Satoh D, Takeuchi K, Kawagoe I, Kisii J, Kudoh O, Hayashida M. Prognosis for major abdominal surgeries based on intraoperative low-dose nutrition: A metabolic perspective.
Clin Nutr ESPEN 2023;
58:208-212. [PMID:
38057007 DOI:
10.1016/j.clnesp.2023.09.926]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 09/19/2023] [Accepted: 09/23/2023] [Indexed: 12/08/2023]
Abstract
BACKGROUND & AIMS
The optimal nutrition intake during surgery is unknown. This study aimed to investigate the prognosis of low-dose nutrition during laparoscopic colorectal cancer surgery.
METHODS
In the glucose and amino acids (GA) group, 20 patients were infused with glucose (75 g/L) and amino acids (30 g/L) at 60 mL/h and bicarbonate Ringer's solution. However, 20 patients in the control (C) group were infused with bicarbonate Ringer's solution without GA. The length of hospital stay was determined, and measurements were taken before (TI) and after (T2) the surgery under general anesthesia.
RESULTS
The lengths of hospital stay were comparable between the GA (13 days) and C (16 days) groups. Ketone body levels were 294 (C group) and 33 (GA group) μmol/L at T2. Nitrogen balance was 0.32 g (GA group) and -1.60 g (C group) at T2.
CONCLUSIONS
Although the lengths of hospital stay were comparable, ketone body levels, and nitrogen balance were significantly different (P < 0.01) between the two groups after surgery.
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