Hypocaloric peripheral parenteral nutrition with lipid emulsion in postoperative gastrointestinal cancer patients  

作　　者：Chien-Yu Lu Fang-Jung Yu Ying-Ling Shih Jan-Sing Hsieh Jaw-Yuan Wang 

机构地区：[1]Nutrition Support Team,Kaohsiung Medical University Hospital [2]Division of Gastroenterology,Department of Internal Medicine,Kaohsiung Medical University Hospital [3]Department of Internal Medicine,Pingtung Hospital [4]Faculty of Medicine College of Medicine,Kaohsiung Medical University [5]Division of Gastroenterology,Department of Internal Medicine, Kaohsiung Medical University Hospital [6]Department of Nursing,Kaohsiung Medical University Hospital [7]Division of Gastroenterologic and General Surgery,Department of Surgery,Kaohsiung Medical University Hospital

出　　处：《World Journal of Gastrointestinal Oncology》2010年第1期51-55,共5页世界胃肠肿瘤学杂志（英文版）（电子版）

摘　　要：AIM:To investigate the use of lipid emulsion substitutingfor glucose in postoperative hypocaloric peripheral parenteral nutrition (HPPN).METHODS:This prospective, randomized study was conducted on 20 postoperative gastrointestinal cancer patients. They were randomized and equally divided into interventional group and control group, and both were administered isocaloric and isonitrogenous diets with for lipid emulsion substituting for partial glucose loads in the interventional group.RESULTS: Nutritional parameters and biochemical data were compared between the two groups before and after 6-d of HPPN. Most investigated variables showed no significant changes after administration of HPPN with lipid emulsion. However, the postoperative triglyceride level was significantly lower in the interventional group than in the control group (P < 0.05). In comparison with lipid emulsion, glucose administration resulted in less decrease in postoperative prealbumin level (P < 0.05).CONCLUSION: In addition to supplementing with essential fatty acid, it seems that HPPN with lipid emulsion is well-tolerated and beneficial to postoperative gastrointestinal cancer patients.AIM: To investigate the use of lipid emulsion substituting for glucose in postoperative hypocaloric peripheral parenteral nutrition (HPPN).METHODS: This prospective, randomized study was conducted on 20 postoperative gastrointestinal cancer patients. They were randomized and equally divided into interventional group and control group, and both were administered isocaloric and isonitrogenous diets with for lipid emulsion substituting for partial glucose loads in the interventional group.RESULTS: Nutritional parameters and biochemical data were compared between the two groups before and after 6-d of HPPN. Most investigated variables showed no significant changes after administration of HPPN with lipid emulsion. However, the postoperative triglyceride level was significantly lower in the interventional group than in the control group ( P < 0.05). In comparison with lipid emulsion, glucose administration resulted in less decrease in postoperative prealbumin level ( P < 0.05). CONCLUSION: In addition to supplementing with essential fatty acid, it seems that HPPN with lipid emulsion is well-tolerated and beneficial to postoperative gastrointestinal cancer patients.

关 键 词：Hypocaloric PERIPHERAL PARENTERAL nutrition Lipid EMULSION DEXTROSE 

分 类 号：R735[医药卫生—肿瘤]