Metabolic responses to enteral and parenteral nutrition.

Abstract:

:Seven pairs of rats were simultaneously infused with a chemically formulated nutritionally complete amino acid-glucose diet which was delivered, at the same rate, into a central vein or into a feeding gastrostomy. The intragastrically infused rats showed greater weight gain than did the intravenously infused rats. This could not be explained by fluid retention since intake and output were similar in the two groups of animals. There was a greater increase in serum immunoreactive insulin (IRI) at day 8 in the intragastrically infused animals, but a smaller increment in serum immunoreactive pancreatic glucagon (IRG) at that point. Levels of enteroglucagon or glucagon-like immunoreactivity (GLI) were maintained in the intragastrically infused rats but declined markedly in the intravenously infused rats. It is possible that the greater release of IRI seen with the intragastric amino acid-glucose feeding contributes to better disposal of nutrients and greater weight gain. The presence of nutrients in the intestinal lumen may have stimulated the release of GLI, which in turn is insulinotropic.

journal_name

Am J Surg

authors

Lickley HL,Track NS,Vranic M,Bury KD

doi

10.1016/0002-9610(78)90092-2

subject

Has Abstract

pub_date

1978-02-01 00:00:00

pages

172-6

issue

2

eissn

0002-9610

issn

1879-1883

pii

0002-9610(78)90092-2

journal_volume

135

pub_type

杂志文章
  • Presidential address: imagination trumps knowledge.

    abstract::Multiple organ failure (MOF) emerged 30 years ago and became our research focus. Over the years, we have proposed a series of cartoons that rallied multidisciplinary translational research teams around common themes to generate "win-win" hypotheses that when tested (right or wrong) have advanced our understanding of M...

    journal_title:American journal of surgery

    pub_type:

    doi:10.1016/j.amjsurg.2010.05.009

    authors: Moore FA

    更新日期:2010-12-01 00:00:00

  • Middle-preserving pancreatectomy for multicentric body-sparing lesions of the pancreas.

    abstract:BACKGROUND:The appropriate surgical approach of a pancreatic multifocal disease that skips the body of the gland remains unknown. We sought to analyze a parenchyma-sparing surgical technique consisting of a middle-preserving pancreatectomy (MPP) evaluating feasibility, safety, and oncological and functional outcomes. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2009.02.017

    authors: Partelli S,Boninsegna L,Salvia R,Bassi C,Pederzoli P,Falconi M

    更新日期:2009-09-01 00:00:00

  • Surgical experience of refined 3-cuff technique for orthotopic small-bowel transplantation in rat: a report of 270 cases.

    abstract:BACKGROUND:Establishment of an instant, reproducible, and reliable rat model of a refined 3-cuff technique for performing orthotopic intestinal transplantation is reported, and the surgical skills required to perform modified surgical procedure are discussed. METHODS:A retrospective analysis was used to study 270 rat ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2008.07.057

    authors: Xue L,Lu Y,Qiu W,Zhou H,Zhang G,Jin Z,Lin M,Chen H,Rui Z,Zheng Y

    更新日期:2009-07-01 00:00:00

  • Presentation, management and outcome of axillary recurrence from breast cancer.

    abstract:BACKGROUND:The impact of axillary node dissection on breast cancer survival is unclear. Limited axillary surgery has been proposed but may increase regional recurrence rates. Optimal management for axillary recurrence is poorly understood. METHODS:Axillary recurrences were initial treatment failure sites in 44 of 4,25...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(00)00456-6

    authors: Newman LA,Hunt KK,Buchholz T,Kuerer HM,Vlastos G,Mirza N,Ames FC,Ross MI,Singletary SE

    更新日期:2000-10-01 00:00:00

  • Experience with colovesical fistula.

    abstract::Experience with 37 patients with adult colovesical fistula over the past 19 years is reviewed. Specific guidelines for treatment of adult colovesical fistula are influenced by the location and cause of the fistula, the patient's general condition, the presence of a pelvic abscess and the presence of colonic obstructio...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90421-3

    authors: McConnell DB,Sasaki TM,Vetto RM

    更新日期:1980-07-01 00:00:00

  • Preoperative irradiation potentiation with cisplatin: effect on rate of wound infection.

    abstract::Platinum coordination complexes, such as cisplatin, potentiate the cytotoxicity of irradiation on squamous cell carcinoma and certain other solid tumors. Using a rat oro-cutaneous fistula model, an investigation was carried out to determine whether or not there was a concomitant potentiation with cisplatin of the dele...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(86)90322-3

    authors: Morain WD,Richmond RC,Jacobs NJ,Douple EB,Coughlin CT

    更新日期:1986-10-01 00:00:00

  • Can biliary-cyst communication be predicted before surgery for hepatic hydatid disease: does size matter?

    abstract:BACKGROUND:The aim of this study was to determine if there is any predictive factor indicating the risk of bile leakage before surgery for hepatic hydatid disease in clinically asymptomatic patients. METHODS:The data of 116 patients who underwent surgery for hepatic hydatid disease were reviewed retrospectively. There...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2007.07.034

    authors: Kilic M,Yoldas O,Koc M,Keskek M,Karakose N,Ertan T,Gocmen E,Tez M

    更新日期:2008-11-01 00:00:00

  • Is academic managed care an oxymoron?

    abstract:BACKGROUND:A review of 1993 data on length of stay (LOS) and charges for diagnosis-related group (DRG) 195 (complicated cholecystectomies) showed that Maricopa Medical Center charged more and had longer LOS than all other area hospitals. METHODS:Twenty DRG 195 charts were analyzed for the causes of the inefficiencies....

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)80035-x

    authors: Weiland DE,Malone JM,Bay C,Garren R

    更新日期:1995-12-01 00:00:00

  • A 27-year experience with splenectomy for Gaucher's disease.

    abstract::Gaucher's disease is an inherited metabolic disorder caused by the defective activity of acid beta-glucosidase and the resultant accumulation of glucosyl ceramide-laden macrophages in the liver, bone, and spleen. Splenectomy is the preferred treatment for patients with Gaucher's disease who develop massive splenomegal...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(91)90363-i

    authors: Fleshner PR,Aufses AH Jr,Grabowski GA,Elias R

    更新日期:1991-01-01 00:00:00

  • Hume Memorial lecture. Prevention of spinal cord complications in aortic surgery.

    abstract::Paraplegia or paraparesis after operations on the thoracic and abdominal aorta is a devastating event, both for the patient and the surgeon. While its incidence varies from under 1% with operations at the top and bottom of the aorta, its occurrence in the midportion of the aorta, just above the diaphragm, even in the ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9610(98)00133-0

    authors: Connolly JE

    更新日期:1998-08-01 00:00:00

  • Role of emergency thoracotomy in the resuscitation of moribund trauma victims: 100 consecutive cases.

    abstract::(1) Emergency thoracotomy can be a lifesaving procedure in critically injured patients who present with no detectable pulse or blood pressure. (2) Emergency thoracotomy is nonproductive if cardiac electrical activity is absent. (3) Best results are achieved in patients with chest injuries and the worst results in thos...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(81)80034-7

    authors: Harnar TJ,Oreskovich MR,Copass MK,Heimbach DM,Herman CM,Carrico CJ

    更新日期:1981-07-01 00:00:00

  • Platelet and neutrophil to lymphocyte ratios predict survival in patients with resectable colorectal liver metastases.

    abstract:BACKGROUND:The prognostic significance of the platelet (PLR) and neutrophil (NLR) to lymphocyte ratios for patients with resectable colorectal cancer liver metastases (CLM) was evaluated. METHODS:Clinicopathologic data from patients who underwent hepatectomy for CLM at two tertiary care hospitals between 1995 and 2017...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2020.05.003

    authors: Erstad DJ,Taylor MS,Qadan M,Axtell AL,Fuchs BC,Berger DL,Clancy TE,Tanabe KK,Chang DC,Ferrone CR

    更新日期:2020-12-01 00:00:00

  • Thyroid cancer: some basic considerations.

    abstract::From these data and data from the literature, our recommended treatment for well-differentiated cancer is as follows: For papillary cancer, resection should be adequate to encompass the entire tumor, which in most cases would be complete lobectomy and possibly isthmusectomy. Prophylactic neck dissection is of no value...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(81)90378-0

    authors: Wanebo HJ,Andrews W,Kaiser DL

    更新日期:1981-10-01 00:00:00

  • Does drainage of the peritoneal cavity have an impact on the postoperative course of community-acquired, secondary, lower gastrointestinal tract peritonitis?

    abstract:BACKGROUND:In the surgical management of lower gastrointestinal tract peritonitis (LGTP), drainage of the peritoneal cavity is often recommended. The objective of the study was to evaluate the impact of drainage of the abdominal cavity during management of LGTP. METHODS:From January 2009 to January 2012, patients unde...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2016.09.031

    authors: Rebibo L,Ebosse I,Iederan C,Mahjoub Y,Dupont H,Cosse C,Regimbeau JM

    更新日期:2017-07-01 00:00:00

  • The impact of medical student interest in surgery on clerkship performance and career choice.

    abstract:BACKGROUND:Interest in surgery has declined for two decades. This study aimed to evaluate the impact of one's interest in surgery on career choice. METHODS:Students who completed the surgical clerkship (2016-2017) were invited to complete surveys assessing rotation experience, learning style, burnout, and grit. Studen...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2019.09.040

    authors: Kassam AF,Cortez AR,Winer LK,Kuethe JW,Athota KP,Quillin RC 3rd

    更新日期:2020-02-01 00:00:00

  • Clinical impact of sentinel lymph node biopsy in patients with thick (>4 mm) melanomas.

    abstract:BACKGROUND:The role of sentinel lymph node status (SLNS) in thick melanoma is evolving. The purpose of this study was to determine the prognostic value of SLNS in thick melanoma. METHODS:A retrospective analysis of 120 prospectively collected clinically node-negative thick melanomas over 5 years was performed. Patient...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.12.022

    authors: White I,Fortino J,Curti B,Vetto J

    更新日期:2014-05-01 00:00:00

  • Morbidity and mortality related to home parenteral nutrition in patients with gut failure.

    abstract::The clinical course of 39 patients on HPN for 5.5 years at The Cleveland Clinic Foundation were reviewed. Rehospitalization and mortality rates were relatively low in this group of patients who had significant disease processes. Rehospitalization and mortality were usually due to the primary underlying disease process...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90174-5

    authors: Steiger E,Srp F

    更新日期:1983-01-01 00:00:00

  • Is quicker better? A NSQIP analysis of anesthesia time and complications following tracheostomy placement.

    abstract:BACKGROUND:Increased anesthesia time may lead to respiratory complications in patients receiving tracheostomy, which contributes to patient morbidity. METHODS:The American College of Surgeon's National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for cases of planned tracheostomy (CPT 31600) f...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.07.059

    authors: Azmy MC,Bansal AP,Yip C,Kalyoussef E

    更新日期:2018-10-01 00:00:00

  • Stereotactic fine-needle aspiration cytology of nonpalpable breast lesions: an analysis of 258 consecutive aspirates.

    abstract:BACKGROUND:The role of stereotactic fine-needle aspiration cytology (SFNAC) in the diagnosis of nonpalpable breast lesions is poorly defined. PATIENTS AND METHODS:Data were prospectively collected from 225 consecutive patients with nonpalpable breast lesions who had aspiration cytology followed by immediate surgical e...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9610(05)80116-3

    authors: Sarfati MR,Fox KA,Warneke JA,Fajardo LL,Hunter GC,Rappaport WD

    更新日期:1994-12-01 00:00:00

  • Multiple primary melanoma in the elderly.

    abstract:BACKGROUND:Few data exist regarding surveillance for multiple primary melanoma (MPM) in elderly patients or whether the incidence and risk factors are the same as for younger patients. Thus, we studied the frequency and characteristics of MPM in the elderly melanoma patients. METHODS:From our prospective melanoma regi...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2015.05.023

    authors: Krajewski AC,Hart DR,Hieken TJ

    更新日期:2016-01-01 00:00:00

  • Portal decompression in infants and children with the interposition mesocaval shunt.

    abstract::The mesocaval graft for portal decompression is applicable in infants and children with portal hypertension secondary to extrahepatic or intrahepatic causes. It is recommended in patients in whom extensive previous surgery in the portahepatis (Kasai procedure) would make dissection of the portal vein difficult and end...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(78)90011-9

    authors: Altman RP,Potter BM

    更新日期:1978-01-01 00:00:00

  • Functional alignment, not structural integration, of medical schools and teaching hospitals is associated with high performance in academic health centers.

    abstract:BACKGROUND:Debates continue regarding optimal structures for governance and administration between medical schools and their teaching hospitals. METHODS:Structural integration (SI) for 85 academic health centers was characterized as high (single leader or fiduciary) or low (multiple leaders or fiduciaries). Functional...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2011.05.001

    authors: Keroack MA,McConkie NR,Johnson EK,Epting GJ,Thompson IM,Sanfilippo F

    更新日期:2011-08-01 00:00:00

  • Local complications after surgical resection for thyroid carcinoma.

    abstract:BACKGROUND:One of the issues in the debate surrounding the extent of thyroid excision for localized, well-differentiated thyroid cancer is the low morbidity rate reported after all degrees of thyroid resection. This study was conducted to determine morbidity and mortality after surgical resection for thyroid cancer. M...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80085-6

    authors: Flynn MB,Lyons KJ,Tarter JW,Ragsdale TL

    更新日期:1994-11-01 00:00:00

  • Edgar J Poth lecture. Pathogenesis, diagnosis, and treatment of thrombosis.

    abstract::Thrombosis and its major sequela, embolism, continue to contribute significantly to morbidity and mortality, both as primary disorders and as complications of other systemic systems. The understanding of the etiology of thromboembolism and the role of platelets, endothelium, and the plasma proteins in the development ...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9610(05)80743-3

    authors: Thomas JH

    更新日期:1990-12-01 00:00:00

  • An update of sentinel lymph node mapping in patients with ductal carcinoma in situ.

    abstract:OBJECTIVE:The purpose of our study is to further clarify the incidence of ductal carcinoma in situ (DCIS) patients that are upstaged upon final pathology and/or have metastatic disease in the axilla. METHODS:All patients were diagnosed with DCIS or DCIS with microinvasion (DCISm) on their diagnostic biopsy and receive...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2005.06.011

    authors: Wilkie C,White L,Dupont E,Cantor A,Cox CE

    更新日期:2005-10-01 00:00:00

  • Inadequacy of steroids in the treatment of severe hemorrhagic shock.

    abstract::Massive doses of methylprednisolone were given to dogs prior to severe, lethal, hemorrhagic shock. An untreated group of dogs subjected to hemorrhagic shock served as controls. No persistent significant differences were seen in cardiac output, mean arterial blood pressure, superior mesenteric artery flow, and survival...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(75)90394-3

    authors: Raflo GT,Jones RC Jr,Wangensteen SL

    更新日期:1975-09-01 00:00:00

  • Cancer of unknown primary origin: a decade of experience in a community-based hospital.

    abstract:BACKGROUND:Cancer of unknown primary (CUP) origin is a very aggressive disease with a poor prognosis. Most of the literature reports of CUP are generated from tertiary cancer centers. METHODS:A retrospective chart review of all patients with a diagnosis of CUP was performed between January 1995 and January 2005. Age, ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2007.08.039

    authors: Pimiento JM,Teso D,Malkan A,Dudrick SJ,Palesty JA

    更新日期:2007-12-01 00:00:00

  • Aggressive metastasectomy for pulmonic sarcomatous metastases: a follow-up study.

    abstract::Pulmonary metastases are the primary cause of death due to bone and soft tissue sarcomas. We have previously shown that an aggressive approach and a new technique of multiple pulmonary metastasectomies have resulted in improved survival for patients with pulmonary metastases. In this follow-up study, an expanded datab...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)81150-x

    authors: Saltzman DA,Snyder CL,Ferrell KL,Thompson RC,Leonard AS

    更新日期:1993-11-01 00:00:00

  • Ultrasound is now better than mammography for the detection of invasive breast cancer.

    abstract:OBJECTIVE:This study investigated the use of ultrasound (US) as a first-line diagnostic tool. METHODS:All women attending our breast center underwent bilateral whole-breast US in addition to all other investigations, and results were documented prospectively and preoperatively. RESULTS:Of 796 patients with breast can...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.06.032

    authors: Benson SR,Blue J,Judd K,Harman JE

    更新日期:2004-10-01 00:00:00

  • Fibromuscular dysplasia of the carotid arteries.

    abstract::Fibromuscular disease of the carotid artery was identified in 30 patients, which represented 3.2 percent of all patients who had cerebral angiography at Brooke Army Medical Center in the 6 year period from 1978 to 1984. Focal neurologic events were the presenting symptoms in 63 percent of the patients. The majority of...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(86)90100-5

    authors: Wesen CA,Elliott BM

    更新日期:1986-04-01 00:00:00