J.Jpn. Surg. Soc.. 85(9): 974-978, 1984
Report on the annual meeting
NUTRITIONAL MANAGEMENT OF THE PATIENTS AFTER TOTAL GASTRECTOMY USING TOTAL PARENTERAL NUTRITION (TPN)
|
Department of Surgery, Kansai Medical University, Osaka, Japan Koshiro Hioki, Masaharu Nishi, Masakatsu Yamamoto |
1) Both incidence and cure rate of anastomotic leakage after total gastrectomy had markedly improved, in spite of increased resection rate and curative operation for the patients with advanced gastric cancer by introducing TPN routinely to the nutritional management. It is important to maintain serum albumin level above 3.0 g/dl to give enough calories and protein (40-50 kcal/kg/day).
2) TPN using a combined carbohydrate solution such as the ratio for glucose, fructose, xylitol (4 : 2 : 1) seems to have a beneficial effect on the patients with surgical diabetes status.
3) It is suggested that serum albumin is a most promising parameter in nutritional assesment of the preoperative period. But in the early postoperative period, rapid turnover protein such as prealbumin might be more accurate parameter.
4) TPN during chemotherapy as an adjunct to surgery leads to diminished morbidity, and possibly to prolonged survival time in the patients undergoing gastrectomy for gastric cancer.
To read the PDF file you will need Adobe Reader installed on your computer.