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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1997-4-29
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pubmed:abstractText |
Plasma amino acids were measured in 17 postoperative subjects randomly assigned to receive for > or = 5 d tube feeding or total parenteral nutrition (TPN) that had identical energy, nitrogen, and glutamine contents. Subjects required gastric or pancreatic surgery for malignancy and were well-matched for age and body mass index. Tube feeding or TPN began on postoperative day 1 and advanced in daily 25% increments to meet goals of 105 kJ . kg body wt-1 . d-1, 1.5 g protein . kg body wt-1 . d-1, and 0.3 g glutamine . kg body wt-1 . d-1. Delivered energy, nitrogen, and glutamine were closely matched on day 4. Nitrogen balance and plasma proteins did not differ significantly between feeding groups. Total indispensable amino acids, branched-chain amino acids, and glutamine declined 25% on postoperative day 1 compared with preoperative day 0. Indispensable and branched-chain amino acid concentrations were restored with 5 d of either tube feeding or TPN. Glutamine concentrations did not differ significantly by feeding group, though a trend suggested that glutamine recovered more slowly in the tube-fed than in the TPN-fed subjects. Plasma amino acids otherwise reflected formula composition with ratios of valine to leucine of 1.24 and 3.69 mumol/L in subjects receiving 5 d of tube feeding or TPN, respectively. These findings suggest that glutamine-enriched tube feeding and TPN can result in similar profiles for most plasma amino acids at carefully matched doses.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0002-9165
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
65
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
977-83
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9094882-Adolescent,
pubmed-meshheading:9094882-Adult,
pubmed-meshheading:9094882-Aged,
pubmed-meshheading:9094882-Amino Acids,
pubmed-meshheading:9094882-Enteral Nutrition,
pubmed-meshheading:9094882-Female,
pubmed-meshheading:9094882-Food, Formulated,
pubmed-meshheading:9094882-Glutamine,
pubmed-meshheading:9094882-Humans,
pubmed-meshheading:9094882-Male,
pubmed-meshheading:9094882-Middle Aged,
pubmed-meshheading:9094882-Nitrogen,
pubmed-meshheading:9094882-Pancreas,
pubmed-meshheading:9094882-Parenteral Nutrition,
pubmed-meshheading:9094882-Postoperative Care,
pubmed-meshheading:9094882-Stomach
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pubmed:year |
1997
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pubmed:articleTitle |
A prospective randomized study of glutamine-enriched parenteral compared with enteral feeding in postoperative patients.
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pubmed:affiliation |
Department of Gastroenterology, Geisinger Medical Center, Danville, PA 17822, USA.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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