Effects of intraoperative glucose administration on circulating metabolites and nitrogen balance during prolonged surgery.

Study Objectives: To compare the effects of intraoperative administration of 2.5% glucose or Ringer's solution on metabolism during prolonged surgery.

Design: Prospective, randomized study.

Is vitamin K1 supplementation necessary in long-term parenteral nutrition?

Background: I.v. lipid emulsions contain vitamin K in substantial quantities and in 1989, we therfore stopped supplying vitamin K1 to patients receiving home parenteral nutrition (HPN).

Cytokine and hormonal changes after cholecystectomy. Effect of ibuprofen pretreatment.

Objective: Surgical stress induces hormonal and cytokine responses proportional to the extent of the injury. Therefore, the authors assessed the effect of ibuprofen pretreatment on metabolic and hormonal changes after surgery.

Summary Background Data: Postoperative administration of cyclo-oxygenase inhibitor reduces cytokine production and nitrogen losses.

Prognosis of patients with nonmalignant chronic intestinal failure receiving long-term home parenteral nutrition.

Background/aims: Long-term survival of patients with intestinal failure requiring home parenteral nutrition (HPN) has been only partly shown. Therefore, we described the survival of these patients and explored prognosis factors.

Methods: Two hundred seventeen noncancer non-acquired immunodeficiency syndrome adult patients presenting with chronic intestinal failure enrolled from January 1980 to December 1989 in approved HPN programs in Belgium and France; prognosis factors of survival were explored using multivariate analysis.

[Metastatic neuroblastoma with secondary hypersecretion of vasoactive intestinal peptide].

A 18-month-old boy with stage 4 neuroblastoma needed intensive care because of prerenal acute renal failure related to an intractable watery diarrhoea syndrome occurring 10 months after the diagnosis of the primary tumor. This diarrhoea was in relation with a late hyperproduction of vasoactive intestinal peptide by the relapsing neuroblastoma itself and stopped with intravenous somatostatin administration.