The value of short-term peripheral parenteral nutrition after colorectal surgery: a comparative study with conventional postoperative intravenous fluid

Acta Chir Belg. 1990 Sep-Oct;90(5):234-9.

Abstract

The potential beneficial effect of postoperative peripheral parenteral nutrition (PPN) was assessed in ten patients undergoing colorectal surgery and compared with the conventional use of intravenous fluids in ten controls. Clinical and biological parameters were checked. A significant improvement in the nitrogen-balance, which was not positive during the first postoperative days was observed. All other daily measured parameters (lipid metabolism, electrolytes, glucose levels and plasma pH) remained within normal ranges. In our opinion, short-term postoperative PPN may lessen protein losses and is indicated in those patients who may have a prolonged paralytic ileus without risking complications of central venous access. However, peripheral solutions may cause phlebitis and PPN is by no means an alternative to central TPN.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Colonic Diseases / surgery*
  • Colorectal Neoplasms / surgery
  • Decision Trees
  • Female
  • Fluid Therapy*
  • Humans
  • Lipid Metabolism
  • Male
  • Middle Aged
  • Parenteral Nutrition, Total*
  • Postoperative Care*
  • Proteins / metabolism
  • Rectal Diseases / surgery*

Substances

  • Proteins