NUTRIZIONE ARTIFICIALE NEI PAZIENTI DIABETICI UREMICI SOTTOPOSTI A TRAPIANTO DI PANCREAS E RENE

Translated title of the contribution: Artificial nutrition in diabetic and uremic patients undergoing pancreas and kidney transplantation

M. Braga, R. Castoldi, M. Cristallo, G. Ferrari, C. Staudacher, A. Secchi, V. Perotti, C. Martani, G. Gallioli, M. Caldi, G. Pozza, V. Di Carlo

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of the study was to quantify the catabolism rate and establish the role and modality of Total Parenteral Nutrition (TPN) in diabetic patients undergoing a simultaneous kidney and pancreas transplantation. Fifteen patients were retrospectively studied. Pancreatic exocrine secretion was suppressed with Neoprene(®) duct injection. In 8 patients caloric intake was represented only by carbohydrates and in 7 patients a mixed intake was adopted (70% carbohydrates and 30% fats). Nitrogen was administered immediately on the first postoperative day and the intake was maintained at 0.15 g/N/day. Mean duration of TPN was 7.0 days. The mean caloric intake was 1481 ± 326 Kcal/day and the mean nitrogen intake 6.2 ± 1.9 g/day. The average urinary urea nitrogen (UUN) was 6.1 ± 2.5 g/day. UUN in patients with glucidic caloric intake was 7.1 g/day while with glucidic and fat intake 5.9 g/day. Mean daily insulin requirement during TPN with glucose intake was 46.5 U/day while with glucidic and fat intake 42.9 U/day. Catabolism rate was not different from that calculated for elective major surgical procedures. Hypocaloric TPN with a mixed regimen seems to fit best to these patients. Nitrogen can be administered from the first postoperative day and the nitrogen intake can be limited to restore losses.

Translated title of the contributionArtificial nutrition in diabetic and uremic patients undergoing pancreas and kidney transplantation
Original languageItalian
Pages (from-to)93-98
Number of pages6
JournalRivista Italiana di Nutrizione Parenterale ed Enterale
Volume8
Issue number2
Publication statusPublished - 1990

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anatomy
  • Nutrition and Dietetics
  • Food Science

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