Parenteral nutrition postoperative

Paraneoplastic syndrome Parasitic infections Parenteral nutrition Postoperative cholestasis Primary biliary cholangitis Primary sclerosing cholangitis Protoporphyria Right ventricular failure Sepsis... 

Special forms There are a multitude of factors involved in the pathogenesis of intrahepatic benign postoperative jaundice hypoxia, hypotension, haemolysis, toxins, sepsis and medicaments are just a few of them. (5, 6, 14, 18, 23) Likewise, jaundice in intensive-care patients (2, 7, 15) as well as after long-term total parenteral nutrition belong to this category, (l, 4)... 

Gafa M, Sarli L, Miselli A, Pietra N, Carreras F, Peracchia A. Sludge and microlithiasis of the biliary tract after total Gastrectomy and postoperative total parenteral nutrition. Surg Gynecol Obstet 1987 165(5) 413-18. 

Erstad BL, Campbell DJ, Rollins CJ, Rappaport WD. Albumin and prealbumin concentrations in patients receiving postoperative parenteral nutrition. Pharmacotherapy 1994 14 458 62. 

In short bowel syndrome, parenteral nutrition should be used to meet nutritional needs in the immediate postoperative period after intestinal resection. 

Parenteral nutrition formulations provide nutritive support for patients who are not able, not allowed or not willing to eat for a critical period of time. Indications for parenteral nutrition include pre- and postoperative periods of major surgery or trauma, severe obstruction of the gut (e.g. by tumours), severe motility disorders (e.g. ileus), severely impaired absorption capacity (e.g. short bowel syndrome, mucositis in stem cell transplantation patients). Parenteral... 

Carbohydrates represent an essential component of the caloric intake in intravenous nutrition. There has been experience with glucose, fructose and the two sugar alcohols, xylitol and sorbitol (Bassler, 1971 Mehnert, et al., 1970), glucose being the most important carbohydrate in parenteral nutrition. There are, however, certain conditions in which glucose utilization is impaired, such as diabetes mellitus or in the postoperative state and additional administration of insulin may be necessary. 

Roth B, Birkhauser FD, Zehnder P, Thalmatm GN, Huwyler M, Burkhard FC, et al. Parenteral nutrition does not improve postoperative recovery from radical cystectomy results of a prospective randomised trial. Eiu Urol March 2013 63(3) 475-82. 

Trice S, Melnik G, Page CP. Complications and costs of early postoperative parenteral versus enteral nutrition in trauma patients. Nutr Clin Pract 1997 12 114-119. 

After intestinal resection, the clinical course and nutritional management of SBS patients may be described in three stages, or phases. The first stage, or acute phase, occurs during the initial postoperative period. This phase lasts at least 1 week, and may continue from 3 weeks to 3 months. It is complicated by major fluid and electrolyte losses (up to 5 L/day) and the parenteral route should be used to supply nutritional needs. 

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