ABSTRACT
Determined by risk and method of prophylaxis of acute pancreatitis in the postoperative enteral tube feeding in patients with destructive cholecystitis, analyzed levels of a-amylase in blood serum and clinical manifestations of acute pancreatitis in 135 operated patients. It was established that the use of nasoduodenal access is more likely to cause the elevated level of serum amylase (p<0,05) and more incidence of sings of acute pancreatitis in contrast to nasoduodenal tube placement. For the prevention of acute pancreatitis with enteral tube feeding is preferred mode designed using nasoduodenal access.
Subject(s)
Cholecystitis/surgery , Enteral Nutrition/methods , Pancreatitis/prevention & control , Acute Disease , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle AgedABSTRACT
A clinical and laboratory studies were undertaken to evaluate the efficiency of perioperative parenteral nutrition in destructive forms of acute calculous cholecystitis. Based on the general and biochemical blood analyses and the time course of changes in humoral immunological parameters, the authors concluded that enteral tube nutrition had a positive impact on the postoperative period. A nasojejunal access reducing the risk of acute pancreatitis, which was used during tube feeding, showed benefits.
Subject(s)
Cholecystitis, Acute/therapy , Cholecystolithiasis/therapy , Parenteral Nutrition/methods , Adolescent , Adult , Aged , Aged, 80 and over , Cholecystectomy/methods , Cholecystitis, Acute/metabolism , Cholecystitis, Acute/surgery , Cholecystolithiasis/metabolism , Cholecystolithiasis/surgery , Clinical Laboratory Techniques/methods , Energy Metabolism , Female , Humans , Intubation, Gastrointestinal , Male , Middle Aged , Monitoring, Physiologic , Nutritional Physiological Phenomena , Treatment Outcome , Young AdultSubject(s)
Digestive System Surgical Procedures/methods , Intestinal Neoplasms/pathology , Intestinal Neoplasms/surgery , Intestinal Obstruction/surgery , Intestine, Large , Peritonitis/surgery , Humans , Intestinal Neoplasms/complications , Intestinal Obstruction/etiology , Neoplasm Staging , Peritonitis/etiology , Treatment OutcomeABSTRACT
Blood levels of sex hormone-binding globulin (SHBG), transcortin and pregnancy-related alpha2-glycoprotein (PalphaGP) were assayed using commercial kits for alpha-protein analysis in 223 breast cancer patients and 180 healthy women. Elevated concentration of SHBG was characteristic of both the luteal stage of menstrual cycle and menopause. It occurred chiefly in patients under 59 whereas at older age no differences from control were observed. Blood- transcortin in tumor patients was significantly lower than in control; conversely, PalphaGP concentration was higher irrespective of age. Since steroid-binding protein levels in the blood of breast cancer patients appeared to differ from those in healthy women, relevant data should be considered when hormone-metabolic status of reproductive and menopausal patients is identified.
