Document Detail


The clinical value of parenteral immunonutrition in surgical patients.
MedLine Citation:
PMID:  15906909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND & AIM: To analyze the clinical impact and cost-effectiveness of parenteral immunonutrition (PN). METHODS: Prospective clinical trial of a group of 105 patients operated on for gastric carcinoma between 2001-2003. During the postoperative period, patients were randomly allocated to one of three groups: standard PN (A), PN + glutamine (B) and PN + omega-3-FA (C). The rate and type of complications, hepatic and renal function, cost and treatment tolerance in all groups were analyzed. RESULTS: Postoperative complications were observed in 11 patients (36.6%) in group A, in 7 (23.3%) in B and in 8 (26.6%) in C. The most common complication was pneumonia. Prealbumin concentration and TLC increased faster in groups B and C. The length of hospital stay was significantly shorter in the immunonutrition groups. The cost of PN was highest in C group, while cost of hospital stay was longer in A. CONCLUSIONS: Immunostimulating parenteral nutrition helps to reduce the number of infectious complications, improves the function of the immune system, and has no influence on surgical complications, hepatic and renal function and protein synthesis. The cost of immunostimulating treatment based on omega-3-unsaturated fatty acids is higher than standard.
Authors:
S Kłek; J Kulig; A M Szczepanik; J Jedrys; P Kołodziejczyk
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  105     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-05-23     Completed Date:  2005-08-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  175-9     Citation Subset:  IM    
Affiliation:
1st Department of General and GI Surgery, Collegium Medicum Jagiellonian University, Cracow, Poland. sklek@mp.pl
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MeSH Terms
Descriptor/Qualifier:
Carcinoma / pathology,  surgery*
Dietary Supplements
Fatty Acids, Omega-3 / therapeutic use*
Female
Follow-Up Studies
Gastrectomy / methods
Glutamine / therapeutic use*
Humans
Male
Malnutrition / diagnosis,  therapy*
Nutritional Requirements
Parenteral Nutrition / methods*
Postoperative Period
Prospective Studies
Risk Assessment
Stomach Neoplasms / pathology,  surgery*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Fatty Acids, Omega-3; 56-85-9/Glutamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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