.0 g/kg) (6 cases).
Group V =hyperalimentation for steady state patient (3 cases).
Nitrogen balance, serum amino acid pattern, BUN, NEFA, and body weight were measured and compared among each groups.
The following results were obtained:
1) Better nitrogen balance was obtained in high caloric infusion groups than low caloric infusion group.
2) Group III and IV showed better nitrogen balance than group II.
3) Group III showed better nitrogen balance than group IV.
4) These tendencies were seen through 7 days under investigation, but differences were more marks in the first 4 days, compared with the last 3 days.
5) In steady state, there were no differences of nitrogen balance, though caloric sources were changed.

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