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Selenium and total parenteral nutrition.

A M van Rij, J M McKenzie, M F Robinson

    JPEN. Journal of Parenteral and Enteral Nutrition
    |July 1, 1979
    PubMed
    Summary
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    Patients receiving total parenteral nutrition (TPN) may develop selenium (Se) deficiency. Low blood Se levels were observed, with urinary loss continuing despite low TPN Se content, suggesting supplementation may be needed.

    Area of Science:

    • Biochemistry
    • Clinical Nutrition
    • Trace Element Metabolism

    Background:

    • Selenium (Se) is an essential trace element with increasing recognition in human health.
    • Limited understanding exists regarding Se metabolism during total parenteral nutrition (TPN).
    • High-risk patient populations may be susceptible to developing Se deficiency during TPN.

    Purpose of the Study:

    • To investigate selenium (Se) metabolism in surgical patients receiving TPN.
    • To assess the risk of Se deficiency in patients undergoing TPN.
    • To determine Se levels and loss pathways in TPN-dependent patients.

    Main Methods:

    • Studied 23 surgical patients receiving TPN for at least one week.
    • Assessed whole blood Se levels in TPN patients compared to a low-Se population.

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  • Monitored Se loss predominantly through urine and gastrointestinal excretion.
  • Main Results:

    • TPN patients exhibited significantly lower whole blood Se levels than the general population.
    • Observed Se levels approached those seen in animals with Se-responsive syndromes.
    • Se continued to be lost via urine despite very low Se content in TPN fluids.
    • Higher gastrointestinal excretion correlated with greater Se loss.

    Conclusions:

    • Patients receiving TPN are at risk for developing selenium deficiency.
    • Urinary Se excretion persists even with minimal Se intake via TPN.
    • Se supplementation may be necessary for certain TPN patients to prevent deficiency.